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	GMV Competency Form (Table).doc	43 KB

Resident Competencies

PATIENT CARE

   The graduate will be able to:

• demonstrate group facilitative skills through addressing confidentiality; allowing one person to speak at a time; initiating meaningful dialogue; incorporating opening & closing rituals; using group process to help group members adhere to lifestyle changes; and recognizing, without stigmatizing, outliers
• conduct brief, focused medical exams.
• appropriately triage less critical issues to later exams/interviews
• work with patient’s family members

MEDICAL KNOWLEDGE

   The graduate will be able to

• explain in lay language the etiology, assessment, treatment, and life-style modifications for targeted issues
• recognize own limitations in scope and working with groups and seek assistance

• identify other professionals to teach about topics related to the group with which either the facilitator or resident is not sufficiently knowledgeable (ie, nutrition, exercise, mind-body techniques) or where referrals to presenting experts would benefit group partici 

PRACTICE BASED LEARNING AND IMPROVEMENT

   The graduate will be able to

• select and invite patients most appropriate for the group with respect to health indicators, life stage and cognitive abilities

• identify meaningful outcomes (e.g., medical, functioning, satisfaction, cost) and  plan to monitor outcomes over the course of the group

• appropriately bill for group medical visits with supporting documentation

• apply quality improvement process (plan, see, do, act) to continually improve the group

INTERPERSONAL AND COMMUNICATION SKILLS

   The graduate will be able to:

• demonstrate interactive teaching and discussion skills

• use motivational interviewing skills that include 

• eliciting patient’s vision of health

• facilitating self-management plans and self-care decisions

• conducting group problem-solving conversations

• using health information to guide participant's self-care decisions 

• appropriately identify patients for group visits using diagnosis-specific registries, pharmacy usage profiles, ICD insurance-based diagnoses 

• use mailings, posters, handouts, receptionist calls and one-on-one recruitment to successfully recruit patients for group visits

• demonstrate accurate empathy to the behavior and affect presented by group members

PROFESSIONALISM

   The graduate will be able to:

• identify the utility of focused and timely chart reviews prior to the group visit

• document the group medical visit in a timely manner 

• record the agreed upon biological markers and self-management goals

SYSTEMS BASED PRACTICE

   The graduate will be able to

• partner with a multidisciplinary team in planning, debriefing, sharing process, and defining roles

• document progress notes that includes pertinent patient presentation, past history and at least

  • 2 review of system questions

  • 1 past medical/family history/allergy question

  • a brief exam that is pertinent to the diagnoses

  • the assessment

  • progress

  • plan

  • educational content

•  make appropriate use of written material for invitational letters, HIPAA forms, confidentiality forms, agreement to participate forms and pay forms 

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