Milestones Linked to Core Competencies
ACGME and ABIM Release 22 Internal Medicine Reporting Milestones
Internal Medicine End of Training EPAs
Building Assessments for an EPA in Three Steps
Milestones Linked to Core Competencies
Milestones in Patient Care
Milestones in Medical Knowledge
Milestones in Practice-Based Learning and Improvement
Milestones in Interpersonal and Communications Skills
Milestones Linked to Professionalism
Milestones Linked to Systems-Based Practice
Literature Behind NAS, Milestones, and EPAs
Definitions To Get You Started
PGY Level-Specific Self-Assessment Forms
Subspecialty Fellowship Milestones

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  • Acquire accurate and relevant history from the patient in an efficiently customized, prioritized, and hypothesis driven fashion (PC-A1)
  • Seek and obtain appropriate, verified, and prioritized data from secondary sources (e.g. family, records, pharmacy) (PC-A2)
  • Obtain relevant historical subtleties that inform and prioritize both differential diagnoses and diagnostic plans, including sensitive, complicated, and detailed information that may not often be volunteered by the patient (PC-A3)
  • Role model gathering subtle and reliable information from the patient for junior members of the health care team (PC-A4)
  • Perform an accurate physical examination that is appropriately targeted to the patient’s complaints and medical conditions. Identify pertinent abnormalities using common maneuvers (PC-B1)
  • Accurately track important changes in the physical examination over time in the outpatient and inpatient settings (PC-B2)
  • Demonstrate and teach how to elicit important physical findings for junior members of the health care team (PC-B3)
  • Routinely identify subtle or unusual physical findings that may influence clinical decision making, using advanced maneuvers where applicable (PC-B4)
  • Synthesize all available data, including interview, physical examination, and preliminary laboratory data, to define each patient’s central clinical problem PC-C1)
  • Develop prioritized differential diagnoses, evidence-based diagnostic and therapeutic plan for common inpatient and ambulatory conditions (PC-C2)
  • Modify differential diagnosis and care plan base on clinical course and data as appropriate (PC-C3)
  • Recognize disease presentations that deviate from common patterns and that require complex decision making (PC-C4)
  • Appropriately perform invasive procedures and provide post-procedure management for common procedures (PC-D1)
  • Make appropriate clinical decisions based on the results of common diagnostic testing, including but not limited to routine blood chemistries, hematologic studies, coagulations tests, arterial blood gases, ECG, chest radiographs, pulmonary function tests, urinalysis and other body fluids (PC-E1)
  • Make appropriate clinical decisions based upon the results of more advanced diagnostic tests (PC-E2)
  • Recognize situations with a need for a need for urgent or emergent medical care, including life-threatening conditions (PC-F1)
  • Recognize when to seek additional guidance (PC-F2)
  • Provide appropriate preventive care and teach patient regarding self-care (PC-F3)
  • With minimal supervision, manage patients with common clinical disorders seen in the practice of inpatient and ambulatory general internal medicine (PC-F4)
  • With supervision, manage patients with common and complex clinical clinical disorders seen in the practice of inpatient and ambulatory general internal medicine (PC-F5)
  • Initiate management and stabilize patients with emergent medical conditions (PC-F6)
  • Manage patients with conditions that require intensive care (PC-F7)
  • Independently manage patient with a broad spectrum of clinical disorders seen in the practice of general internal medicine (PC-F8)
  • Manage complex or rare medical conditions (PC-F9)
  • Customize care in the context of the patient’s preferences and overall health (PC-F10)
  • Provide specific, responsive consultation to other services (PC-G1)
  • Provide internal medicine consultation for patients with more complex clinical problems require detailed risk assessment (PC-G2)
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