{"id":7753,"date":"2026-06-12T11:14:14","date_gmt":"2026-06-12T18:14:14","guid":{"rendered":"https:\/\/medicine.wsu.edu\/md\/?page_id=7753"},"modified":"2026-06-12T13:40:14","modified_gmt":"2026-06-12T20:40:14","slug":"objectives-competencies-milestones","status":"publish","type":"page","link":"https:\/\/medicine.wsu.edu\/md\/curriculum\/objectives\/objectives-competencies-milestones\/","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 2030 and beyond. Learn more for <a href=\"https:\/\/medicine.wsu.edu\/md\/curriculum\/objectives\/objectives-competencies-milestones-27-28-29\/\">cohorts 2027, 2028, and 2029<\/a>. To request a visual framework of the Objectives, Competencies, and Milestone please email&nbsp;<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>Knowledge Building&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;\n<ul>\n<li>MK1.1 Foundations of Human Health and Disease<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Knowledge Integration\n<ul>\n<li>MK2.1 Evidence-based Inquiry and Data Interpretation<\/li>\n\n\n\n<li>MK2.2 Critical Thinking and Clinical Decision Making<\/li>\n\n\n\n<li>MK2.3 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>Medical History\n<ul>\n<li>PC1.1 Medical History<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Physical Examination\n<ul>\n<li>PC2.1 Physical Examination<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Plan \n<ul>\n<li>PC3.2 Differential Diagnosis<\/li>\n\n\n\n<li>PC3.3 Diagnostic Work-up<\/li>\n\n\n\n<li>PC4.1 Treatment and Management<\/li>\n\n\n\n<li>PC4.4 Consultations and Referrals<\/li>\n\n\n\n<li>PC4.2 Longitudinal Patient Care<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Patient-centered Health Care \n<ul>\n<li>PC9.1 Health Promotion<\/li>\n\n\n\n<li>PC4.3 Patient-centered Care<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Documentation \n<ul>\n<li>PC5.1 Medical Documentation<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Procedural Skills \n<ul>\n<li>PC6.1 Technical Skills\/Procedures<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Informed Consent \n<ul>\n<li>PC8.1 Informed Consent<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Urgent Care \n<ul>\n<li>PC7.1 Urgent Care<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"#professionalism\">Professionalism and Ethical Practice<\/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>Professional Conduct\n<ul>\n<li>PS1.1 Culturally Responsive Conduct<\/li>\n\n\n\n<li>PS1.3 Recognition and Bias Mitigation<\/li>\n\n\n\n<li>PS1.4 Accountability<\/li>\n\n\n\n<li>PS1.5 Confidentiality and Boundaries<\/li>\n\n\n\n<li>PS1.6 Addressing Unprofessional Conduct<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Self-Awareness\n<ul>\n<li>PS2.3 Reflective Practice<\/li>\n\n\n\n<li>PS2.1 Discernment<\/li>\n\n\n\n<li>PS1.9 Resilience and Adaptability<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Ethical Decision Making\n<ul>\n<li>PS3.1 Ethical Reasoning<\/li>\n\n\n\n<li>PS3.2 Values and Personal Identity<\/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>Self-ownership of Learning\n<ul>\n<li>PL1.1 Informed Self-assessment<\/li>\n\n\n\n<li>PL1.2 Receptivity to Feedback<\/li>\n\n\n\n<li>PL1.3 Feedback Practices<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Continual Improvement\n<ul>\n<li>PL2.1 Curiosity and Inquiry<\/li>\n\n\n\n<li>PL2.2 Limitation of Knowledge\/Skills<\/li>\n\n\n\n<li>PL2.4 Life-long Learning<\/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>Collaboration and Leadership\n<ul>\n<li>SI1.1 Roles and Responsibilities<\/li>\n\n\n\n<li>SI1.2 Initiative and Contribution<\/li>\n\n\n\n<li>SI1.3 Interpersonal Collaboration<\/li>\n\n\n\n<li>SI1.4 Interprofessional Collaboration<\/li>\n\n\n\n<li>SI1.5 Social Skills<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Health Systems Science\n<ul>\n<li>SI2.1 Structure and Function of Health Care Delivery<\/li>\n\n\n\n<li>SI2.2 Patient Safety<\/li>\n\n\n\n<li>SI2.3 Quality Improvement<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Community and Population Health\n<ul>\n<li>SI3.1 Population Intervention<\/li>\n\n\n\n<li>SI3.2 Health Advocacy<\/li>\n\n\n\n<li>SI3.3 Service Orientation<\/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>Communication\n<ul>\n<li>IC2.1 Medical Information<\/li>\n\n\n\n<li>IC2.4 Interpersonal Responsiveness<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Written\/Oral Fluency\n<ul>\n<li>IC3.1 Communication Content<\/li>\n\n\n\n<li>IC3.2 Information Organization<\/li>\n\n\n\n<li>IC3.3 Information Delivery<\/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 social-behavioral 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>Foundations of Human Health and Disease<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Analyze the structure and function of the human body alongside the social, environmental, and behavioral factors that influence health and disease.<\/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>Evidence-based Inquiry and Data Interpretation<\/strong> \n\n\n<ul>\n<li>Milestone Year 1: Describe the core principles of evidence-based medicine, including how evidence is generated and the roles of qualitative and quantitative data in evidence-informed clinical decisions.<\/li>\n\n\n\n<li>Milestone Year 2: Formulate structured clinical questions that specify patients, interventions, comparisons, and outcomes to guide the search for appropriate evidence.<\/li>\n\n\n\n<li>Milestone Year 3: Apply evidence-informed biomedical, social, clinical, and health systems principles to select and justify diagnostic and management options in patient-centered care.<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Milestone Year 4: Apply evidence-informed biomedical, social, clinical, and health systems principles to select and justify diagnostic and management options in patient-centered care.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Critical Thinking and Clinical Decision Making<\/strong>\n<ul>\n<li>Milestone Year 1: Apply the steps of clinical decision making to deliver evidence-informed care in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Integrate organized diagnostic thinking to guide hypothesis testing and management planning in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Refine prioritized differential diagnoses as new clinical data emerge, providing a rationale for evolving clinical plans and recommendations.