Physical Exam Competency-1 Essay

Here is an example of documentation for your competencies. Include all parts on one word document for that week. This only includes general and thorax as an example. You would also include the cardiac component. This is a narrative documentation. I am looking for your to paint a picture of your assessment in a concise and thorough manner. Be sure to utilize the correct terminology. Remember that in documentation you do not need full sentences, so do not write….patient is alert and oriented…… You are required to demonstrate competency in the physical assessment techniques. You also are required to accurately document your physical assessment findings. These two requirements are worth 70% of your grade. You will find the specific guidelines for these two requirements on the course blackboard. You will be required to video record yourself performing the various assessments and submitting them on blackboard.Physical Exam Competency-1 Essay
Physical Exam Competency-1

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.Physical Exam Competency-1 Essay

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.Physical Exam Competency-1 Essay

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. Physical Exam Competency-1 Essay

Last September 16, 2011 at exactly 9 o’clock in the morning, we conducted a physical assessment to Patient X who is 12 years old. He was admitted last September 15, 2011 at 12:30 am due to edema on the right ankle. He is under Dr. Uy. Patient X was admitted per wheelchair with watcher.
General Survey Patient X was lying on bed. He was awake and coherent and responsive to any kind of stimulus. He had an IVF of PNSS 1 liter at KVO rate infusing well at his left metacarpal vein. Elastic bandage was well attached at his right ankle. Vital Signs | 12:00 nn | Normal Range | Blood Pressure | 90/60 mmHg | 110/70- 130/90 mmHg | Cardiac Rate | 95 bpm | 70-80 bpm | Pulse Rate | 93 bpm | 70-80 bpm | …show more content…
There was absence of lesions. No tenderness or masses felt during palpation. During inhalation and exhalation, full and symmetric chest expansion was seen.Physical Exam Competency-1 Essay

Heart
Heart beat was normal, with a cardiac rate of _bpm. He has good cardiac rhythm. Point of maximal impulse is located at left mid clavicular 5th intercostal space. Palpitation and murmur was not noted upon auscultation. No palpable masses. No abnormal beat was noted.
Abdomen
Upon inspection, there was absence of rashes or other lesions on her abdomen. Skin was uniform in color. It was symmetric in terms of contour. During respiration, movement of the abdomen appears to be symmetric.

Genitourinary
Genitourinary system was not assessed because the patient refused to have his genitourinary system assessed.

Neuro-Vital Signs:
Pupil
Size: left – 2mm right –2mm Reaction: left – brisk right – brisk Motor Handgrip Leg Movement left – moderate left – strong right – moderate right – strong  Physical Exam Competency-1 Essay

What is Competency-Based Medical Education (CBME)? Think flexible, lifelong learning, with knowledge and/or skills assessed throughout a continuum of learning. In a competency-based educational program, you don’t just acquire knowledge and then spit it back at the time of a final exam. Instead, the method of assessment is formative rather than summative, and you are evaluated on how you apply your knowledge to clinical situations that physicians often face. While summative exams, such as certification exams, play an important role in gauging levels of acquired knowledge, formative assessments are equally important.

Competency-based assessments are used to distinguish between the skills and knowledge that you already have and those for which you need more education and training. In contrast to time-based educational methods, CBME is a learner-centered, active, and lifelong experience that incorporates feedback between the teacher and the learner to fulfill the desired competency outcomes.

Adoption of the Competency-Based Medical Education Construct
The concept of competency-based training began in the 1920s, when U.S. industry and businesses started researching ways of teaching their employees the specific knowledge and skills needed to create a specific product in a standardized manner. However, in the 1960s, a movement to de-emphasize basic skills in education arose. The resulting decline in traditional scores of achievement eventually sparked a demand for the renewal of minimum standards and performance competencies.Physical Exam Competency-1 Essay

The design of a competency-based system of education can be approached using the following steps:

Identify the desired outcomes
Define the level of performance for each competency
Develop a framework for assessing competencies
Evaluate the program on a continuous basis to be sure that the desired outcomes are being achieved
In 1999, the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) endorsed six domains of core competencies, and the outcome initiative (the Outcome Project) was soon launched.

The six ACGME Core Competencies are:

Patient Care
Medical Knowledge
Professionalism
Interpersonal and Communication Skills
Practice-Based Learning and Improvement
Systems-Based Practice
Even though there was standardized language around the core competencies of medical education, there were still no standardized assessment methods to determine whether or not a learner had achieved all of the core competencies prior to completion of residency training. This deficiency ultimately led to the creation of milestones to operationalize and implement the competencies. These milestones described the performance levels residents and fellows are expected to demonstrate for skills, knowledge, and behaviors in the six clinical competency domains and are significant points in development that are unique to each specialty.Physical Exam Competency-1 Essay

In 2014, the ACGME required the reporting of milestones as part of the Next Accreditation System (NAS) for all ACGME-accredited residency and fellowship programs. In undergraduate medical education, there are two AAMC-defined performance levels: novice performance and performance expected of a graduating MD. In graduate medical education, there are five performance levels for each competency: novice, advanced beginner, competent individual, proficient individual, and expert physician.

The Next Goal
The Core Competencies are now the basic language for defining physician competence and are also the principles used in the training of physicians. The next goal of CBME is to link education in the competencies to improved quality of patient care. This ambitious step will require standardized methods to securely collect patient data and stratify for various clinical variables including disease specificity, overall patient health, and the multitude of health care professionals who care for each patient.Physical Exam Competency-1 Essay