ACOFP
Core Competency
Program Director Annual Evaluation
Resident Name
Year of Training





OGME 1
OGME 2
OGME 3
OGME 4
OGME 5
Training Year Dates
1.1
1.2
1.3
2.1
2.2
3.1
3.2
3.3
Competency 1: Osteopathic Philosophy and Osteopathic Manipulative Medicine
The resident demonstrated competency in
 Deficient
his/her understanding and application of
 Appropriate for level of training
OMT in Family Medicine.
 Meets competency
 Exceptional
The resident integrated Osteopathic Concepts
 Deficient
and OMT into the medical care that he/she
 Appropriate for level of training
provided to patients as appropriate.
 Meets competency
 Exceptional
The resident understood and integrated
 Deficient
Osteopathic Principles and Practices into all
 Appropriate for level of training
clinical and patient care activities.
 Meets competency
 Exceptional
Competency 2: Medical Knowledge
The resident demonstrated competency in the
 Deficient
understanding and application of clinical
 Appropriate for level of training
medicine to patient care.
 Meets competency
 Exceptional
The resident knows and applies the
 Deficient
foundations of clinical and behavioral
 Appropriate for level of training
medicine appropriate to Family Medicine.
 Meets competency
 Exceptional
Competency 3: Patient Care
Gathered accurate, essential information from
 Deficient
all sources, including medical interviews,
 Appropriate for level of training
physical examinations, medical records,
 Meets competency
diagnostic/therapeutic plans, and treatments.
 Exceptional
The resident validated competency in the
 Deficient
performance of diagnosis, treatment and
 Appropriate for level of training
procedures appropriate to Family Medicine.
 Meets competency
 Exceptional
The resident provided health care services
 Deficient
consistent with osteopathic philosophy,
 Appropriate for level of training
including preventative medicine and health
 Meets competency
promotion based on current scientific
1
 Exceptional
evidence.
2
4.1
4.2
5.1
5.2
5.3
6.1
6.2
6.3
7.1
7.2
Competency 4: Interpersonal and Communication Skills
The resident demonstrated effectiveness in
 Deficient
developing appropriate doctor-patient
 Appropriate for level of training
relationships.
 Meets competency
 Exceptional
The resident exhibited effective listening,
 Deficient
written and oral communication skills in
 Appropriate for level of training
professional interactions with patients,
 Meets competency
families and other health professionals.
 Exceptional
Competency 5: Professionalism
The resident demonstrated respect for his/her
 Deficient
patients and families and advocated for the
 Appropriate for level of training
primacy of his/her patient’s welfare and
 Meets competency
autonomy.
 Exceptional
The resident adhered to ethical principles in
 Deficient
the practice of medicine.
 Appropriate for level of training
 Meets competency
 Exceptional
The resident demonstrated awareness and
 Deficient
proper attention to issues of culture, religion,
 Appropriate for level of training
age, gender, sexual orientation, and mental
 Meets competency
and physical disabilities.
 Exceptional
Competency 6: Practice-Based Learning and Improvement
The resident treated patients in a manner
 Deficient
consistent with the most up-to-date
 Appropriate for level of training
information on diagnostic and therapeutic
 Meets competency
effectiveness.
 Exceptional
The resident performed self-evaluations of
 Deficient
clinical practice patterns and practice-based
 Appropriate for level of training
improvement activities using a systematic
 Meets competency
methodology.
 Exceptional
The resident understood research methods,
 Deficient
medical informatics, and the application
 Appropriate for level of training
technology as applied to medicine.
 Meets competency
 Exceptional
Competency 7: System-Based Practice
The resident understands national and local
 Deficient
health care delivery systems and how they
 Appropriate for level of training
affect patient care and professional practice.
 Meets competency
 Exceptional
The resident advocated for quality health care
 Deficient
on behalf of his/her patients and assisted them
 Appropriate for level of training
in their interactions with the complexities of
 Meets competency
the medical system.
 Exceptional
3
The following is to be utilized for residents who are completing OGME 1 or OGME 2:
1. This certifies that the resident completed all specialty requirements for this year of training as defined in
the Basic Standards for Residency Training in Osteopathic Family Medicine and Manipulative
Treatment:


Yes
No
2. This certifies that the he resident has made satisfactory progress in the training program and is promoted
to the next year of training:


Yes
No
__________________________________________________________
Signature of Program Director
Date
___________________________________________________________
Signature of Resident
Date
The following is to be utilized for residents who are completing the final year of training:
1. This certifies that the resident completed all core competency requirements and all specialty
requirements for this year of training as defined in the Basic Standards for Residency Training in
Osteopathic Family Medicine and Manipulative Treatment:


Yes
No
2. This certifies that this graduating resident has successfully completed all requirements of the training
program and is recommended for program complete status:


Yes
No
__________________________________________________________
Signature of Program Director
Date
___________________________________________________________
Signature of Resident
Date
4