Obstetric Anesthesiology Milestones - ACGME
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Obstetric Anesthesiology
Milestones
The Accreditation Council for Graduate Medical Education
Implementation Date: July 2022
Second Revision: May 2022
First Revision: July 2014
©2022 Accreditation Council for Graduate Medical Education (ACGME)
All rights reserved except the copyright owners grant third parties the right to use the Obstetric Anesthesiology Milestones on a non-exclusive basis for educational purposes.
iObstetric Anesthesiology Milestones
The Milestones are designed only for use in evaluation of fellows in the context of their participation in
ACGME-accredited residency or fellowship programs. The Milestones provide a framework for the
assessment of the development of the fellow in key dimensions of the elements of physician competence in
a specialty or subspecialty. They neither represent the entirety of the dimensions of the six domains of
physician competency, nor are they designed to be relevant in any other context.
©2022 Accreditation Council for Graduate Medical Education (ACGME)
All rights reserved except the copyright owners grant third parties the right to use the Obstetric Anesthesiology Milestones on a non-exclusive basis for educational purposes.
iiObstetric Anesthesiology Milestones Work Group
Kait Brennan, DO, MPH
Laura Edgar, EdD, CAE
Jill Mhyre, MD
Rebecca Minehart, MD, MSHPEd
Uma Munnur, MD
Cathleen Peterson-Layne, PhD, MD
Manuel Vallejo, MD, DMD
Cynthia Wong, MD
The ACGME would like to thank the following organizations for their continued support in the
development of the Milestones:
American Board of Anesthesiology
Review Committee for Anesthesiology
©2022 Accreditation Council for Graduate Medical Education (ACGME)
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iiiUnderstanding Milestone Levels and Reporting
This document presents the Milestones, which programs use in a semi-annual review of fellow performance, and then report to
the ACGME. Milestones are knowledge, skills, attitudes, and other attributes for each of the ACGME Competencies organized
in a developmental framework. The narrative descriptions are targets for resident/fellow performance throughout their
educational program.
Milestones are arranged into levels. Tracking from Level 1 to Level 5 is synonymous with moving from novice to expert fellow
in the specialty or subspecialty. For each reporting period, the Clinical Competency Committee will review the completed
evaluations to select the milestone levels that best describe each learner’s current performance, abilities, and attributes for
each subcompetency.
These levels do not correspond with post-graduate year of education. Depending on previous experience, a junior fellow may
achieve higher levels early in the educational program just as a senior fellow may be at a lower level later in the educational
program. There is no predetermined timing for a resident to attain any particular level. Fellows may also regress in
achievement of their milestones. This may happen for many reasons, such as over scoring in a previous review, a disjointed
experience in a particular procedure, or a significant act by the fellow.
Selection of a level implies the fellow substantially demonstrates the milestones in that level, as well as those in lower levels
(see the diagram on page v).
©2022 Accreditation Council for Graduate Medical Education (ACGME)
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ivAdditional Notes
Level 4 is designed as a graduation goal but does not represent a graduation requirement. Making decisions about readiness
for graduation and unsupervised practice is the purview of the program director. Furthermore, Milestones 2.0 include revisions
and changes that preclude using Milestones as a sole assessment in high-stakes decisions (i.e., determination of eligibility for
certification or credentialing). Level 5 is designed to represent an expert fellow whose achievements in a subcompetency are
greater than the expectation. Milestones are primarily designed for formative, developmental purposes to support continuous
quality improvement for individual learners, education programs, and the specialty. The ACGME and its partners will continue
to evaluate and perform research on the Milestones to assess their impact and value.
Some milestone descriptions include statements about performing independently. These activities must occur in conformity to
ACGME supervision guidelines as described in the Program Requirements, as well as to institutional and program policies. For
example, a fellow who performs a procedure independently must, at a minimum, be supervised through oversight.
A Supplemental Guide is also available to provide the intent of each subcompetency, examples for each level, assessment
methods or tools, and other available resources. The Supplemental Guide, like examples contained within the Milestones, is
designed only to assist the program director and Clinical Competency Committee and is not meant to demonstrate any
required element or outcome.
Additional resources are available in the Milestones section of the ACGME website. Follow the links under “What We Do” at
www.acgme.org.
©2022 Accreditation Council for Graduate Medical Education (ACGME)
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vThe diagram below presents an example set of milestones for one sub-competency in the same format as the ACGME
Report Worksheet. For each reporting period, a fellow’s performance on the milestones for each sub-competency will be
indicated by selecting the level of milestones that best describes that fellow’s performance in relation to those milestones.
Selecting a response box in the Selecting a response box on the line in
middle of a level implies that between levels indicates that milestones
milestones in that level and in lower in lower levels have been substantially
levels have been substantially demonstrated as well as some
demonstrated. milestones in the higher level(s).