<\/li>\n\n\n\n<li>Milestone Year 4: Evaluate biomedical, social, clinical, and health systems principles using logic and reasoning to support evidence informed, patient centered care decisions.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Knowledge Transfer&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1: Analyze medical and scientific knowledge collaboratively to build shared understanding as a team in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Use explanations that educate others using medical and scientific knowledge across diverse clinical contexts. <\/li>\n\n\n\n<li>Milestone Year 3: Generate clinically sound explanations and solutions using medical and scientific knowledge to support team-based patient care.<\/li>\n\n\n\n<li>Milestone Year 4: Integrate medical and scientific knowledge to construct evidence-based explanations and solutions that advance patient-centered care and team education.<\/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: Obtain a comprehensive medical history in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Obtain a hypothesis-driven medical history in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Obtain a comprehensive or hypothesis-driven medical history tailored to the clinical situation using reasoning to guide inquiry in diverse clinical environments.<\/li>\n\n\n\n<li>Milestone Year 4: Adapt comprehensive or hypothesis-driven medical histories using clinical reasoning tailored to the patient\u2019s presentation and healthcare needs in real-world clinical care.<\/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: Perform a comprehensive screening physical examination in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Perform a hypothesis-driven physical examination in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Performa comprehensive screening or hypothesis-driven physical examination based on the clinical situation in diverse clinical environments using clinical reasoning to guide inquiry.<\/li>\n\n\n\n<li>Milestone Year 4: Adapt comprehensive screening or hypothesis-driven physical examinations to the patient\u2019s presentation and healthcare needs using clinical reasoning in real-world clinical care.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Plan\u00a0\u00a0<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Differential diagnosis\u00a0<\/strong>\u00a0  \n<ul>\n<li>Milestone Year 1: Formulate a clinically appropriate differential diagnosis in a standardized and simulated environments.<\/li>\n\n\n\n<li>Milestone Year 2: Prioritize a clinically appropriate differential diagnosis in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Formulate a prioritized differential diagnosis by integrating primary clinical information with evidence-based guidelines and clinical reasoning.<\/li>\n\n\n\n<li>Milestone Year 4: Justify a prioritized differential diagnosis using primary and secondary clinical information, evidence-based guidelines, and reasoning.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Diagnostic work-up<\/strong> \n<ul>\n<li>Milestone Year 1: Develop a diagnostic workup for a differential diagnosis in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Develop a clinically accurate diagnostic workup for a differential diagnosis using clinical guidelines in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Select evidence-based diagnostic investigations using clinical reasoning and medical knowledge to refine differential diagnoses in diverse clinical environments.<\/li>\n\n\n\n<li>Milestone Year 4: Justify evidence-based diagnostic investigations using clinical reasoning and medical knowledge to refine differential diagnoses, accounting for patient preferences and healthcare context.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Treatment and Management<\/strong>\u00a0\n<ul>\n<li>Milestone Year 1: Recommend a treatment and management plan for patients in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Recommend a clinically accurate treatment and management plan using clinical findings and diagnostic data in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Develop clinically accurate, evidence-based treatment and management plans using multiple sources of clinical information in diverse clinical environments.<\/li>\n\n\n\n<li>Milestone Year 4: Justify clinically accurate, evidence-based treatment and management plans incorporating patient preferences and clinical context using multiple sources of clinical information.<\/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: Recognize clinical presentations that may require consultation or referral in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 2: Identify clinical presentations requiring consultation or referral incorporating patient preferences and context in standardized and simulated clinical environments.<\/li>\n\n\n\n<li>Milestone Year 3: Recommend consultations and referrals by synthesizing clinical information with patient-specific and contextual factors.<\/li>\n\n\n\n<li>Milestone Year 4: Facilitate consultations and referrals by synthesizing clinical information with patient-specific and contextual factors.<\/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: Identify factors that promote or limit continuity of care from patient, provider, and system-level perspectives in common ambulatory and inpatient scenarios.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Apply clinical care tools (e.g., care plans, registries, follow up reminders, EMR task lists) to support longitudinal patient care in simulated and early clinical encounters.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Patient-centered Healthcare&nbsp;&nbsp;<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Health Promotion<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1: Identify common health promotion strategies for preventing disease and supporting wellness.