{"id":7650,"date":"2026-06-08T15:55:24","date_gmt":"2026-06-08T22:55:24","guid":{"rendered":"https:\/\/medicine.wsu.edu\/md\/?page_id=7650"},"modified":"2026-06-12T13:50:35","modified_gmt":"2026-06-12T20:50:35","slug":"objectives-competencies-milestones-27-28-29","status":"publish","type":"page","link":"https:\/\/medicine.wsu.edu\/md\/curriculum\/objectives\/objectives-competencies-milestones-27-28-29\/","title":{"rendered":"Objectives, Competencies, and Milestones"},"content":{"rendered":"<div class=\"breadcrumbs\" typeof=\"BreadcrumbList\" vocab=\"https:\/\/schema.org\/\">\r\n\t<!-- Breadcrumb NavXT 7.2.0 -->\n<span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Medicine Network Sites.\" href=\"https:\/\/medicine.wsu.edu\/\" class=\"main-home\" ><span property=\"name\">College of Medicine<\/span><\/a><meta property=\"position\" content=\"1\"><\/span><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to Elson S. Floyd College of Medicine.\" href=\"https:\/\/medicine.wsu.edu\/md\" class=\"home\" ><span property=\"name\">MD Program<\/span><\/a><meta property=\"position\" content=\"2\"><\/span><span property=\"itemListElement\" typeof=\"ListItem\"><a property=\"item\" typeof=\"WebPage\" title=\"Go to News.\" href=\"https:\/\/medicine.wsu.edu\/md\/news\/\" class=\"post-root post post-post\" aria-current=\"page\"><span property=\"name\">News<\/span><\/a><meta property=\"position\" content=\"3\"><\/span><\/div><header class=\"wsu-article-header \">\r\n\t<h1 class=\"wsu-article-header__title\">\r\n\t\tMedical Education Program Objectives, Competencies, and Milestones\t<\/h1>\r\n\t\t<\/header>\r\n\n\n\n<p>The information on this page applies to cohorts 2027, 2028, and 2029. Learn more for <a href=\"https:\/\/medicine.wsu.edu\/md\/curriculum\/objectives\/objectives-competencies-milestones\/\">cohorts 2030 and beyond<\/a>. To request a visual framework of the Objectives, Competencies, and Milestone please email <a href=\"mailto:medicine.cmu@wsu.edu\">medicine.cmu@wsu.edu<\/a>. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Milestones Framework Components<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Domains\/Competencies \u2013 Education Program Objectives \u2013 Sub-competencies&nbsp; \u2013 Enabling Competencies)<\/h3>\n\n\n\n<ol type=\"1\">\n<li><a href=\"#medical-scientific-knowledge\">Medical and Scientific Knowledge<\/a>: Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral concepts in caring for healthy, ill patients and the community.\n<ul>\n<li>1.1 Knowledge Building&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\n<ul>\n<li>1.1.1 Structure and Function of the Human Body<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>1.2 Knowledge Integration\n<ul>\n<li>1.2.1 Application and Integration<\/li>\n\n\n\n<li>1.2.2 Evidence-based Knowledge Acquisition<\/li>\n\n\n\n<li>1.2.3 Knowledge Transfer<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"#patient-care\">Patient Care and Health Promotion<\/a>: Provide evidence-based care that is compassionate, culturally appropriate, and effective for illness prevention, health promotion, treatment of disease, and improvement in quality of life, including appropriate end-of-life care.\n<ul>\n<li>2.1 Medical History\n<ul>\n<li>2.1.1 Medical History<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.2 Physical Examination\n<ul>\n<li>2.2.1 Physical Examination<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.3 Clinical Reasoning\n<ul>\n<li>2.3.1 Clinical Reasoning<\/li>\n\n\n\n<li>2.3.2 Differential diagnosis<\/li>\n\n\n\n<li>2.3.3 Diagnostic work-up<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.4 Management\n<ul>\n<li>2.4.1 Assessment and Plan<\/li>\n\n\n\n<li>2.4.2 Consultations and Referrals<\/li>\n\n\n\n<li>2.4.3 Patient-Centered Care and Health Promotion<\/li>\n\n\n\n<li>2.4.4 Longitudinal Patient Care<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.5 Documentation\n<ul>\n<li>2.5.1 Documentation<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.6 Procedural Skills\n<ul>\n<li>2.6.1 Technical Skills \/ Procedures<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.7 Informed Consent\n<ul>\n<li>2.7.1 Informed Consent<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>2.8 Urgent Care\n<ul>\n<li>2.8.1 Urgent Care<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"#professionalism\">Professionalism and Self Awareness<\/a>: Demonstrate commitment to professional services, adherence to ethical principles, and awareness of one\u2019s own interests, personal biases, vulnerabilities, and limitation of knowledge.\n<ul>\n<li>3.1 Professionalism\n<ul>\n<li>3.1.1 Attitude \/ Demeanor<\/li>\n\n\n\n<li>3.1.2 Compassion and Respect<\/li>\n\n\n\n<li>3.1.3 Integrity<\/li>\n\n\n\n<li>3.1.4 Accountability<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>3.2 Self-awareness\n<ul>\n<li>3.2.1 Discernment<\/li>\n\n\n\n<li>3.2.2 Intercultural Awareness<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>3.3 Ethical Practice\n<ul>\n<li>3.3.1 Ethics<\/li>\n\n\n\n<li>3.3.2 Values<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"https:\/\/medicine.wsu.edu\/md\/wp-admin\/post.php?post=7650&amp;action=edit#life-long-learning\">Practice-based and Life-long Learning<\/a>: Demonstrate the ability to appraise, assimilate, innovate, and incorporate scientific evidence to evaluate and improve patient care practices based on continuous self-evaluation and life-long learning.\n<ul>\n<li>4.1 Self-ownership of Learning\n<ul>\n<li>4.1.1 Informed Self-assessment<\/li>\n\n\n\n<li>4.1.2 Receptivity to Feedback<\/li>\n\n\n\n<li>4.1.3 Feedback Practices<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>4.2 Continual Improvement\n<ul>\n<li>4.2.1 Curiosity and Inquiry<\/li>\n\n\n\n<li>4.2.2 Limitation of Knowledge\/Skills<\/li>\n\n\n\n<li>4.2.3 Reflection on Practice<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"#system-interprofessional-practice\">System-based and Inter-professional Practice<\/a>: Demonstrate awareness of and responsiveness to the larger context of health care and the ability to call on system resources, including other health care professionals, to provide optimal care.