©2022 Accreditation Council for Graduate Medical Education (ACGME)
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viVersion 2 Obstetric Anesthesiology, ACGME Report Worksheet
Patient Care 1: Technical Skills in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Consistently, safely, Troubleshoots and Consistently, safely, Independently Serves as a consultant
and efficiently manages problems or and efficiently performs troubleshoots and for initiation,
performs neuraxial complications neuraxial anesthesia, manages problems or management, and
anesthesia with associated with including use of complications troubleshooting of
minimal complications neuraxial anesthesia, neuraxial ultrasound, in associated with technically challenging
in low-risk patients with assistance (e.g., high-risk or complex neuraxial anesthesia neuraxial anesthesia
provides effective patients and/or
analgesia and emergent situations
anesthesia)
Consistently, safely, Safely provides general Demonstrates Consistently, safely, Serves as a consultant
and efficiently anesthesia in emergent advanced airway skills, and efficiently for management of
performs general clinical situations including the performs general complex general
anesthesia with management of a anesthesia with anesthetics of a
minimal complications difficult airway minimal complications pregnant patient
in low-risk patients and in high-risk or
identifies patients who complex patients,
need modification of including airway
plan for general management
anesthesia
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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1Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Patient Care 2: Triage and Coordination of Obstetric Anesthesia Care
Level 1 Level 2 Level 3 Level 4 Level 5
Identifies risk factors Identifies risk factors Formulates and tailors Adapts the anesthetic Designs and
that may predispose that may predispose anesthetic plans that plan to balance the implements
patients to common patients to complex or include consideration of ethical and other well- multidisciplinary
medical or obstetric uncommon medical or medical, obstetric, and being considerations institutional protocols
complications and obstetric complications anesthetic risk factors, for the infant and the for efficient diagnosis
develops a and identifies the need as well as patient mother in complex and coordination of
comprehensive for additional evaluation preference and clinical situations care for pregnant
anesthetic plan for available resources, for patients with specific
patients requiring patients requiring high-risk conditions
routine care complex care
Defines clinically Coordinates and works Directs resources to Proactively advocates Develops policies and
appropriate priorities cooperatively with other optimize care for for and directs procedures with the
when caring for members of the multiple patients resources to optimize interprofessional team
multiple obstetric obstetric anesthesia simultaneously care for multiple to address high patient
patients and identifies care team patients with complex workload and other
limited resources needs simultaneously institutional barriers to
care
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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2Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Patient Care 3: Crisis Management for the Obstetric Patient
Level 1 Level 2 Level 3 Level 4 Level 5
Participates as a Participates as a Develops and executes Assumes leadership Serves as a consultant
member of the crisis member of the crisis a plan to manage of a crisis response in critical situations, and
response team; response team; uncommon clinical team is a resource to others
constructs constructs appropriately crises in a patient with in the care team
appropriately prioritized differential complex comorbidities
prioritized differential diagnoses that include
diagnoses that include the most likely
the most likely etiologies for
etiologies for common, uncommon, acute
acute clinical clinical deterioration;
deterioration; and and initiates
initiates appropriate appropriate therapy
therapy
Recognizes and Recognizes major Directs the Organizes resources Designs and
initiates treatment of anesthetic management of major for interdisciplinary implements institutional
common anesthetic complications, and anesthetic and interprofessional policies and protocols
complications and participates in the multi- complications management of for the management of
adverse events disciplinary patient complications anesthetic
management team complications and
crises
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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3Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Patient Care 4: Antepartum Consultation, Assessment, and Peri-Anesthetic Care Planning
Level 1 Level 2 Level 3 Level 4 Level 5
Performs an Performs an Performs an Advises the Coordinates the
assessment and assessment and assessment and multidisciplinary team multidisciplinary team
formulates a plan for formulates an formulates an and integrates the involved in the care of
pregnant patients, anesthetic plan for anesthetic plan for anesthetic plans into medically complex and
including common complex pregnant critically ill pregnant the care of medically critically ill obstetric
issues that impact patients patients complex and critically patients
obstetric anesthesia ill obstetric patients
care
Describes the use of a For simple For complex Manages complex Is recognized as an
consultation and lists consultations, consultations, consultations expert in providing
useful resources delineates the clinical delineates the clinical independently, comprehensive
question, obtains question, obtains including addressing consultations
additional clinical additional clinical conflicting
information, can access information, applies management goals
available resources, relevant resources, and with comprehensive,
recommends next recommends next steps timely documentation
steps, and completes with assistance; of findings and
documentation, with manages simple recommendations
assistance consultations
independently
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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4Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Patient Care 5: Point-of-Care Ultrasound for Obstetric Patients
Level 1 Level 2 Level 3 Level 4 Level 5
Independently selects Uses point-of-care Uses point-of-care Expertly uses point-of- Participates in the
proper ultrasound ultrasound to identify ultrasound to assess care ultrasound to development of
equipment and common problems clinically complex diagnose and develop institutional protocols
settings for indicated situations a management plan for point-of-care
scenarios and ultrasound
conducts and
interprets point-of-care
ultrasound
Identifies neuraxial Uses ultrasound to Uses ultrasound to Expertly uses Promotes the use of
