Practice-Based Learning and Improvement

Fellows must be able to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.

  1. Fellows will learn to use information technology, literature sources, and other available resources to learn to practice evidence-based medicine that is guided by sound medical principles consistent with the standard of care and approved practice guidelines.
  2. Fellows will learn to individualize patient management based on the available resources and the circumstances particular to the patient.
  3. Fellows must be able to analyze their clinic and rotation experiences and discuss methods for improvement as it relates to patient care, fellow education, and junior house staff education.
  4. Fellows must be able to recognize their own limitations in knowledge base and clinical skills and be receptive to life-long learning.
  5. Fellows will periodically meet as a group with the program director to discuss identified problems and potential solutions.
  6. Fellows must be able to use the medical literature to update their practice methods and improve patient care.
  7. Fellows must be able to critically evaluate the medical literature.
  8. Fellows approach to and use of the medical literature will be assessed by the supervising staff physician on a given rotation.
  9. The ability of the fellow to critically evaluate the literature will be assessed during the fellow’s yearly presentation at journal club.

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