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A & I Fellowship - Requirements

Essential Abilities

Essential abilities are academic performance requirements that refer to those physical, cognitive, noncognitive, and behavioral abilities required for satisfactory completion of all aspects of the graduate medical curriculum, and the development of personal attributes required by the faculty of all fellows at certification. The essential abilities required by the A/I curriculum are in the following areas: motor, sensory, communication, intellectual (conceptual, integrative, and quantitative abilities for problem solving and diagnosis) and the behavioral and social aspects of the performance of a physician. These are attributes each fellow physician must possess and the use of a third party for the fulfillment of these attributes is not adequate. Additionally, fellows must be legally authorized to practice in all healthcare clinical training sites.

Motor Skills

  • Physical dexterity to master technical and procedural aspects of patient care.
  • Adequate physical stamina and energy to carry out clinical responsibilities in all required rotations and to participate in the on-call schedule. 

Sensory Abilities

  • Fellows must be able to gather information with all senses, especially sight, hearing, smell and touch, in order to gather a medical and psychosocial history, perform a physical examination, and diagnose and treat patients. 
  • Must demonstrate the ability to acquire data, through history and physical examination, process data by formulation of a differential diagnosis appropriate in sophistication for the level of training, and record data within a reasonable amount of time.

Communication Skills

  • Fellows must be able to communicate effectively with patients, including gathering information appropriately, explaining medical information in a patient-centered manner, listening effectively, recognizing, acknowledging and responding to emotions, and exhibiting sensitivity to social and cultural differences. 
  • Fellows must be able to communicate effectively and work cooperatively with supervisors, other fellows, and all other health care team members, using oral, written and electronic forms of communication. 
  • Must demonstrate evidence of teaching skill as assessed by students and fellow evaluations.  Must successfully complete all required rotations.

Intellectual Abilities

  • Fellows must be able to comprehend and learn factual knowledge from readings and didactic presentations, gather information independently, analyze and synthesize learned material, information to clinical situations, and present a summary to a critical audience using appropriate audiovisual aids. Fellows must be able to develop habits of life-long learning. 
  • Fellows must be able to develop sound clinical judgment and exhibit well- integrated knowledge about the diagnosis, treatment, and prevention of illness within their scope of practice. They must be comfortable with uncertainty and ambiguity in clinical situations, and seek the advice of others when appropriate. 

Behavioral, Social and Professional Abilities

Fellows must possess the emotional maturity and stability to function effectively under stress that is inherent in medicine and to adapt to circumstances which are unpredictable or that change rapidly. They must be able to interact productively, cooperatively and in a collegial manner with individuals of differing personalities and backgrounds, and be an active contributor to the process of providing health care by demonstrating the ability to engage in teamwork and team building. They must demonstrate the ability to identify and set priorities in patient management and in all aspects of their professional work. They must be punctual and perform work in a timely manner. 

  • Fellows must be capable of empathetic response to individuals in many circumstances and be sensitive to social and cultural differences. 
  • Fellows must exhibit an ethic of professionalism, including the ability to place others' needs ahead of their own. They must exhibit compassion, empathy, altruism, integrity, responsibility and tolerance, as well as demonstrate the ability to exercise the requisite judgment required in the practice of medicine. 
  • Fellows must be able to accept and learn from constructive criticism and be willing to teach others
  • Fellows must take reasonable measure to maintain health, including mental health and must not have an active drug or alcohol dependency problem.

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