Systems-Based Practice

Systems-Based Practice

 This competency is weighted ~10% of your overall clerkship evaluation.

This competency can be easy to overlook as a medical student as it focuses on aspects of the team’s approach to patient care to which you may have little exposure. Furthermore, it addresses system barriers (and solutions) to patient care (e.g. type of medical coverage, health care resources, home resources, and cultural needs) that can seem peripheral on a busy inpatient service with extremely sick patients. But they are ultimately critical to successful patient care and to insure that you get some formal exposure to this, you are required to submit a record of post-discharge phone calls.  We also have provided descriptions of many other activities to help you learn more about the system in which you will practice. Two of the Entrustable Professional Activities (EPAs) are covered under this competency and listed below.

 

EPA 9: Collaborate as a member of an interprofessional team

Clerkship Systems-Based Practice Objective

  • Work as an effective member of the patient care team, demonstrating reliability, initiative, organization, and helpfulness.

EPA 13: Identify system failures and contribute to a culture of safety and improvement

Clerkship Systems-Based Practice Objective

  • Gain an understanding of interprofessional coordination and planning required when transitioning patients from the inpatient to outpatient setting.
  • Act as your patients’ advocate.
  • Practice high value care