Becoming a Great Doctor

You don’t become a great physician overnight. The journey through medical school and residency training requires a high level of commitment and hard work. Even after training, great physicians continue to self assess and identify ways they can improve. The ability to self assess and respond to feedback is critical to improving the care we provide and moving from GOOD to GREAT! In this section we provide a number of suggested activities to improve your performance. They are organized by the core competencies which are the fundamental domains of being a great physician.

As you self assess and develop SMART goals for the clerkship reference this section for ideas on activities which will help you improve your performance in these domains.

 

Domains of a Great Physician

Core Activities

Core Entrustable Professional Activities for Entering Residency (CEPAER)

  • Activities entering residents should be expected to perform on day 1 of residency without direct supervision
  • Aspirational for where you should be by graduation
  • Related to competencies but are the observable behaviors of a physician

Association of American Medical Colleges (AAMC) 13 CEPAERs (bolded EPAs are emphasized on this clerkship)

  1. Gather a history and perform a physical examination
  2. Prioritize a differential diagnosis following a clinical encounter
  3. Recommend and interpret common diagnostic and screening tests
  4. Enter and discuss orders/prescriptions
  5. Document a clinical encounter in the patient record
  6. Provide an oral presentation
  7. Form clinical questions and retrieve evidence to advance patient care
  8. Give or receive a patient handover to transition care responsibility
  9. Collaborate as a member of an interprofessional team
  10. Recognize a patient requiring urgent or emergent care, and initiate evaluation and management
  11. Obtain informed consent for tests and/or procedures
  12. Perform general procedures of a physician
  13. Identify system failures and contribute to a culture of safety and improvement