3. Manages patients with progressive responsibility and independence. (PC3) Provides appropriate care management to patients after kidney transplantation Critical Deficiencies Does not recognize allograft dysfunction (acute or chronic) Does not recognize potential complications or drug interactions of immunosuppressive drugs Appropriate for beginning fellow Inconsistently recognizes episodes of allograft dysfunction (acute and chronic) and appropriate management Inconsistently recognizes common complications and frequent drug interactions of immunosuppressive medications and appropriate management Appropriate for mid-level training experience Usually demonstrates appropriate evaluation and management of common and straightforward episodes of allograft dysfunction (acute and chronic) Usually demonstrates an understanding of common complications and frequent drug interactions of immunosuppressive medications and demonstrates appropriate evaluation and management Tracks to PC1, PC2, maybe PC5, MK1, MK2 Ready for unsupervised practice Knows the science underlying allograft dysfunction (acute and chronic) and independently generates a differential diagnosis and appropriate treatment plan for common and straightforward episodes of allograft dysfunction Anticipates and manages complex complications and subtle drug interactions of immunosuppressive medications Aspirational Explains and educates others on the science underlying allograft dysfunction (acute and chronic) Independently manages complex episodes of allograft dysfunction Explains and educates others on the science underlying complications and drug interactions of immunosuppressive medications 6. Possesses clinical knowledge (MK1) Recognition and initial evaluation of recipients and donors for kidney transplantation Critical Deficiencies Unaware of the existence of criteria for kidney transplant donors and recipients Appropriate for beginning fellow Recalls the criteria for the evaluation and selection of kidney transplant donors and recipients Appropriate for mid-level training experience Demonstrates knowledge of the indications and contraindications of transplantation, and actively participates in the evaluation and selection of transplant donors and recipients Tracks to PC1, SBP1, Prof3, ICS1 Ready for unsupervised practice Independently applies the principles in the evaluation and selection of kidney transplant donors and recipients Aspirational Teaches and assists in developing the criteria for evaluation and selection of kidney transplant donors and recipients 9. Works effectively within an inter-professional team (e.g., with peers, consultants, nursing, ancillary professionals, and other support personnel). (SBP1) Tracks to SBP4, ICS2, Prof1 Work within and with the transplant team Critical Deficiencies Does not recognize the contributions of other inter-professional team members Frustrates the team with inefficiency and errors Frequently requires reminders from the team to complete physician responsibilities Appropriate for beginning fellow Beginning understanding of the structure of the transplant team Recalls principles of the organ allocation system Demonstrates timely and respectful communication with other transplant team members Appropriate for mid-level training experience Ready for unsupervised practice Aspirational Identifies the roles and responsibilities of all transplant team members and is beginning to work collaboratively Identifies the roles and responsibilities of, and effectively partners with, all members of the transplant team Develops, trains, and inspires the transplant team regarding unexpected events or new patient management strategies Actively participates in transplant team meetings and collaborative decision-making Efficiently coordinates activities of other transplant team members to optimize care Viewed by transplant team members as a leader in the delivery of high-quality care