Vascular Neurology Residency Curriculum (ACGME Core Competencies)
The curriculum for a training program in vascular neurology should encompass training and educational experiences to prepare a physician for the independent practice of vascular neurology. The training must require the fellows/residents to obtain competencies in each of six areas defined by the ACGME and the RRC for neurology.
- Patient Care: Ability to perform a comprehensive history and physical examination of a patient, localize the neurological problem, generate an appropriate differential diagnosis, and determine an effective, cost-effective plan of further evaluation and management of the patient. Patient care must be performed in a compassionate, ethical manner.
- Medical Knowledge: Knowledge of neurological disorders and basic neuroscience and genetics. Knowledge of laboratory and diagnostic technology and ability to utilize this technology safely, effectively, and economically. Critical ability to assess evolving medical science, technology, and epidemiological and social-behavioral sciences relating to medicine.
- Practice-based Learning and Improvement: Recognition of the limits of a physician's own cognitive and clinical skills and need for life-long learning. This relates to the ability to obtain current information from science and practice literature to improve patient care; learning systems to evaluate and improve the physician's own practice patterns such as obtaining feedback through patient evaluations and analysis of outcomes; and the ability to critically evaluate the medical literature.
- Interpersonal and Communication Skills: The ability to effectively exchange information with patients, families, and ancillary health professionals. This includes the ability to both listen and understand patients, to recognize the cultural and religious biases of both the practitioner and patients/families and effective methods to deal with such, and the ability to communicate with other professionals and physicians on a consultation basis.
- Professionalism: A commitment to carrying out professional responsibilities including timely and responsive communication with patients and other health care providers, appropriate use of medical records, and coordination of care and patient coverage if unavailable. The adherence to ethical principles with sensitivity to a diverse patient population including, but not limited to, differences of race, gender, religion, age, cultures, political beliefs, and sexual orientation; while always respecting the confidentiality of medical information.
- Systems-based Practice: Recognition of the workings of the health care system in the broader setting of society as a whole. This involves recognition of practice guidelines, local and national resources available to enhance the quality of life of patients, and ancillary health services available to affect all aspects of a patient's care. It further involves the ability to function effectively within the financial limitations of individual patients and to utilize effectively the community and national resources available. Lastly, this involves the ability to function in the current system of managed health care and to recognize the legal aspects of the practice of medicine.
The core competencies were adapted from the ACGME guidelines for Program Requirements for Residency Education in Neurology, www.agcme.org. A complete summary of the ABPN core competencies can be found at www.abpn.com. This description of the core competencies was obtained from the American Academy of Neurology website, www.aan.com. Throughout your residency, your performance, learning, and training will refer back to the above six core competencies.