Independently completes thorough evaluations of term and premature newborns primarily in the Specialty Care Nursery. Develops and implements informed management plans encompassing complicated and atypical diagnoses, with the ability to modify plans as necessary. Anticipates and triages urgent and emergent issues. Collaborates care and facilitates communication with the supervising physician and the inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice. Incorporates a broader organization awareness into decision-making and interpersonal relationships.
Medical knowledge
- Clinical knowledge. Integrates a breadth of medical knowledge that includes complicated and atypical conditions to guide patient care, incorporating evidence-based practice and current literature to support care.
- Diagnostic Evaluation. Prioritizes and optimizes evaluation based on risks, benefits, indications, and alternatives to clarify the diagnosis(es). Interprets clinical significance of diagnostic study results while considering study limitations.
Patient History. Gathers, filters, prioritizes, and synthesizes patient history to develop a differential diagnosis in real-time for complicated or atypical presentations in addition to the uncomplicated or typical.
Patient care
- Clinical reasoning. Integrates clinical facts (e.g., history, exam, tests, consultations, etc.) into a unifying diagnosis(es); reappraises in real time to avoid diagnostic error.
- Organize and prioritize patient care. Organizes, prioritizes, and collaborates with others on patient care responsibilities even when patient volume approaches the capacity of the individual or facility; anticipates and triages urgent and emergent issues.
- Patient management. Develops and implements informed management plans for complicated and atypical diagnoses, in addition to common and typical diagnoses, with the ability to modify plans as necessary.
Procedures as defined by clinical department. Applies full competency in core procedures. May assist in mentoring less experienced APPs in the performance of procedures. Please reference the “APP Procedures Listing” for those relevant to the Medical Specialty.
Interpersonal and Communication
- Patient and family centered communication. Establishes a culturally competent and therapeutic relationship in straightforward and complex encounters with patients/families, including those with ambiguity and/or conflict. Elicits patient/family values and incorporates awareness of these in communications with patient/family and in patient care. Uses shared decision making with patient/family to make a personalized care plan.
- Interpersonal and team communication. Facilitates and maintains communication with supervising physician and inter-professional team. Coordinates recommendations to optimize patient care and foster collaborative practice.
- Communication within Health Care System. Concisely documents updated, prioritized, diagnostic and therapeutic reasoning, including anticipatory (preventive) guidance, in the patient record. Applies increased ability to identify areas for preventive counseling. Aligns type of communication with message to be delivered (e.g., direct and indirect) based on urgency and complexity.
Practice–based learning and improvement
- Evidence-based and informed practice. Critically appraises data and applies evidence, even in the face of uncertainty and conflicting evidence, to guide care tailored to the individual patient, including integrating patient preference. Contributes to evidence-based practice based on program needs.
- Reflective practice and commitment to personal growth. Proactively seeks feedback. Designs and implements a learning plan, incorporating feedback and performance data.
Professionalism
- Models professional behavior and maintains composure in all circumstances. Proactively seeks guidance in new or unusually difficult circumstances.
- Constructively highlights to lead/manager concerns that impact the cohesiveness and well-being of the team. Proactively presents viable solutions for discussion.
System-based practice
- System navigation for patient centered care-coordination of care. Coordinates inter-professional patient-centered care among different disciplines and specialties actively assisting families in navigating the health care system.
- Population and community health. Adapts practice to provide for the needs of and reduce health disparities of a specific patient population.
- Organizational View. Considers divisional impact of own decisions, especially in relation to improving patient care, systems and processes, and the overall culture and well-being of the organization. Constructively and proactively addresses considerations of others related to the same.