<\/li>\n\n\n\n<li>Milestone Year 2: Describe health promotion strategies that align with a patient\u2019s cultural background and personal preferences.<\/li>\n\n\n\n<li>Milestone Year 3: Apply health promotion strategies by aligning activities with an individual\u2019s health goals, cultural background, and personal preferences.<\/li>\n\n\n\n<li>Milestone Year 4: Develop health promotion care plans by tailoring approaches to an individual\u2019s health goals, cultural values, and personal preferences in partnership with patients.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Patient-Centered Care<\/strong>\n<ul>\n<li>&nbsp;Milestone Year 1: Identify patient values, preferences, and contextual factors relevant to clinical care decisions.<\/li>\n\n\n\n<li>Milestone Year 2: Describe how patient values, preferences, and cultural context influence shared clinical decision making.<\/li>\n\n\n\n<li>Milestone Year 3: Apply patient centered approaches to clinical decision making by incorporating patient values, preferences, and context.<\/li>\n\n\n\n<li>Milestone Year 4: Integrate patient values, preferences, and contextual factors into shared decision making to co develop patient centered care plans.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Documentation<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Medical Documentation<\/strong>\n<ul>\n<li>Milestone Year 1: Document and present a comprehensive medical history and physical examination using structured, standardized formats in simulated environments, ensuring accuracy, clarity, and organization to support clinical reasoning and patient care.<\/li>\n\n\n\n<li>Milestone Year 2: Document and present focused, hypothesis-driven clinical encounters in structured, simulated settings, integrating key findings with assessment and management plans while maintaining accuracy, clarity, and organization to support clinical reasoning and patient care.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Document and present clinical encounters across diverse healthcare settings, integrating and prioritizing key findings with assessment and management plans to support clinical decision-making, continuity, and safety of patient care.<\/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 common clinical procedures in standardized or simulated settings while adhering to established protocols and safety standards to demonstrate foundational technical skill and procedural competence.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Perform clinical procedures in real-world clinical environments while adhering to established protocols, ensuring patient safety, and providing appropriate education and counseling to support effective patient care and shared decision-making.<\/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: Explain the ethical, legal, and clinical components of informed consent.<\/li>\n\n\n\n<li>Milestone Year 2: Conduct an informed consent process in a simulated setting, clearly explaining indications, risks, benefits, and alternatives, and confirming patient understanding.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Obtain informed consent for clinical procedures or research in real patient settings under supervision with accurate documentation.<\/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 abnormal vital signs in a standardized or simulated clinical setting.<\/li>\n\n\n\n<li>Milestone Year 2: Recognize patients requiring urgent evaluation in a standardized or simulated clinical setting.<\/li>\n\n\n\n<li>Milestone Year 3: Identify patients requiring urgent care in clinical settings, promptly notify appropriate team members, and propose a preliminary management plan.<\/li>\n\n\n\n<li>Milestone Year 4: Prioritize patients requiring urgent or escalating care, promptly notify appropriate team members, and initiate the intervention and 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 Ethical Practice<\/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: Professional Conduct<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Culturally Responsive Conduct&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Uses effective communication and professional behaviors to create psychological safety, trust, and dignity across diverse cultural contexts based on patients&#8217; lived experiences and culture.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Recognition and Bias Mitigation<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Mitigate personal biases and biased behavior in self\/others on learning and interactions.<\/li>\n\n\n\n<li>Milestone Year 3: Mitigate the influence of bias in clinical reasoning and team interactions.<\/li>\n\n\n\n<li>Milestone Year 4: Integrate bias-mitigation strategies into decision-making and professional leadership. <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Accountability<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Assume ownership of assigned academic and clinical tasks by prioritizing commitments and fulfilling responsibilities consistently and reliably.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Confidentiality and Boundaries<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Maintain appropriate professional boundaries and protect confidential and sensitive information across educational, clinical, and digital contexts.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Addressing Unprofessional Conduct<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Address unprofessional behavior in self and others through established feedback channels, prioritizing patient safety and team integrity.<\/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>Reflective Practice<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Identify personal cognitive and emotional responses and their potential impact on academic or clinical decisions.<\/li>\n\n\n\n<li>Milestone Year 3: Adjust academic or clinical decisions based on reflection on personal cognitive biases and emotional responses to improve patient care outcomes.<\/li>\n\n\n\n<li>Milestone Year 4: Evaluate personal decision-making patterns using reflective insights to inform ethical and patient-centered decisions in clinical settings.