Core Competencies

The Six ACGME Core Competencies are as follows:

• Practice-Based Learning and Improvement
• Patient Care and Procedural Skills
• Systems-Based Practice
• Medical Knowledge
• Interpersonal and Communication Skills
• Professionalism

Milestones are specialty-specific and include the following:

• Gathers and synthesizes essential and accurate information to define each patient’s clinical problem(s)
• Develops and achieves comprehensive management plan for each patient
• Manages patients with progressive responsibility and independence
• Skill in performing procedures
• Requests and provides consultative care
• Clinical knowledge
• Knowledge of diagnostic testing and procedures
• Works effectively within an interprofessional team (e.g. peers, consultants, nursing, ancillary professionals and other support personnel)
• Recognizes system error and advocates for system improvement
• Identifies forces that impact the cost of health care, and advocates for, and practices cost-effective care
• Transitions patients effectively within and across health delivery systems
• Monitors practice with a goal for improvement
• Learns and improves via performance audit
• Learns and improves via feedback
• Learns and improves at the point of care
• Has professional and respectful interactions with patients, caregivers and members of the interprofessional team (e.g. peers, consultants, nursing, ancillary professionals and support personnel)
• Accepts responsibility and follows through on tasks
• Responds to each patient’s unique characteristics and needs
• Exhibits integrity and ethical behavior in professional conduct
• Communicates effectively with patients and caregivers
• Communicates effectively in interprofessional teams (e.g. peers, consultants, nursing, ancillary professionals and other support personnel)
• Appropriate utilization and completion of health records