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Curriculum > Years 2 and 3

Curriculum - Years 2 and 3

YEARS 2 AND 3

Sports Medicine/Orthopedics: The goal of these rotations is to improve residents' ability to accurately diagnose a wide variety of musculoskeletal complaints in both children and adults.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Medical Knowledge Patient Care Interpersonal and Communication Skills
(1) Perform preparticipation physical examinations that screen for cardiac and musculoskeletal injury risk (2) Conduct appropriate examination of the back, diagnose common sources of back pain, and understand basic principles of management of back problems. (3) Diagnose by history and physical exam common athletic and performance injuries and manage them appropriately;	JFMA Sports Medicine Department, Rothman Institute, High school/College games Selected Readings a. Hoppenfeld, Stanley. Orthopaedic Neurology. A Diagnostic Guide to Neurologic Levels. Lippincott-Raven Publishers, 1997. b. Magee DJ.“Orthopaedic Physical Assessment. W.B. Saunders, 2002.	Medical Knowledge Patient Care Interpersonal and Communication Skills
(1) Prescribe physical therapies and orthotics based on patients presenting diagnoses; (2) Demonstrate proficiency in joint injection; (3) Order diagnostic imaging appropriate to the work-up of presenting musculoskeletal complaints and have familiarity interpreting results; (4) Employ the biopsychosocial model to provide general medical care to athletes at all levels. (5) Be familiar with common variants in childhood lower limb development including understanding indications for intervention;	JFMA Sports Medicine Department, Rothman Institute, High school/College games Resident conference Procedures clinic	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Patient Care Systems based Practice Professionalism
Provide sideline coverage for teams at the high school and collegiate level;	JFMA Sports Medicine Department, Rothman Institute, High school/College games	Medical Knowledge Patient Care

Elective: Residents have six –weeks of elective in the second year and eight –weeks of electives in the third year. These are rotations developed by the resident to meet his or her individual needs and interests. The program director and the resident’s advisor monitor the content of the electives. The resident is expected to develop specific goals and objectives for each elective (see Elective Policy).

Pediatric Emergency Room: Residents have a 4-week rotation in the emergency department at A.I. Dupont Hospital in year 2 and a 2 week Block at St Christopher’s Hospital for Children in year 3. The goal of these rotations is to solidify skills of assessment and management of acutely ill children presenting to a community pediatric emergency department.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	DuPont ER, St. Chris ER	Medical Knowledge Patient Care Interpersonal and Communication Skills
1. Assess and treat emergent and urgent illnesses in pediatric populations with particular emphasis on the child presenting with wheezing, fever, laceration, poisoning, and injury; 2. Recognize and be familiar with mechanisms to report childhood abuse; 3. Perform common procedures including splinting, laceration repair, lumbar puncture, bladder catheterization and suprapubic bladder tap, venipuncture, and insertion of intravenous lines.	DuPont ER, St. Chris ER, Procedures workshops, Resident didactic conferences Selected readings a. Pediatric Emergency Medicine Secrets (part of the Secrets series)- edited by Selbst and Cronan (many chapters written by duPont faculty). Published by Hanley and Belfus (Elsevier) b. Nelson's, Harriet Lane, 5 minute Pediatric Consult c. Philadelphia Guide - Inpatient Pediatrics d. Various practice guidelines available at following web site in decreasing order of use. http://www.cincinnatichildrens.org/svc/alpha/h/health-policy/ev-based OM, Asthma, Bronchiolitis, AGE, Febrile Infant, Pneumonia, UTI, First Seizure - afebrile, appy http://aappolicy.aappublications.org Hyperbili, Febrile Seizure, Nonfebrile first Seizure, AGE, UTI, Closed head trauma, GER http://www.guideline.gov/ e. Parent anticipatory guideline information. Books - Barton Schmidt's http://kidshealth.org/ f.http://www.hospitalmedicine.org/ Content/NavigationMenu/Education/CoreCurricu	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	DuPont ER, St. Chris ER	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	DuPont ER, St. Chris ER	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	DuPont ER, St. Chris ER	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	DuPont ER, St. Chris ER	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	DuPont ER, St. Chris ER	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	DuPont ER, St. Chris ER	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	DuPont ER, St. Chris ER	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	DuPont ER, St. Chris ER	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	DuPont ER, St. Chris ER	Patient Care Systems based Practice Professionalism

