Milestone Evaluation
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1 Milestone Evaluation Please note that this list is intended to be a guide for tools that can be used in assessing the milestones. The assessments listed are not required. Aerospace Medicine Patient Care PC1: Emergency Preparedness and Response: Apply skills in Emergency Preparedness and Response PC2: Community Health: The resident should be able to monitor, diagnose, and investigate community health problems. PC3: Inform and Educate: Inform and educate populations about health threats and risks PC4: Policies and Plans: Develop policies and plans to support individual and community health efforts PC5: Evaluating Health Services: Evaluate Population based health services AM PC6: Managing aerospace and general medical problems in aerospace personnel AM PC7: Develop and applying medical standards, grant exceptions AM PC8: Educate passengers and physicians about the hazards of flight with certain medical conditions and serve as passenger advocates to promote flight safety AM PC9: Identifying appropriate patients for aeromedical transport and provide guidance for safe aeromedical transport of patients with common medical problems AM PC10: Advise in the operational use of aerospace biomedical equipment AM PC11: Advise in techniques for sustaining and enhancing human performance Assessment Types FEMA courses completion, simulations, direct observation, medical reserve core evaluation Public health rotation evaluation, practical project, faculty evaluation Direct observation of grand rounds presentation (product in portfolio), risk communication project product (web page FAQ) Direct observation of presentations, preceptor/rotation evaluation, project products, public health rotation evaluation, chart review, direct observation of patient care (e.g., mini-clinical evaluation exercise [CEX]) Report of quality improvement (QI) project, transcripts, public health rotation evaluation, research project Simulation, OSCE, patient survey, chart review, direct observation, end of rotation evaluation Aviation Medical Examiner (AME) Course completion certificate Aerospace Medicine Primary (AMP) course completion certificate, Connection Process Guide (CPG) or Waiver Guide product, simulation, OSCE, patient survey, chart review, direct observation, end of rotation evaluation Aeromedical Evacuation Doctrine Course completion certificate, Critical Care Air Transport Team (CCATT) course completion certificate, Global Patient Movement Requirements Center (GPMRC) end of rotation evaluation, tabletop exercise observation Aeromedical Evacuation Doctrine Course completion certificate, Critical Care Air Transport Team (CCATT) course completion certificate, Global Patient Movement Requirements Center (GPMRC) end of rotation evaluation, tabletop exercise observation AMP course completion certificate (completion of centrifuge training, water survival); completion of parachute jump, end of rotation evaluation from Strategy and Program Office (SPO)/acquisition office or equivalent, practical project products, life support equipment problem-solving exercise (solving known or new problem) AMP course completion, Aviation Safety Officer course completion, Principles of Aerospace Medicine course
2 AM PC12: Provide appropriate safety information and education and conducting the medical aspects of any accident/mishap investigation, including making recommendations to prevent recurrences AM PC13: Conduct aeromedical research AM PC14: For all programs: Space medicine knowledge AM PC15: For space-based programs only: Apply medical care standards and programs, evaluating the physiologic effects of spaceflight Medical Knowledge MK1: Behavioral Health MK2:Environmental Health AM MK3: Biostatistics AM MK4: Epidemiology Systems Based Practice (SBP) SBP1: Work and coordinate patient care effectively in various health care delivery settings and systems SBP2: Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population based care, as appropriate; SBP3: Inter-professional Teams Practice-based Learning and Improvement (PBLI) PBLI1 Professionalism (PROF) PROF1: Compassion, integrity, and respect and ethics completion, Mishap Course completion, simulation, flying opportunities, participation in mission fatigue management planning Mishap course completion, mishap report (Journal Club) evaluation, Aviation Safety Officer course, simulation or exercise Capstone project completion, research project completion, presentation product (Aerospace Medical Association [AsMA] or other professional meeting), journal publication Course completion, in-service exam results, end of rotation evaluation, lecture/didactic session completion Direct observation, simulation, 360 evaluation, peer evaluation analysis) analysis), Agency for Toxic Substances and Disease Registry (ATSDR) online module certificate of completion Course completion (passing)/transcript review, capstone project, research project, journal publication product Course completion (passing)/transcript review, capstone project, research project, journal publication product End of rotation evaluation for clinical and public health rotations, 360, QI project report, participates in patient safety committee End of rotation evaluation, journal club presentation, chart review, practical project Participation in patient safety committee, 360, QI project report, end of rotation evaluation Self-assessment, report from QI project, journal club, rotation evaluation, 360 evaluation, grand rounds Objective Structured Clinical Examination (OSCE), workshops (e.g., Barry exercise), case study