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Discernment<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Apply sound judgment in academic, simulated, or clinical scenarios by weighing context, risk, and ethical considerations.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Justify clinical decisions using relevant clinical evidence and ethical principles.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Resilience and Adaptability<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Use performance feedback to mitigate biases, maintain well-being, and model ethical\/collaborative behavior while recovering constructively and sustaining professionalism<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Ethical Decision Making<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Ethical Reasoning<\/strong>&nbsp;\n<ul>\n<li>Milestone Year 1 &amp; 2: Analyze simulated and clinical challenges using ethical frameworks to guide patient-centered decisions.<\/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 &amp; 4: Integrate ethical principles and professional standards with clinical reasoning to evaluate potential outcomes and formulate patient-centered decisions.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Values and Personal Identity<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Align professional behavior with articulated personal values while respecting professional standards and diverse perspectives.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Contribute to discussions and decisions during complex moral disagreements in clinical or team settings while maintaining professionalism and empathy.<\/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: Use feedback to identify learning gaps and areas for improvement.<\/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: Reflect on feedback received to identify areas for improvement.<\/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 feedback to identify areas for improvement.<\/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 clinical and scientific questions to guide inquiry and learning.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Apply a systematic approach to investigate emerging clinical and scientific 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: Identify personal knowledge gaps and seek support to address them.<\/li>\n\n\n\n<li>Milestone Year 3: Identify evolving knowledge limitations in increasingly complex settings and independently seek guidance or resources to address them.<\/li>\n\n\n\n<li>Milestone Year 4: Anticipate areas of knowledge uncertainty and implement timely, independent strategies to ensure safe and informed decision-making.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Life-long Learning<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Develop a targeted learning plan in response to external feedback and personal reflection, incorporating specific goals and self-directed strategies to support ongoing personal and professional development.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Create a personal improvement plan through independent reflection, self-assessment, and integration of external feedback, fostering self-directed habits of lifelong learning and professional growth.<\/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 health care and the ability to call on system resources, including other health care professionals, to provide optimal care.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Collaboration and Leadership<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Roles and Responsibilities<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Analyze roles and responsibilities within a team to support effective collaboration and shared goals.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Contribute to team effectiveness by adapting to team needs, facilitating collaboration, and assuming leadership roles when appropriate.<\/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: Collaborate in team-based activities by contributing meaningfully to shared goals, and assume leadership roles when appropriate to facilitate coordination, communication, and collective success.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Contribute to and lead interprofessional team activities in clinical settings by coordinating tasks, communicating clearly, and supporting collaborative decision-making.<\/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 coordinate individual contributions to align with team objectives and support effective collaboration.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Share leadership by distributing authority, embracing collective responsibility, and upholding accountability to achieve team goals and ensure high-quality outcomes. <\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Interprofessional Collaboration<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Contribute to the interprofessional healthcare team functioning by sharing relevant information, seeking and integrating input from other professionals, and co\u2011creating care plans that support safe, coordinated care.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Social Skills<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Exhibit respectful and professional verbal and nonverbal behaviors with patients, peers, and team members by adapting communication and actions to diverse social and professional contexts and maintaining constructive, collaborative interactions.<\/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 Health Care Delivery<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Identify key structures and functions of the health care system and their impact on the health of individuals and populations, including the influence of systemic biases.<\/li>\n\n\n\n<li>Milestone Year 3: Analyze the influence of structural and functional components of the health care system, including systemic biases, on health outcomes for individuals and populations.<\/li>\n\n\n\n<li>Milestone Year 4: Advocate for evidence-informed interventions to address structural gaps or dysfunctions in the health care system, including systemic biases, to improve health outcomes for individuals and populations.