Chapter 3 Patient Care
Definitions of Patient Care
The ACGME expects “residents to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.”1 The American Board of Pediatrics (ABP) has developed general guidelines for the pediatric competencies and states that for patient care “residents must be able to provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment of health problems and the promotion of health.”2 The ABP pediatric-specific components of patient care competency include:
Gather essential and accurate information about the patient using medical interviewing, physical examination, diagnostic studies, and developmental assessment.
Make informed diagnostic and therapeutic decisions based on patient information, current scientific evidence, and clinical judgment: use effective and appropriate clinical problem-solving skills, understand the limits of one’s knowledge and expertise, use consultants and referrals appropriately.
Prescribe and perform competently all medical procedures considered essential for the scope of practice.
Counsel patients and families: to take measures needed to enhance or maintain health and function and prevent disease and injury; by encouraging them to participate actively in their care by providing information necessary to understand illness and treatment, share decisions, and obtain informed consent; by providing comfort and allaying fear.
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