CRITERIA FOR ADVANCEMENT FROM 1st TO 2nd YEAR CLINICAL FELLOW
Patient Care
Prioritizes a patient's problems
Prioritizes a day of work
Monitors and follow up patients appropriately
Demonstrates caring and respectful behavior with patient’s and families
Gathers essential and accurate information through interviews and physical exams and reviews other data.
Knows indications, contraindications & risks of various forms of renal replacement therapy
Knows indications, contraindications & risks of renal biopsy
Knows indications, contraindications and risks of femoral, subclavian, and internal jugular vein catheterization
Works with all health care professionals to provide patient-focused care
Understands and weighs alternatives for diagnosis and treatment
Uses diagnostic procedures and therapies appropriately
Elicits subtle findings on physical examination
Obtains a precise, logical and efficient history
Interprets results of laboratory tests and procedures to include renal biopsy properly
Is able to manage multiple problems at once
Makes informed decisions about diagnosis and therapy analyzing clinical data.
Develops and carries out management plans.
Considers patient preferences when making medical decisions
Reasons well in ambiguous situations
Spends time appropriate to the complexity of the problem
Medical Knowledge
Uses written and electronic reference and literature sources to learn about patients' diseases
Demonstrates knowledge of basic and clinical sciences
Applies knowledge to therapy
Is aware of indications, contraindications and risks of procedures and commonly used medications
Demonstrates knowledge of epidemiologic and social-behavioral sciences
Applies the basic, clinical, epidemiologic and social behavioral science knowledge to the care of the patient
Demonstrates an investigatory and analytic approach to clinical situations
Practice-Based Learning Improvement
Understands his or her limitations of knowledge
Asks for help when needed
Is self motivated to acquire knowledge
Uses computerized sources of results and information to enhance patient care
Accepts feedback and develops self-improvement plans.
Undertakes self-evalutation with insight and initiative
Facilitates the learning of students and other health care professionals
Analyzes personal practice patterns systematically, and looks to improve.
Compares personal practice patterns to larger populations
Locates, appraises and assimilates scientific literature appropriate to nephrology
Applies knowledge of study design and statistics
Interpersonal and Communication Skills
Writes pertinent and organized notes
Composes timely and legible medical records
Uses effective listening, narrative and non-verbal skills to elicit and provide information.
Works effectively as a leader of the health care team
Creates and sustains therapeutic and ethically sound relationships with patients and families.
Provides education and counseling to patients, families and colleagues
Is able to discuss end of life care with patient/families
Professionalism
Establishes trust with patients and staff
Does not refuse to treat patients
Is honest, reliable, cooperative and accepts responsibility
Shows regard for opinions and skills of colleagues
Is free from substance abuse or satisfactorily undergoing rehabilitation
Demonstrates respect, compassion and integrity
Is responsive to the needs of patients and society, which supercedes self-interest
Displays initiative and leadership
Is able to delegate responsibility to others
Demonstrates commitment to on-going professional development
Demonstrates commitment to ethical principles pertaining to the provision or withholding of care, patient confidentiality, informed consent and business practices
Demonstrates sensitivity to patient culture, gender, age, preferences and disabilities
Acknowledges errors and works to minimize them
Is effective as a consultant
Systems-Based Practice
Is a patient advocate
Has constructive skepticism
Advocates for high quality patient care and assists patients in dealing with system complexity.
Applies knowledge of how to partner with other health care providers to assess, coordinate and improve patient care
Uses systematic approaches to reduce errors
Participates in developing ways to improve systems of practice and health management
Demonstrates ability to adapt to change
Provides cost effective care
Understands how individual practices affect other health care
professionals, organizations, and society
Demonstrates knowledge of types of medical practice and delivery systems
Practices effective allocation of health care resources that does not compromise the quality of care
