Core Competencies

The following document is an important description of learning objectives and milestones for residents at different levels of training based on the six core competencies:

• Patient Care
• Medical Knowledge
• Interpersonal and Communication Skills
• Professionalism
• Practice-based Learning
• Systems-based Practice

ACGME Rules Regarding Supervision

• Level 1/Direct Supervision, defined by immediate, in-person supervision, is required for all procedures performed by non-credentialed housestaff regardless of the time of day.  The supervisor may be a credentialed house officer or faculty member; if the former, the responsible faculty member must be immediately available either on/off site (this is defined as Indirect Supervision depending on the time of day as is described below).
• Level 2A/Indirect Supervision, defined as immediate on-site availability, is required of faculty between 7AM-4PM daily for housestaff clinical responsibilities and is required of senior housestaff 24 hours a day for PGY-1s.
• Level 2B/Indirect Supervision, defined as immediate availability from off-site faculty, is required of faculty between 4PM-7AM daily for housestaff clinical responsibilities.

These learning objectives are collected for the convenience of our residents and faculty and are intended to allow for rapid review of expectations at different levels of training.  Please note that the stated objectives should never limit our achievement expectations.  Residents at all levels of training should strive to continuously improve their competency in the diverse skills that define excellence for internists. All clinical activities are supervised by faculty with direct supervision being required for all non-credentialed housestaff procedures and indirect supervision being required for all other housestaff clinical responsibilities.

• How We Teach and Evaluate the Core Competencies