\n\n\n\n\n<ul>\n<li>5.1 Teambuilding and Teamwork\n<ul>\n<li>5.1.1 Roles and Responsibilities<\/li>\n\n\n\n<li>5.1.2 Initiative and Contribution<\/li>\n\n\n\n<li>5.1.3 Interpersonal Collaboration<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>5.2 Professional Relationships\n<ul>\n<li>5.2.1 Insights<\/li>\n\n\n\n<li>5.2.2 Adaptability<\/li>\n\n\n\n<li>5.2.3 Inclusivity<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>5.3 Health Systems Science\n<ul>\n<li>5.3.1 Structure and Function of Health Care Delivery<\/li>\n\n\n\n<li>5.3.2 Patient Safety<\/li>\n\n\n\n<li>5.3.3 Quality Improvement<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>5.4 Population and Community Health\n<ul>\n<li>5.4.1 Social Determinants and Health Equity<\/li>\n\n\n\n<li>5.4.2 Advocacy and Health Advocate<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"#interpersonal-communication-skills\">Interpersonal and Communication Skills<\/a>: Demonstrate effective information exchange and collaboration with patients, their families, peers, and other health professionals to enhance their care.\n<ul>\n<li>6.1 Communication\n<ul>\n<li>6.1.1 Medical Information<\/li>\n\n\n\n<li>6.1.2 Active Listening<\/li>\n\n\n\n<li>6.1.3 Respectful communication<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>6.2 Written\/Oral Fluency\n<ul>\n<li>6.2.1 Content<\/li>\n\n\n\n<li>6.2.2 Organization<\/li>\n\n\n\n<li>6.2.3 Flow and Style<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"medical-scientific-knowledge\">Domain\/Competency: Medical and Scientific Knowledge<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Education Program Objective<\/h3>\n\n\n\n<p>Demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and socialbehavioral concepts in caring for healthy, ill patients and the community.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Knowledge Building<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Structure and Function of the Human Body<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Analyze the normal and abnormal structure and function of the human<br>body.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Knowledge Integration<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Application and Integration<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Integrate biomedical, social, clinical sciences, and health systems knowledge to address simulated clinical scenarios.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Integrate biomedical, social, clinical sciences, and health systems knowledge to address clinical scenarios.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Evidence-based Knowledge Acquisition<\/strong> \n\n\n<ul>\n<li>Milestone Year 1: Formulate clinical questions and identify appropriate resources to address them.<\/li>\n\n\n\n<li>Milestone Year 2 &amp; 3: Formulate clinical questions, identify clinical sources, and critically appraise evidence to address simulated clinical problems.<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Milestone Year 4: Critically appraise information to solve clinical problems.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Knowledge Transfer&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Organize and synthesize medical and scientific knowledge.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Organize and synthesize relevant medical and scientific knowledge for educating peers, healthcare team members.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"patient-care\">Domain\/Competency: Patient Care and Health Promotion<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Education Program Objective<\/h3>\n\n\n\n<p>Provide evidence-based care that is compassionate, culturally appropriate, and effective for illness prevention, health promotion, treatment of disease, and improvement in quality of life, including appropriate end-of-life care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Medical History<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Medical History&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1: Demonstrate a fluent collection of a thorough medical history.<\/li>\n\n\n\n<li>Milestone Year 2: Obtain a hypothesis driven medical history in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 3: Obtain a complete or focused medical history considering the patient&#8217;s clinical situation.<\/li>\n\n\n\n<li>Milestone Year 4: Obtain a relevant, thorough, and reproducible medical history considering the patient&#8217;s clinical situation.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Physical Examination&nbsp;<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Physical Examination&nbsp;<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1: Demonstrate a skillful comprehensive physical examination.<\/li>\n\n\n\n<li>Milestone Year 2: Perform a relevant and complete physical examination in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 3: Perform a relevant physical exam pertinent to the setting and purpose of the patient&#8217;s visit.<\/li>\n\n\n\n<li>Milestone Year 4: Perform a relevant, thorough, and reproducible physical exam pertinent to the setting and purpose of the patient&#8217;s visit.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Clinical Reasoning&nbsp;&nbsp;<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Reasoning&nbsp;<\/strong>&nbsp;\n\n\n\n\n\n\n\n\n\n\n<ul>\n<li>Milestone Year 1 &amp; 2: Identify and use clinical information to support a plausible reasoning argument in simulated clinical scenarios.<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Milestone Year 3: Use clinical information to defend a plausible reasoning argument in real patient care.<\/li>\n\n\n\n<li>Milestone Year 4: Use clinical information to defend a plausible reasoning argument in real patient care in a variety of settings and contexts.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Differential diagnosis<\/strong>\n<ul>\n<li>Milestone Year 1: Formulate and prioritize a differential diagnosis in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 2: Formulate and prioritize a plausible differential diagnosis in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 3: Formulate and prioritize a plausible differential diagnosis considering all relevant sources of information for common conditions.