From: Science of health care delivery milestones for undergraduate medical education
Individualizes care by engaging patients in shared decision making and motivating behavior change | ||||
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Milestones | ||||
Level 1 | Level 2 | Level 3 | Level 4 | Level 5 |
Uses directive style of guiding patient decisions | Respects patient autonomy in healthcare decisions Discusses potential challenges associated with integrating patient values and beliefs with those of self, society, and the core values of medicine | Recognizes opportunities for shared decision making | Engages patients in shared decision making | Develops care plans jointly with patients and caregivers |
Uses technical terms and jargon | Â | Uses easy-to-understand language in all phases of communication | Assesses patient understanding of health information and invites questions | Consistently demonstrates communication strategies to ensure patient understanding and matches communication modality to the patient needs, health literacy and context |
Conducts interview without inquiring about social and behavioral factors that affect the health of individuals | Identifies social and behavioral factors that affect the health of individuals and may be modifiable | Describes effective approaches to modifying individual health behaviors, such as shared decision making aids, motivational interviewing and health behavior coaching | Implements decision aids, motivational interviewing and/or health behavior coaching to modify individual health behaviors for patients who are motivated to change | Adapts decision aids and health behavior coaching techniques for patients who are not motivated to change |
aRepresentative Corresponding ACGME Milestones [23] | ||||
Derm ICS1 | Aero Med MK1, FM ICS1, TY Prof2, Occ Med MK1 | Aero Med MK1, Occ Med MK1, Prev MK1, Psych ICS2, Derm ICS1, FM ICS2 | Aero Med MK1, FM ICS2, Oph ICS1, Occ Med MK1, Prev MK1, Psych ICS2, Uro ICS2, IM ICS1 | Aero Med MK1, FM ICS2, Neuro ICS, Occ Med MK1, Peds SBP1, Prev MK1, Psych ICS2 & Prof1,PS Prof1 |