Expectations of Family Medicine Residency Graduates

Family medicine residency graduates will be able to independently and competently practice the specialty of family medicine. They will have been trained to meet the six Accreditation Council for Graduate Medical Education (ACGME) competencies, and will be prepared to provide continuing, comprehensive and personal care within the context of family and the needs of the community. This document has been written for consideration by family medicine residency training programs as they prepare family physicians for future practice.

All family medicine residency graduates should:

  1. Demonstrate continuous commitment to professionalism in the practice of family medicine.
  2. Demonstrate current medical knowledge utilizing a bio-psychosocial model to provide evidence-based comprehensive patient care.
  3. Be able to lead and practice within an interdisciplinary care team to provide comprehensive patient care.
  4. Be able to provide care with a systems-based approach, while serving as a patient advocate.
  5. Become board certified and successfully maintain board certification in family medicine through information mastery and life-long practice-based learning.
  6. Be able to effectively communicate with the patient, family and healthcare team about the diagnosis, evaluation and management of a particular condition in a collaborative fashion.
  7. Facilitate continuous learning and quality improvement for all members of the healthcare team.
  8. Be competent in the care of patients throughout the continuum of life, managing their care in multiple environments including but not limited to home, office, acute care hospital and long-term care facilities. The graduate’s role in each setting is defined by the relationship with the patient, the patient’s need for services and needs of their respective communities, including providing maternity care that reflects the competency of the family physician.
  9. Have the technical skill, knowledge and experience to perform clinical procedures within the scope of family medicine reflecting the graduate’s training, experience and the needs of the community.
  10. Demonstrate the ability to join or build a fiscally sound practice that meets the identified needs of the community served utilizing the principles of the patient-centered medical home.
  11. Demonstrate competency in the following skills necessary for the successful practice of family medicine:
    1. Providing health care addressing specific social, cultural and community needs.
    2. Appropriately recognizing the need for consultation, and comanaging the patient when applicable or appropriate.
    3. Practicing cost-effective medicine when ordering diagnostic tests, prescribing and utilizing other therapeutics.
    4. Integrating appropriate available technologies (EHR, point of service references) to improve patient care and its documentation in practice.
    5. Providing evidence-based comprehensive, acute, chronic and preventive services to patients and their communities.
    6. Providing guidance to patients and families regarding advanced directives, end-of-life issues and unexpected diagnoses/outcomes.

(April Board 2009) (2014 COD)