<\/li>\n\n\n\n<li>Milestone Year 4: Independently formulate and prioritize a plausible differential diagnosis considering all relevant sources of information for common and complex clinical presentations.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Diagnostic work-up<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Recommend evidence-based investigations to discriminate between diagnoses in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 3: Recommend and defend evidence-based investigations to discriminate between diagnoses for common conditions taking into consideration the patient preferences and the specific clinical context.<\/li>\n\n\n\n<li>Milestone Year 4: Recommend and defend evidence-based investigations to discriminate between diagnoses for common and complex conditions taking into consideration the patient preferences and the specific clinical context.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Management&nbsp;&nbsp;<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Assessment and Plan<\/strong>&nbsp;\n\n\n\n\n\n\n\n\n\n\n<ul>\n<li>Milestone Year 1 &amp; 2: Propose a treatment and management plan based on synthesis and interpretation of clinical and diagnostic investigations in a standardized environment.<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Milestone Year 3: Recommend and defend treatment and management plans based on synthesis and interpretation of clinical and diagnostic investigations for common conditions taking into consideration the patient&#8217;s preferences and the specific clinical context.<\/li>\n\n\n\n<li>Milestone Year 4: Recommend and defend treatment and management plans based on synthesis and interpretation of clinical and diagnostic investigations for common and complex conditions taking into consideration the patient&#8217;s preferences and the specific clinical context.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Consultations and Referrals<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1 &amp; 2: Identify clinical scenarios that might require consultations and or referrals in clinical scenarios.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Identify and participate in consultations and or referrals.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Patient-Centered Care and Health Promotion<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1 &amp; 2: Recognize and where appropriate propose health promotion activities taking into consideration the patients\u2019 culture and preferences.<\/li>\n\n\n\n<li>Milestone Year 3: Support patient engagement in health promotion activities considering the individual\u2019s health goals, culture, and preferences.<\/li>\n\n\n\n<li>Milestone Year 4: Promote patient engagement in health promotion activities considering the individual\u2019s health goals, culture, and preferences.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Longitudinal Patient Care<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1 &amp; 2: Outline opportunities and potential barriers to providing continuity of care.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Independently develop plans to assure continuity of care considering patients preferences and specific clinical context, including handovers and transition of care.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Documentation&nbsp;&nbsp;<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Documentation<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1\u20134: Organize and document medical information in writing.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Procedural Skills<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Technical Skills \/ Procedures<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Perform clinical procedures, patient education, and counseling in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Perform clinical procedures, patient education, and counseling in clinical environment.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Informed Consent&nbsp;<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Informed Consent<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Obtain informed consent as appropriate for patient care and research activities.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Urgent Care<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Urgent Care<\/strong>\n<ul>\n<li>Milestone Year 1: Recognize patients requiring urgent care in a standardized environment.<\/li>\n\n\n\n<li>Milestone Year 2: Recognize patients requiring urgent care, ask for help, and propose an intervention and management plan.<\/li>\n\n\n\n<li>Milestone Year 3: Recognize patients requiring urgent care, ask for help, and participate in the intervention and management plan.<\/li>\n\n\n\n<li>Milestone Year 4: Recognize patients requiring urgent and escalating care, ask for help, and initiate intervention and management plan.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"professionalism\">Domain\/Competency: Professionalism and Self Awareness<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Education Program Objective<\/h3>\n\n\n\n<p>Demonstrate commitment to professional services, adherence to ethical principles, and awareness of one\u2019s own interests, personal biases, vulnerabilities, and limitation of knowledge.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Professionalism<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Attitude \/ Demeanor&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate professional verbal and non-verbal behavior, mannerisms, and respect even under duress.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Compassion and Respect<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate sympathy and empathy and willingness to help others with due regard for the feelings, wishes, rights, or traditions of others.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Integrity<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate honesty, fairness and adhere to strong moral and ethical principles and values.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Accountability<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate ownership of required tasks, patient care responsibilities, and prioritize competing demands.