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Learning Objectives & Competencies Matrix

The Learning Objectives constitute the PCC curriculum for which you may be tested. Collectively, they are the most frequent issues encountered in primary care.

Symptomatic Conditions

  1. Abdominal Pain
  2. Back Pain
  3. Chest Pain
  4. Headache
  5. Musculoskeletal
  6. Acute Respiratory Infections
Objective Where Taught Where Evaluated Sample Evaluation
Obtain history to generate a complete description of patient's symptoms, identifying any 'danger' symptoms (PC, MK)
Find out what's bothering the patient 		Preceptor
PBL		 Preceptor
OSCE		 Practice Exam #s: 1, 2, 14, 19
OSCE Scenario: A, B, D
Ascertain patient/family beliefs regarding symptom causes and home treatment efforts (Prof, ICS, PC, PBLI)
See what they think and have tried		 Preceptor
PBL		 Preceptor
OSCE		 Practice Exam #s:3, 10,
OSCE Scenario: B, D, E, G
Perform appropriately focused physical exam, noting any 'red flag' signs.

(PC, Prof, MK, ICS)
Check for problems on exam

 Preceptor Preceptor
OSCE		 Practice Exam #s: 4, 14, 19
OSCE Scenario: C
Succinctly present patient case to Preceptoreptor, applying knowledge of epidemiology to generate & defend weighted differential diagnosis (ICS, MK, PC)
Tell your Preceptor what you found and what you think		 Preceptor Preceptor Practice Exam #s: 2, 5, 6, 7, 11, 13, 15,
OSCE Scenario: A, B, C, G
Present assessment in patient-centered manner, integrating diagnostic probabilities and evidence-based treatment recommendations (PC, MK, ICS, PBLI)
Tell the patient what you think is going on so they can understand it 		Preceptor
DrPt		 Preceptor
OSCE
Written		 Practice Exam #s: 3, 8, 9, 10, 13,
OSCE Scenario: D, E, F, G
Appreciate process of negotiating management plan and incorporating patient preferences into care (ICS, PC, SBP, PBLI, Prof)
Figure out what patient will do		 Preceptor
PBL
DrPt		 Preceptor
OSCE		 Practice Exam #s: 3, 8, 10, 12
OSCE Scenario: D, E, F , G
Educate patient and family regarding monitoring, danger signs, self-cares, & community resources (PC, MK, Prof, ICS, SBP, PBLI)
Tell them what to expect and watch for		 Preceptor
PBL		 Preceptor
OSCE		 Practice Exam #s: 11, 12
OSCE Scenario: D, E, F, G
Check for understanding of follow-up plan, including treatments, testing, referrals, & continuity of care (ICS, SBP, Prof, PC)
Make sure they understand		 Preceptor
PBL		 Preceptor
OSCE		 Practice Exam #s: 11, 12
OSCE Scenario: D, E, F, G

Chronic Diseases

  1. Hypertension
  2. Asthma
  3. Depression
  4. Diabetes
  5. Hyperlipidemia
  6. Substance Abuse
Objective Where Taught Where Evaluated Sample Evaluation
Apply knowledge of prevalence, risk factors, and outcomes to make informed recommendations for screening of common chronic diseases (PC, MK, PBLI, SBP)
Decide who to check for these		 Preceptor
PBL		 Preceptor
Write Up
PBL		 Practice Exam #s: 18, 22,
OSCE Scenario: F
Differentiate among various levels, stages and complications of chronic disease, e.g. pre-hypertension, Stage 1, Stage 2, Malignant hypertension (MK, PC)
Figure out how bad out is		 Preceptor
PBL		 Preceptor
Write Up		 Practice Exam #s: 24, 27
OSCE Scenario: E
Generate list of conditions that might mimic or secondarily cause chronic diseases, and understand when to consider these (MK, PC, PBLI)
Think about whether it could be something else		 Preceptor
PBL		 Preceptor
Write Up		 Practice Exam #s: 17, 24
OSCE Scenario:
Assess patients' abilities to participate in treatment planning and integrate patient preferences into management (PBLI, PC, Prof, ICS)
Find out what they're willing to do		 Preceptor
PBL		 Preceptor
OSCE
PBL		 Practice Exam #s: 16, 23, 25, 27
OSCE Scenario: D, E, F, G
Systematically monitor for disease control and complications (MK, PC, PBLI, SBP)
See how it's going		 Preceptor
PBL		 Preceptor
PBL		 Practice Exam #s:16, 23, 25, 26, 27
OSCE Scenario: E,
Investigate barriers to chronic disease management and overall health and assist patients in recognizing and overcoming (Prof, SBP, PBLI)
Think about what's not working and why		 Preceptor
PBL		 Preceptor Practice Exam #s: 16, 25,
OSCE Scenario: E, F
Analyze public health impact of chronic disease, effectiveness of population-level interventions, and risk factor reduction programs (SBP, MK)
Think about broader effect of these		 PBL Write up Practice Exam #s: 36
OSCE Scenario: F

Systems of Care & Learning

  1. Evidence-Based Medicine (EBM)
  2. Doctor Patient Communication
  3. Preventive Services
  4. Primary Care and Public Health
Objective Where Taught Where Evaluated Sample Evaluation
Create your own learning goals; self-assess your own skills, behaviors; and seek and respond appropriately to feedback (Prof, PBLI, ICS, SBP)
Seek to learn		 ILP Preceptor
Mid
Formulate answerable clinical questions from your patient interactions, and answer these questions in the exam room whenever possible (MK, PBLI, SBP)
Ask good questions & figure out how to answer		 PBL
Preceptor		 Preceptor Practice Exam #s: 28, 30
OSCE Scenario: F
Incorporate understanding of patient's state of mind, beliefs, preferences and background into verbal and written communication (ICS, PC, Prof)
Be open to what's going on with patient and don't give them more than they can handle		 PBL
Preceptor		 Preceptor Practice Exam #s: 29, 30
OSCE Scenario: D, E, F
Differentiate preventive service guidelines from various organizations and critique recommendations (MK, PBLI, SBP)
Consider the source		 PBL
Preceptor		 PBL Practice Exam #s:30, 31
OSCE Scenario: F
Recognize work of primary care physicians to improve population health, and suggest ways to enhance these efforts (PBLI, SBP)
What can the system do better?		 PBL PBL Practice Exam #s: 20, 21,
OSCE Scenario: E, F, G

Other

  1. Electrocardiogram
Objective Where Taught Where Evaluated Sample Evaluation
Systematically interpret electrocardiogram (MK) EKG Write Up Practice Exam #s: 31-35
Explain the utility of EKG in diagnosis of cardiac conditions (MK, PC, ICS, SBP) Preceptor
PBL		 Write Up