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Core Competencies

Each fellow is expected to meet the following requirements and demonstrate competence in the following areas

A. Assess and manage patients with or at risk for infectious diseases in both ambulatory care and inpatient settings.
B. Interpersonal and Communication Skills
C. Humanistic Behaviors
D. Medical Ethics
E. Professionalism
F. Systems-Based Practice
G. Quality Assessment and Quality Improvement

A. Assess and manage patients with or at risk for infectious diseases in both ambulatory care and inpatient settings. 

  1. Interpersonal skills with patients and health providers – establish a personal relationship; ascertain patient goals; ascertain patient compliance; effectively communicate plan of treatment
  2. Function effectively as a member of an interdisciplinary health care team – this includes developing a treatment and intervention strategy for patients, facilitating effective consultations, demonstrating knowledge of role and function of each relevant discipline.
  3. Gather pertinent information – including medical interview skills; selective and efficient use of physical examination skills; selective and efficient use of laboratory and radiologic information; use of patient records and other clinical information sources; effective time management skills.
  4. Documentation of patient encounter – patient history and physical data; laboratory/radiologic data; formulation of treatment plans; timely entry of information into medical record.
  5. Documentation and clarity of medications – including chemotherapy, antibiotics, blood products, growth factors prescribed and/or administered
  6. Planning and coordinating follow-up care – knowledge of referral mechanisms; knowledge of extended care systems including home based care
  7. Demonstrate ability to act as patient advocate

B. Interpersonal and Communication Skills 

Fellows must be able to demonstrate interpersonal and communication skills that result in effective information exchanged and teaming with patients, the families of patients, and professional associates. Fellows are expected to:
  1. Create and sustain a therapeutic and ethically sound relationship with patients
  2. Use effective listening skills and elicit and provide information using verbal and writing skills.
  3. Work effectively with others as a member or leader of a health care team or other professional group.

C. Humanistic Behaviors 

Fellows must demonstrate the following behaviors:
  1. Availability and accessibility to other providers
  2. Cooperation with nursing and other health professionals
  3. Provision of care and comfort in addition to other treatments, including appropriate spiritual and social support
  4. Communication with patient and other health care providers
  5. Striving for personal development

D. Medical Ethics 

  1. Promote patient autonomy in decision making
  2. Preserve confidentiality of information, including compliance with HIPAA
  3. Help patients consider/select advance directives
  4. Principles of informed consent
  5. Malpractice and other grievance procedures
  6. Facilitate appropriate termination of doctor-patient relationship and transfer of care
  7. Reproductive issues as they pertain to the management of patients with hematologic and oncologic disorders, HIV infection and the side effects of therapies
  8. Demonstrate skill in delivery of prognostic information, as well as understand the principles of medical futility

E. Professionalism

Fellows must demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Specifically, fellows are expected to:
  1. Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society, and the profession; and a commitment to excellence and on-going professional development.
  2. Demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices
  3. Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.

F. Systems-Based Practice 

Fellows must demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value. Specifically, fellow are expected to:
  1. Understand how their patient care and other professional practices affect other healthcare professionals, the health care organization, and the larger society and how these elements of the system affect their own practice
  2. Know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources
  3. Practice cost-effective health care and resource allocation that does not compromise quality of care
  4. Advocate for quality patient care and assist patients in dealing with system complexities
  5. Know how to partner with health care managers and health care providers to assess, coordinate, and improve health care and know how these activities can affect system performance.

G. Quality Assessment and Quality Improvement 

  1. Understand principles and objectives of quality assessment of procedures and clinical care
  2. Demonstrate knowledge of the process of quality assessment and use of outcome data to improve quality assessment and use of outcome data to improve quality of delivered care