3 PROF2: Accountability to patients, society and the profession Interpersonal and Communication Skills (ICS) ICS1: Communicate effectively ICS2: Medical Records General Preventive Medicine Patient Care PC1: Emergency Preparedness and Response: Apply skills in Emergency Preparedness and Response PC2: Community Health: The resident should be able to monitor, diagnose, and investigate community health problems. PC3: Inform and Educate: Inform and educate populations about health threats and risks PC4: Policies and Plans: Develop policies and plans to support individual and community health efforts PC5: Evaluating Health Services: Evaluate Population based health services GPM PC6: Descriptive Epidemiology: Able to characterize the health of a community GPM PC7: Analytic Epidemiology: Able to design and conduct an epidemiologic study GPM PC8: Disease Outbreak: [Resident shall be able to] Investigate and respond to a cluster or outbreak. GPM PC9: Surveillance Systems: [Resident shall be able to] Design and operate a surveillance system GPM PC10: Clinical Preventive Services: [Residents shall be able to] Analyze evidence regarding the performance of proposed clinical preventive services for individuals and populations GPM PC11: Conditions of Public Health Significance: [Resident shall be able to] Implement appropriate clinical care for individuals with conditions of public health presentation, ethics journal club participation OSCE, workshops (e.g., Barry exercise), case study presentation, ethics journal club participation, selfassessment, certificate from online module for Impaired Physician, participates in professional/organizational committee 360 evaluation, patient survey, clinical preceptor evaluation, public health evaluation, direct observation of presentation, project product, participate in organizational/professional committee Preceptor evaluation, chart audit checklist Assessment Types FEMA courses completion, simulations, direct observation, medical reserve core evaluation Public health rotation evaluation, practical project, faculty evaluation Direct observation of grand rounds presentation (product in portfolio), risk communication project product (web page FAQ) Direct observation of presentations, preceptor/rotation evaluation, project products, public health rotation evaluation, chart review, direct observation of patient care (e.g., mini-clinical evaluation exercise [CEX]) Report of quality improvement (QI) project, transcripts, public health rotation evaluation, research project In-service score, workshop exercise with assessment, written report/manuscript Direct observation, journal club, written/oral report of research project, research mentor evaluation Public health rotation preceptor evaluation, table top exercise observation, Centers for Disease Control and Prevention (CDC) module certificate of completion Transcript advanced epi grade, public health rotation evaluation, project product surveillance system design or analytics, workshop Transcript review clinical preventive medicine course, project product clinical guideline or analysis of guideline, lead journal club on U.S. Preventive Services Task Force (USPSTF) guideline direct observation with written assessment, case presentation evaluation Rotation evaluation from public health rotation preceptor, direct observation by clinical preceptor, chart review, OSCE, case log, mini-cex, case
4 significance GPM PC12: Preventive Services: [Resident shall be able to] Select and provide appropriate evidence-based clinical preventive services Medical Knowledge MK1: Behavioral Health MK2:Environmental Health GPM MK3:Biostatistics Systems Based Practice (SBP) SBP1: Work and coordinate patient care effectively in various health care delivery settings and systems SBP2: Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population based care, as appropriate; SBP3: Inter-professional Teams Practice-based Learning and Improvement (PBLI) PBLI1 Professionalism (PROF) PROF1: Compassion, integrity, and respect and ethics PROF2: Accountability to patients, society and the profession Interpersonal and Communication Skills (ICS) ICS1: Communicate effectively ICS2: Medical Records presentation Chart review, mini-cex, in-service, case presentation evaluation analysis) analysis), Agency for Toxic Substances and Disease Registry (ATSDR) online module certificate of completion In-service exam, project report that includes statistical evaluation, journal club evaluation End of rotation evaluation for clinical and public health rotations, 360, QI project report, participates in patient safety committee End of rotation evaluation, journal club presentation, chart review, practical project Participation in patient safety committee, 360, QI project report, end of rotation evaluation Self-assessment, report from QI project, journal club, rotation evaluation, 360 evaluation, grand rounds Objective Structured Clinical Examination (OSCE), workshops (e.g., Barry exercise), case study presentation, ethics journal club participation OSCE, workshops (e.g., Barry exercise), case study presentation, ethics journal club participation, selfassessment, certificate from online module for Impaired Physician, participates in professional/organizational committee 360 evaluation, patient survey, clinical preceptor evaluation, public health evaluation, direct observation of presentation, project product, participate in organizational/professional committee Preceptor evaluation, chart audit checklist
