DERMATOLOGY RESIDENCY TRAINING
SPECIALTY SPECIFIC COMPETENCIES AND EVALUATION METHODS - TOOLBOX

Competency
Required Skill
Example Components
Potential Evaluation Methods
Patient Care
Caring and respectful behavior
Provide care that is sensitive to each patient's age, gender, cultural, economic, and social circumstances
Patient satisfaction
questionnaires; 360 Global rating evaluations ; Checklist evaluation of live/recorded performance
 
Interviewing
Gather essential and accurate information about the patient
Checklist evaluation of live/recorded performance; OSCE**; 360 Global rating evaluations
 
Informed decision-making
Synthesize clinical history, physical examination findings, laboratory results and current scientific evidence to arrive at a correct diagnosis and treatment plan
Chart stimulated recall; Checklist evaluation of live/recorded performance; OSCE*; Oral examination
 
Develop and carry out patient care management plans
Provide a written action plan for management of acute and chronic cutaneous problems
Chart stimulated recall; Record review; Global rating of live/recorded performances; Simulations and models; Checklist evaluation of live/recorded performance
 
Counsel and educate patient and families
Provide information necessary to understand illness and treatment
Patient satisfaction questionnaires; 360 Global rating evaluation; Checklist evaluation of live/recorded performance
 
Perform medical procedures

Perform routine physical examination, especially the critical visual examination of the patient's skin

Perform appropriate diagnostic and therapeutic procedures

Global rating of live/recorded performances; OSCE*; Checklist evaluation of live/recorded performances

Checklist evaluation of live/recorded performance; 360 Global rating evaluation; Simulations and models; Global rating of live/recorded performances; Procedure logs
 
Preventative health services
Provide information about skin cancer and melanoma, heritable, occupational and infectious disorders and other conditions in which prophylactic measures are appropriate

Record review; OSCE*; Case logs

 
Work within a team
Make appropriate referrals to other medical or surgical specialists
360 Global rating evaluation; Portfolios; Global rating of live/recorded performances; Checklist evaluation of live/recorded performance
* OSCE = Objective Structured Clinical Examination

 

Competency
Required Skill
Example Components
Evaluation Method
Medical Knowledge Investigatory and analytic thinking Actively participate in designing and implementing basic or clinical research projects; present teaching conferences Chart stimulated recall; Oral examination; Simulations and models; 360 Global rating evaluation
  Knowledge and application of basic sciences Know, critically evaluate and use current medical information and scientific evidence for patient care Multiple-choice question examination; Oral examination; Simulations and models; Record review; 360 Global rating evaluation
* OSCE = Objective Structured Clinical Examination

 

Competency
Required Skill
Example Components
Evaluation Method
Practice-based Learning and Improvement Analyze own practice for needed improvement Analyze one's practice experience to recognize strengths, deficiencies, and limits in knowledge and expertise Portfolios; Record review; Chart stimulated recall
  Use of evidence from scientific studies Locating, appraising and assimilating evidence from scientific studies related to patient's health problems Record review; Chart stimulated recall; Portfolios; Multiple-choice question examination; Oral examination; OSCE*
  Application of research and statistical methods Critically review published medical literature related to patient problems Portfolios; Chart stimulated review; Global rating of live/recorded performances; Checklist evaluation of live/recorded performance; Multiple-choice question examination
  Use of information technology Use information technology to manage information, access on-line medical information and support their own education Multiple-choice question examination; OSCE*; Case logs
  Facilitate learning of others Actively participate in the education of patients, families, students, residents and other health professionals Global rating of live/recorded performances; 360 Global rating evaluation; Checklist evaluation of live/recorded performance; Portfolios
* OSCE = Objective Structured Clinical Examination

 

Competency
Required Skill
Example Components
Evaluation Methods
Interpersonal & Communication Skills Creation of an appropriate professional relationship with patients Communicate effectively with patients and families to create and sustain an appropriate professional relationship OSCE*; Patient satisfaction questionnaires; 360 Global rating evaluation; Checklist evaluation of live/recorded performance
  Listening skills Enabling patients to be comfortable asking questions about their disease or treatment OSCE*; Patient satisfaction questionnaires; 360 Global rating evaluation; Checklist evaluation of live/recorded performance
* OSCE = Objective Structured Clinical Examination

 
Competency
Required Skill
Example Components
Evaluation Methods
Professionalism Respectful, altruistic Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society that supercede self-interest Patient satisfaction questionnaires; 360 Global rating evaluation; OSCE*; Checklist evaluation of live/recorded performance
  Ethically sound practice Demonstrate a commitment to ethical principles pertaining to patient privacy and autonomy, the provision or withholding of clinical care, confidentiality of patient information, informed consent, conflict of interest and business practices 360 Global rating evaluation; Chart stimulated recall; Simulations and models; Patient satisfaction questionnaires; Portfolios
  Sensitive to cultural, age, gender and disability issues Demonstrate respect for the dignity of patients and colleagues as persons including their culture, age, gender and disabilities OSCE*; 360 Global rating evaluation; Patient satisfaction questionnaires; Checklist evaluation of live/recorded performance; Oral examination
* OSCE = Objective Structured Clinical Examination

 
Competency
Required Skill
Example Components
Evaluation Methods
Systems-based Practice Understand interaction of their practices with the larger system Work effectively in various health care delivery settings and systems 360 Global rating evaluation; OSCE*; Portfolios
  Knowledge of practice and delivery systems Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources Multiple-choice question examination; OSCE*; Portfolios; Chart stimulated recall
  Practice cost-effective care Know the relative costs of procedures and treatments; ask patients how they pay for medications Checklist evaluation of live/recorded performance; 360 Global rating evaluation; Oral examination; Record review
  Advocate for patients within the health care system Advocate for quality patient care and assist patients in dealing with system complexities 360 Global rating evaluation; Patient satisfaction questionnaires; OSCE*; Portfolios; Oral examination
* OSCE = Objective Structured Clinical Examination