Maternal-Child Health: In the second and third year, residents spend six weeks total as the obstetrics coverage for the family practice center (FMC) and actively works in Labor & Delivery.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA office, Labor and delivery, post-partum floors, newborn nursery	Medical Knowledge Patient Care Interpersonal and Communication Skills
1. Evaluate and triage pregnant patients who present to the delivery room and the FMC; 2. Evaluate and follow pregnant patients who are admitted to the hospital for medical problems (i.e. admissions for asthma, pyelonephritis); 3. Evaluate and manage patients in preterm labor; 4. Perform circumcisions including dorsal penile nerve block on newborn males; 5. Evaluate and follow newborns in the nursery. (see Goals and Objectives for Newborn-Pediatrics)	JFMA office, Labor and delivery, post-partum floors, newborn nursery Selected readings: a. Family Practice Obstetrics, 2nd Edition, by Ratcliffe (2001). Some of the information is outdated but it’s a good bread and butter text, and still has some very relevant material. b. ALSO syllabus (receive at the beginning of 2nd year, or interns can borrow from an upper year). Excellent reference for emergencies on the labor deck	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	JFMA office, Labor and delivery, post-partum floors, newborn nursery	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	JFMA office, Labor and delivery, post-partum floors, newborn nursery	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA office, Labor and delivery, post-partum floors, newborn nursery, inpatient rounds, discussion	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA office, Labor and delivery, post-partum floors, newborn nursery	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA office, Labor and delivery, post-partum floors, newborn nursery	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA office, Labor and delivery, post-partum floors, newborn nursery, inpatient rounds, discussion	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA office, Labor and delivery, post-partum floors, newborn nursery, inpatient rounds, discussion	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA office, Labor and delivery, post-partum floors, newborn nursery	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA office, Labor and delivery, post-partum floors, newborn nursery, rounds, discussion	Patient Care Systems based Practice Professionalism

Family Medicine; Inpatient/Night Float: Second year residents spend eight weeks and third year residents spend four weeks as the supervisory resident on the inpatient family medicine service. Additionally, residents spend six weeks total in Year 2 & 3 as the supervising resident on night float. The goal of this rotation is to help the resident become independent in management of acutely ill adult medical patients.

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion.	Patient Care Systems based Practice Professionalism
Specifically, residents will be able to: 1. assess severity of illness and the need for inpatient care in emergency room and outpatient settings; 2. organize and implement an efficient, cost effective inpatient plan; 3. provide appropriate supervision for junior residents and senior medical students; 4. serve the role as principle communicator with the patient, family, and caretakers; 5. facilitate the transition from inpatient to outpatient care using discharge planning, home health agencies, and primary physicians; 6. teach colleagues and students on clinically-generated topics; 7. present cases from the inpatient service in monthly morbidity and mortality rounds. 8. Present cases from night float in Friday AM Conferences.	Thomas Jefferson Emergency Room, JFMA inpatient service, rounds, discussion. Selected Readings: a. Metchick, MD, “Inpatient Management of Diabetes Mellitus”; Am J Med; 2002 b. King, et al., “Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control, American Family Physician, {Vol. 66; No. 2; July 15, 2002} c. Agarwal, MD, and Swartz, MD, “Acute Renal Failure”, American Family Physician, {April 1, 2000}) d. Zanger, Solomon, Gersh, “Contemporary Management of Angina: Part I. Risk Assessment.” American Family Physician, {December 1999}) e. Johnston, MD, PhD, “Transient Ischemic Attack”, The New England Journal of Medicine, {Vol. 347; No. 21; November 21, 2002 f. Gibbons,, MD, et al., “ACC/AHA 2002 Guideline Update for Exercise Testing”, www.acc.org g. Chunilal, et al., “Does this Patient Have Pulmonary Embolism?”, The Journal of the American Medical Association, {Vol. 290; No. 21; December 3, 2003} h. Palm, MD, and Decker, MD, “Acute Exacerbations of Chronic Obstructive Pulmonary Disease”, Emergency Medicine Clinics of North America, {Vol. 21; No. 2; May 2003}) i. Oh, MD, and Pisegna, MD, “Management of Upper Gastrointestinal Bleeding”, Clinics in Family Practice, {Vol. 6; No. 3; September 2004} j. Fine, MD, et al., “A Prediction Rule to Identify Low-Risk Patients with Community-Acquired Pneumonia”, The New England Journal of Medicine, {Vol. 336; No. 4; January 23, 1997})	Medical Knowledge Patient Care

FMC (Longitudinal Experiences): The goals of this rotation are for the resident to be exposed to and become skilled in the management of a broad range of family medicine issues including geriatric medicine, adolescent medicine, and home visits and to further develop efficiency and proficiency in a busy office practice. .