<\/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: Analyze the fundamental patient safety principles and practices that contribute to safe and effective health care delivery.<\/li>\n\n\n\n<li>Milestone Year 3: Propose evidence-informed strategies to improve patient safety and address system-level risks in health care delivery.<\/li>\n\n\n\n<li>Milestone Year 4: Integrate patient safety practices into clinical decision-making and team-based workflows to reduce risk and improve outcomes.<\/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: Examine core principles and methods of quality improvement used to enhance health care delivery and improve patient outcomes.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Analyze quality improvement methods to address gaps in health care delivery and improve patient outcomes.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Sub-Competency: Community and Population Health<\/h3>\n\n\n\n<ul>\n<li>Enabling Competency: <strong>Population intervention<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Apply social determinants of health and principles of equity into clinical reasoning and patient care planning to address individual health needs.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Design strategies to address social determinants of health and promote equity in individual and community outcomes.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Health Advocacy<\/strong>\n<ul>\n<li>Milestone Year 1 &amp; 2: Formulate strategies to engage in advocacy efforts that address health-related needs and promote well-being at individual and population levels.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Participate in advocacy initiatives to address health disparities and improve health outcomes for patients and populations.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Service Orientation<\/strong>\n<ul>\n<li>Milestone Year 1\u20134: Engage in activities that promote the health and well-being of others, including patients, community members, and other individuals.<\/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: Communicate medical and scientific knowledge using a structured, scripted approach that is primarily task- and information-focused.<\/li>\n\n\n\n<li>Milestone Year 2: Communicate medical and scientific knowledge using a structured approach that integrates interpretation and contributes meaningfully to discussion of patient care.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Communicate medical and scientific knowledge effectively to diverse audiences, adapting language, depth, and format to the needs of each group.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Interpersonal Responsiveness&nbsp;<\/strong>\n<ul>\n<li>Milestone Year 1: Use core communication skills in standardized and simulated settings.<\/li>\n\n\n\n<li>Milestone Year 2: Apply core communication skills and integrate advanced techniques in standardized and simulated clinical settings.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Adapt communication to diverse clinical contexts, demonstrating empathy, respect, and inclusive collaboration with patients and team members.<\/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>Communication Content<\/strong>\n<ul>\n<li>Milestone Year 1 : Identify pertinent medical information required for different communication methods and clinical contexts.<\/li>\n\n\n\n<li>Milestone Year 2: Communicate accurate and relevant information tailored to the audience and intended purpose.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Communicate prioritized, accurate, relevant, and well-organized information that advances clinical reasoning and informs decision-making.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Information Organization<\/strong>\n<ul>\n<li>Milestone Year 1: Organize medical information clearly using structured, standardized formats.<\/li>\n\n\n\n<li>Milestone Year 2: Organize medical information clearly using structured formats tailored to the audience and intended purpose.<\/li>\n\n\n\n<li>Milestone Year 3: Organize information coherently and logically with minimal reliance on external supports.<\/li>\n\n\n\n<li>Milestone Year 4: Organize information independently and strategically to suit clinical, educational, or interpersonal contexts without reliance on external supports.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Enabling Competency: <strong>Information Delivery<\/strong>\n<ul>\n<li>Milestone Year 1: Deliver medical information using the most appropriate structured method for standardized and simulated clinical contexts.<\/li>\n\n\n\n<li>Milestone Year 2: Deliver medical information in a clear, coherent, and logically sequenced manner.<\/li>\n\n\n\n<li>Milestone Year 3 &amp; 4: Deliver information strategically with clear logical flow, adapting to diverse audiences and contexts while ensuring understanding.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>The information on this page applies to cohorts 2030 and beyond. Learn more for cohorts 2027, 2028, and 2029. To request a visual framework of the Objectives, Competencies, and Milestone please email&nbsp;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 knowledge [&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\/7753"}],"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=7753"}],"version-history":[{"count":18,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/7753\/revisions"}],"predecessor-version":[{"id":7811,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/pages\/7753\/revisions\/7811"}],"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=7753"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/categories?post=7753"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/tags?post=7753"},{"taxonomy":"wsuwp_university_location","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/wsuwp_university_location?post=7753"},{"taxonomy":"wsuwp_university_org","embeddable":true,"href":"https:\/\/medicine.wsu.edu\/md\/wp-json\/wp\/v2\/wsuwp_university_org?post=7753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}