University of Wisconsin
School of Medicine and Public Health

Medical Knowledge

FacultyResidents will demonstrate an excellent level of understanding of the clinical, basic and social sciences that underlie the practice of internal medicine and be able to demonstrate that they can apply their knowledge to patient care, patient education, family education, and the education of other members of the health care team. Areas of knowledge will include understanding the pathogenesis, pathophysiology, epidemiology, historical issues, relevant physical findings, test utilization (including relative sensitivity and specificity and likelihood ratios), means of confirming a diagnosis, treatment, monitoring and prevention of the most common inpatient and outpatient clinical disorders cared for by internists. Residents will understand how various aspects of disease are affected by gender, age, ethnicity, culture and disability. In addition to understanding and being able to manage the common diseases in internal medical practices, residents will incorporate into their practice the following areas that cross all specialties: ethics, psychology, medical-legal issues, medical economics, managed care, public health, familial and societal violence, AODA issues, informatics, record keeping, quality assurance and risk management, and relevant areas of non-internal medicine specialties (e.g. neurology, dermatology, ENT, ophthalmology, orthopedics and sports medicine, podiatry, rehabilitation medicine, psychiatry).

Opportunities to achieve the competency

  • All rotations
  • Discussion groups
  • Boards review
  • Didactic sessions covering a comprehensive curriculum
  • Reading
  • Seminars
  • Retreats
  • Working in an HMO
  • Rotations in non-medical specialties
  • Required Domestic Violence training
  • Required Critical Care training
  • Required self-review of preventive health care practice

Feedback methods

  • Annual Internal Medicine In-Training Exam
  • Board Exam
  • Monthly feedback
  • Semi-Annual meetings with Program Directors
  • Mini-CEX
  • Performance over time on QI projects
  • Annual self-assessment of continuity clinic patient outcomes
  • Fulfilling professional responsibilties and credentialing items
  • Self-reflection