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Milestones in Practice-Based Learning and Improvement
- Appreciate the responsibility to assess and improve care collectively for a panel of patients (PBLI-A1)
- Perform or review audit of a panel of patients using standardized, disease-specific, and evidence-based criteria (PBLI-A2)
- Reflect on audit compared with local or national benchmarks and explore possible explanations for deficiencies, including doctor-related, system-related, and patient-related factors (PBLI-A3)
- Identify areas in resident's own practice and local system that can be changed to improve the processes and outcomes of care (PBLI-A4)
- Engage in a quality improvement intervention (PBLI-A5)
Identify learning needs (clinical questions) as they emerge in patient care activities (PBLI-B1)
- Classify and precisely articulate clinical questions (PBLI-B2)
- Develop a system to track, pursue, and reflect on clinical questions (PBLI-B3)
- Access medical information resources to answer clinical questions and support decision making (PBLI-C1)
- Effectively and efficiently search NLM databases for original clinical research articles (PBLI-C2)
- Effectively and efficiently search evidence-based summary medical information resources (PBLI-C3)
- Appraise the quality of medical information resources and select among them based on the characteristics of the clinical question (PBLI-C4)
With assistance, appraise study design, conduct, and statistical analysis in clinical research papers (PBLI-D1)
- With assistance, appraise clinical guideline recommendations for bias (PBLI-D2)
- Independently appraise study design, conduct and statistical analysis in clinical research papers (PBLI-D3)
- Independently appraise clincial guideline recommendations for bias and cost-benefit considerations (PBLI-D4)
- Determine if clinical evidence can be generalized to an individual patient (PBLI-E1)
- Customize clinical evidence for an individual patient (PBLI-E2)
- Communicate risks and benefits to alternative to patients (PBLI-E3)
- Integrate clinical evidence, clinical context, and patient preferences into decision-making (PBLI-E4)
- Respond welcomingly and productively to feedback from all members of the health care team including faculty, peer residents, students, nurses, allied health workers, patients and their advocates (PBLI-F1)
- Actively seek feedback from all members of the health care team (PBLI-F2)
- Calibrate self-assessment with feedback and other external data (PBLI-F3)
- Reflect on feedback in developing plans for improvement (PBLI-F4)
- Maintain awareness of the situation in the moment, and respond to meet situational needs (PBLI-G1)
- Reflect (in action) when surprised, applies new insights to future clinical scenarios, and reflects (on action) back on the process (PBLI-G2)
- Actively participate in teaching conferences (PBLI-H1)
- Integrate teaching, feedback and evaluation with superv)ision of interns' and students' patient care (PBLI-H2)
- Take a leadership role in the education of all members of the health care team (PBLI-H3)
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