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits.	Patient Care Systems based Practice Professionalism
At the end of this rotation the resident will be able to: 1. efficiently evaluate and manage common ambulatory care problems 2. perform comprehensive adult physical exams and health maintenance 3. perform well child care including anticipatory guidance and health maintenance 4. perform a comprehensive evaluation of the adolescent patient 5. document clinical activity in the medical record in a timely, concise fashion that appropriately reflects level of service billed and problem addressed 6. accurately complete all office billing forms for each visit 7. demonstrate improved time management skills by providing timely care to an increasing number of patients over the three years. 8. utilize office staff in supportive behavior that facilitates efficient patient care 9. conduct a thorough home visit on home bound patients with attention to both medical and social needs 10. provide assessments and management of complex elderly patients in a nursing home and understand the importance of team management and collaboration in the care of these patients 11. Perform an initial refugee health intake physical examination. 12. Perform a complete head and neck examination, including use of nasal speculum; 13. Participate in indirect and direct laryngoscopy, bimanual oral exam; 14. Perform an exam to screen for head and neck cancers; 15. Diagnose and manage common ENT problems including: -acute and chronic sinusitis; -allergic syndromes; -a variety of acute and chronic diseases of the middle ear; -acute and chronic pharyngitis; -dizziness and vertigo; -tinnitus and hearing loss; -hoarseness. 16. Perform a complete urologic exam including rectal, prostate, and testicular exam. 17. Detect prostate cancer through physical examination and appropriate testing; 18. Diagnose and initiate management of common urologic problems including: -acute and chronic prostatitis; -renal calculi; -benign prostatic hyperplasia; 19. Understand approach to evaluation of common urologic problems including: -male infertility; -male sexual dysfunction; -scrotal masses; -hematuria; -penile disorders including priapism and peyronie’s disease. 20. Conduct an appropriately directed ophthalmologic history and physical examination; 21. Conduct a physical examination with instruments that are routinely available to the family physician; 22. Understand the role of additional ophthalmologic instruments, specifically indirect fundoscopy, fluroscein angiography, and slit-lamp examination; 23. Understand the initial management of eye injuries; 24. Understand the progression of chronic open angle glaucoma and resultant physical finding; 25. Understand the indications for ophthalmologic consultation.	JFMA outpatient office, Coumadin clinic, Home visits, Refugee clinic, subspecialties (Urology, Ophthalmology, Orthopedics, ENT), QICD group visits. Selected Readings: a. duBreuil AL. Umland EM. “Outpatient Management of Anticoagulation Therapy”. b. Ebell MH. “Point-of-Care Guides: Evidence-Based Initiation of Warfarin (Coumadin)”. AFP February 15, 2006. Dunn A. “Perioperative Management of Oral Anticoagulation: When and How to Bridge”. J Thromb thrombolysis 2006;21(1):85-89. c. Minnesota Refugee Health Provider Guide d. Agarwal, MD, and Swartz, MD, “Acute Renal Failure”, American Family Physician, {April 1, 2000})	Medical Knowledge Patient Care

Community Medicine: This is a longitudinal experience occurring over the second and third year of residency after an introduction during the FMC blocks in Year 1. The goal of this experience is for residents to be skilled at implementing the community oriented primary care model in a given community. At the completion of this experience residents will be able to:

Learning Objectives At the completion of the rotation, Residents will:	Where/How Learning Occurs	Competency Addressed
Evaluates the presenting problem using a focused investigation	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Medical Knowledge Patient Care Interpersonal and Communication Skills
Performs a competent and appropriate physical examination	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Medical Knowledge Patient Care Interpersonal and Communication Skills
Prioritizes the probable and potential diagnoses to ensure that attention is given to the most likely, most serious and most readily treatable options	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills
Presents a well-organized and understandable case to the attending	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Medical Knowledge Patient Care Practice-Based Learning Interpersonal and Communication Skills Professionalism
Presents a well-organized and understandable diagnosis and plan to the patient	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Medical Knowledge Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Locates and utilizes evidence-based resources in the care of an individual or patient group	Explore website resources: UpToDate, MDConsult, etc	Practice-Based Learning
Accepts and incorporates faculty feedback	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Practice-Based Learning Interpersonal and Communication Skills Professionalism
Assists patients with complex disease processes, ensures access to necessary ancillary services and coordination of care with specialists if indicated	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Patient Care Systems based Practice Interpersonal and Communication Skills Professionalism
Works with colleagues to share responsibilities for patient care and administrative tasks	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Systems based Practice Professionalism
Works together with staff in a manner that fosters mutual respect and facilitates an effectively run practice	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Systems based Practice Interpersonal and Communication Skills Professionalism
Understands and acts on ethical principles	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Professionalism
Completes the task of the defined session so that all necessary tasks are accomplished in a timely, organized and professional manner	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions	Patient Care Systems based Practice Professionalism
At the completion of this experience residents will be able to: 1. conduct needs assessments on an identified population; 2. access epidemiologic data about a geographically defined community; 3. collaborate with other health professionals, social service agencies, and community members in designing interventions to impact the health of a community; 4. understand the community’s role in health problems and solutions; 5. practice COPC through health education; 6. deliver healthcare in established COPC models.	Community Partners (St. Elizabeths, YES, JeffHOPE, Health Centers), informal discussions Selected Readings: See COPC handbook in resident room.	Medical Knowledge Patient Care

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