5 Occupational and Environmental Medicine (OEM) Patient Care PC1: Emergency Preparedness and Response: Apply skills in Emergency Preparedness and Response PC2: Community Health: The resident should be able to monitor, diagnose, and investigate community health problems. PC3: Inform and Educate: Inform and educate populations about health threats and risks PC4: Policies and Plans: Develop policies and plans to support individual and community health efforts PC5: Evaluating Health Services: Evaluate Population based health services OM PC6: Toxicology Recognize, evaluate, and treat exposures to toxins at work or in the general environment. OM PC7: Industrial Hygiene, Safety, and Ergonomics and Risk/Hazard Control and Communication OM PC8: Clinical Occupational and Environmental Medicine Provide evidence based clinical evaluation and treatment for injuries and illnesses that are occupationally or environmentally related. OM PC9: OEM Related Law and Regulations Comply with regulations important to occupational and environmental health. OM PC10: Work Fitness and Disability Integration Determine if a worker can safely be at work/complete required job tasks, and provide guidance for integrating an employee with a disability into the workplace. OM PC11: Health and Productivity Identify and address individual and organizational factors in the workplace in order to optimize the health of the worker and enhance productivity. OM PC12: Public Health, Surveillance, and Disease Prevention Develop, evaluate, and manage medical surveillance programs for the workplace. OM PC13: OEM Related Management and Administration OM PC14: Ethics Apply an ethical approach to promote the health and welfare of the individual worker and protect worker rights and privacy in the context of Assessment Types FEMA courses completion, simulations, direct observation, medical reserve core evaluation Public health rotation evaluation, practical project, faculty evaluation Direct observation of grand rounds presentation (product in portfolio), risk communication project product (web page FAQ) Direct observation of presentations, preceptor/rotation evaluation, project products, public health rotation evaluation, chart review, direct observation of patient care (e.g., mini-clinical evaluation exercise [CEX]) Report of quality improvement (QI) project, transcripts, public health rotation evaluation, research project Course completion, chart review, 360 evaluation, direct observation, project product, portfolio Course completion, chart review, 360 evaluation, direct observation Chart review, direct observation, project product, portfolio, 360 evaluation, OSCE Portfolio, direct observation Chart review, project product Oral exam, chart review, portfolio, 360 evaluation, direct observation Direct observation, chart review, 360 evaluation Project product, 360 evaluation, portfolio Course completion, direct observation, chart review
6 overriding workplace public health and safety. Medical Knowledge MK1: Behavioral Health MK2:Environmental Health OM MK3: Biostatistics OM MK4: Epidemiology Systems Based Practice (SBP) SBP1: Work and coordinate patient care effectively in various health care delivery settings and systems SBP2: Incorporate considerations of cost awareness and risk-benefit analysis in patient and/or population based care, as appropriate; SBP3: Inter-professional Teams Practice-based Learning and Improvement (PBLI) PBLI1 Professionalism (PROF) PROF1: Compassion, integrity, and respect and ethics PROF2: Accountability to patients, society and the profession Interpersonal and Communication Skills (ICS) ICS1: Communicate effectively ICS2: Medical Records analysis) analysis), Agency for Toxic Substances and Disease Registry (ATSDR) online module certificate of completion Course completion (passing)/transcript, capstone project, research project, journal publication product Course completion (passing)/transcript, capstone project, research project, journal publication product End of rotation evaluation for clinical and public health rotations, 360, QI project report, participates in patient safety committee End of rotation evaluation, journal club presentation, chart review, practical project Participation in patient safety committee, 360, QI project report, end of rotation evaluation Self-assessment, report from QI project, journal club, rotation evaluation, 360 evaluation, grand rounds Objective Structured Clinical Examination (OSCE), workshops (e.g., Barry exercise), case study presentation, ethics journal club participation OSCE, workshops (e.g., Barry exercise), case study presentation, ethics journal club participation, selfassessment, certificate from online module for Impaired Physician, participates in professional/organizational committee 360 evaluation, patient survey, clinical preceptor evaluation, public health evaluation, direct observation of presentation, project product, participate in organizational/professional committee Preceptor evaluation, chart audit checklist
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