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Self-awareness<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Discernment<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Demonstrate awareness of one&#8217;s limitations and seek help when needed.<\/li>\n\n\n\n<li>Milestone Year 3: Recognize limitations, act only within one\u2019s capabilities,\u202fand ask for help when needed.<\/li>\n\n\n\n<li>Milestone Year 4: Recognize limitations, proactively anticipate situations requiring help, act only within one\u2019s capabilities, and ask for help when needed.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Intercultural Awareness<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Maintain an interpersonal stance that is other-oriented and respectful of others\u2019 beliefs, assumptions, and values.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Ethical Practice<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Ethics<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1: Identify and discuss ethical issues and frameworks.<\/li>\n\n\n\n<li>Milestone Year 2: Analyze and apply appropriate ethical frameworks to simulated clinical scenarios.<\/li>\n\n\n\n<li>Milestone Year 3: Analyze and apply appropriate ethical frameworks to clinical practice.<\/li>\n\n\n\n<li>Milestone Year 4: Integrate ethical decision making into clinical practice.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Values<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Accept one\u2019s own moral stance might differ from others\u2019.<\/li>\n\n\n\n<li>Milestone Year 3: Engage in respectful discourse when moral conflict arises between peers and with supervisors.<\/li>\n\n\n\n<li>Milestone Year 4: Engage in respectful discourse in situations when moral conflict arises between peers, supervisors, healthcare team members, patients, and their family members.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"life-long-learning\">Domain\/Competency: Practice-based and Life-long Learning<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Education Program Objective<\/h3>\n\n\n\n<p>Demonstrate the ability to appraise, assimilate, innovate, and incorporate scientific evidence to evaluate and improve patient care practices based on continuous self-evaluation and life-long learning.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Self-ownership of Learning<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Informed Self-assessment<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Identify opportunities for learning and improvement by reflecting on multiple sources of information and utilizing them to analyze performance.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Receptivity to Feedback<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate receptivity to feedback information from multiple sources.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Feedback Practices<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1\u20134: Seek and translate feedback from multiple sources and incorporate with informed self-assessment to develop and follow through on personal learning plans.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Continual Improvement<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Curiosity and Inquiry<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Formulate questions and pursue answers.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Demonstrate a systematic approach to track and pursue emerging questions.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Limitation of Knowledge\/Skills<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Recognize knowledge limitations and ask for help.<\/li>\n\n\n\n<li>Milestone Year 3: Recognize knowledge limitations, accept advancing responsibility to individually address them and ask for help.<\/li>\n\n\n\n<li>Milestone Year 4: Anticipate potential knowledge limitations\u202fand proactively seek guidance and\/or learning opportunities to individually address them.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Reflection on Practice<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Develop a learning plan for personal improvement in response to external guidance.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Independently generate a plan for continuous personal improvement by regularly reflecting on and assessing performance.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"system-interprofessional-practice\">Domain\/Competency: System-based and Inter-professional Practice<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Education Program Objective<\/h3>\n\n\n\n<p>Demonstrate awareness of and responsiveness to the larger context of healthcare and the ability to call on system resources, including other healthcare professionals, to provide optimal care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Team-building, and Teamwork<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Roles and Responsibilities<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Recognize roles and responsibilities and enact them as necessary for effective team functioning.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Accept advancing responsibility for effective team functioning, leading when necessary.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Initiative and Contribution<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Participate in and lead team activities in all academic environments.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Participate in and lead team activities in healthcare settings.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Interpersonal Collaboration<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Share information and align activities to achieve desired team outcomes.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Share authority, responsibility, and accountability for desired team outcomes. <\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Professional Relationships<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Insights<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Interpret and appropriately respond to emotional and behavioral cues.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Adaptability<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate open mindedness and adapt behaviors.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Inclusivity<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Invite and encourage others to participate.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Health Systems Science<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Structure and Function of Healthcare Delivery<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Identify structures and functions within the healthcare system that enhance or impede the health of individuals and populations, including systemic biases.<\/li>\n\n\n\n<li>Milestone Year 3: Anticipate structural and functional aspects of the healthcare system that enhance or impede the health of individuals and populations, including systemic biases<\/li>\n\n\n\n<li> Milestone Year 4: Propose interventions to address healthcare system gaps and\/or dysfunctions to improve the health of individuals and populations, including systemic biases.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Patient Safety<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Demonstrate knowledge of patient safety practices.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Apply knowledge of patient safety practices.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Quality Improvement<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Describe quality improvement methods.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Apply quality improvement methods to enhance healthcare delivery.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Population and Community Health<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Social Determinants and Health Equity<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Incorporate social determinants of health and equity when addressing patient care.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Develop and implement strategies to address social determinants that impact the health of individuals and their communities.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Advocacy and Health Advocate<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Design strategies to engage in advocacy and health advocacy initiatives to improve the health of patients and populations.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Engage in advocacy and health advocacy initiatives to improve the health of patients and populations.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"interpersonal-communication-skills\">Domain\/Competency: Interpersonal and Communication Skills<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Education Program Objective<\/h3>\n\n\n\n<p>Demonstrate effective information exchange and collaboration with patients, their families, peers, and other health professionals to enhance their care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Communication<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Medical Information<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Translate medical and scientific knowledge as appropriate for educating peers, healthcare team members, patients and their caregivers, and the community.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Active Listening&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate active listening.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Respectful communication<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Demonstrate professional, respectful, and culturally appropriate communication.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Written\/Oral Fluency<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Content<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Present complete and accurate information.<\/li>\n\n\n\n<li>Milestone Year 3: Present relevant and accurate information.<\/li>\n\n\n\n<li>Milestone Year 4: Present prioritized, relevant, and accurate information.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Organization<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Organize information following checklist prompts.<\/li>\n\n\n\n<li>Milestone Year 3: Organize information with minimal reliance on prompts and checklists.<\/li>\n\n\n\n<li>Milestone Year 4: Adapt the organization and structure of the information to the context.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Flow and Style<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Communicate information clearly and cohesively.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The information on this page applies to cohorts 2027, 2028, and 2029. Learn more for cohorts 2030 and beyond. To request a visual framework of the Objectives, Competencies, and Milestone please email medicine.cmu@wsu.edu. Milestones Framework Components Domains\/Competencies \u2013 Education Program Objectives \u2013 Sub-competencies&nbsp; \u2013 Enabling Competencies) Domain\/Competency: Medical and Scientific Knowledge Education Program Objective Demonstrate [&hellip;]<\/p>\n","protected":false},"author":34189,"featured_media":0,"parent":5789,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_wsuwp_accessibility_report":null},"categories":[],"tags":[],"wsuwp_university_location":[],"wsuwp_university_org":[],"_links":{"self":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/7650"}],"collection":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/users\/34189"}],"replies":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/comments?post=7650"}],"version-history":[{"count":37,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/7650\/revisions"}],"predecessor-version":[{"id":7815,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/7650\/revisions\/7815"}],"up":[{"embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/5789"}],"wp:attachment":[{"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/media?parent=7650"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/categories?post=7650"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/tags?post=7650"},{"taxonomy":"wsuwp_university_location","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/wsuwp_university_location?post=7650"},{"taxonomy":"wsuwp_university_org","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/wsuwp_university_org?post=7650"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}