anatomy on ultrasound identify interspinous identify interspinous ultrasound to identify neuraxial ultrasound for
spaces and the midline spaces and the midline interspinous spaces new and emerging
in patients with in patients with complex and the midline in indications
uncomplicated neuraxial anatomy patients with complex
neuraxial anatomy neuraxial anatomy
Uses ultrasound for Uses ultrasound for Expertly uses
performance of truncal performance of truncal ultrasound for
blocks in patients with blocks in patients with performance of truncal
uncomplicated anatomy complex anatomy blocks in patients with
complex anatomy
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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5Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Medical Knowledge 1: Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Demonstrates Demonstrates
knowledge of the knowledge of the knowledge of the
implications of altered anesthetic implications evidence base that
maternal anatomy and of altered maternal underpins anesthetic
physiology for the anatomy and management of
anesthetic care of physiology for the care common and complex Integrates knowledge Integrates knowledge of
healthy patients of patients with conditions of maternal anatomy, maternal anatomy,
coexisting medical physiology, and the physiology, and the
conditions (e.g., human obstetric management obstetric management
immunodeficiency virus plan to develop an plan to serve as a
(HIV), cardiac disease, anesthetic consultant in obstetric
pulmonary management plan for anesthesiology
hypertension) a patient with
coexisting disease
Demonstrates Demonstrates Demonstrates and obstetric
knowledge of obstetric knowledge of obstetric knowledge of the comorbidities
management, management, including evidence base that
including indications indications for delivery underpins obstetric
for delivery and and expected management of
expected complications, in common and complex
complications, in patients with complex conditions
healthy, low-risk comorbidities
patients
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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6Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Medical Knowledge 2: Obstetrics and Neonatology Knowledge Applied to Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates basic Demonstrates basic Demonstrates Demonstrates Exhibits detailed and
knowledge of normal knowledge of abnormal comprehensive knowledge of how up-to-date knowledge
newborn physiology newborn physiology knowledge of normal newborn physiology of current research in
and abnormal newborn impacts delivery obstetrics and
physiology planning neonatology
Demonstrates Demonstrates Integrates knowledge of Works collaboratively Serves as a consultant
knowledge of the knowledge of the the medically complex with the for fetal surgery
impact of anesthesia medically complex neonate into the multidisciplinary team
on the mother and neonate and how it development of the to prioritize
fetus impacts the anesthetic anesthetic plan anesthetic, obstetric,
plan and neonatal
considerations of the
medically complex
mother-fetal dyad
Demonstrates Demonstrates Demonstrates Incorporates data Serves as a consultant
knowledge of basic knowledge of measures knowledge of how fetal about fetal well-being in the development of
fetal heart rate of fetal well-being (e.g., well-being data impacts in the development of an anesthetic plan for
patterns biophysical profile) delivery planning an anesthetic plan fetal well-being
Comments:
Not Yet Completed Level 1
Not Yet Assessable
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7Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Systems-Based Practice 1: Patient Safety and Quality Improvement in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Identifies system Participates in analysis Conducts analysis of Actively engages teams
knowledge of common factors that lead to of patient safety events patient safety events and processes to
events that impact patient safety events (simulated or actual) and offers error modify systems to
patient safety prevention strategies prevent patient safety
(simulated or actual) events
Demonstrates Reports patient safety Participates in Discloses patient Acts as a role model or
knowledge of how to events through disclosure of patient safety events to mentors others in the
report patient safety institutional reporting safety events to patients and patients’ disclosure of patient
events systems (simulated or patients and patients’ families (simulated or safety events
actual) families (simulated or actual)
actual)
Demonstrates Describes departmental Participates in Demonstrates the Creates, implements,
knowledge of basic quality improvement department quality skills required to and assesses quality
quality improvement initiatives improvement initiatives identify, develop, improvement initiatives
methodologies and implement, and at the institutional level
metrics analyze a quality or above
improvement project
Comments:
Not Yet Completed Level 1
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8Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Systems-Based Practice 2: System Navigation for Patient-Centered Care in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Coordinates care of Coordinates care of Role models effective Analyzes the process of
knowledge of care patients in routine patients in complex coordination of care coordination and
coordination clinical situations clinical situations patient-centered care participates in the
effectively using the effectively using the among different design and
roles of roles of disciplines and implementation of
interprofessional team interprofessional team specialties improvements
members members
Identifies and performs Identifies and performs Performs safe and Role models and Improves quality of
key elements for safe safe and effective effective transitions of advocates for safe transitions of care
and effective transitions of care/hand-offs in and effective within and across
transitions of care and care/hand-offs in complex clinical transitions of health care delivery
hand-offs routine clinical situations care/hand-offs within systems to optimize
situations and across health patient outcomes
care delivery systems
Demonstrates Identifies specific Uses institutional Participates in Advocates for
knowledge of population and resources effectively to changing and populations and
population and community health meet the needs of a adapting practice to communities with health
community health needs and inequities for patient population and provide for the needs care inequities in the
needs and inequities the local population community of specific populations peri-operative setting
Comments:
Not Yet Completed Level 1
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9Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Systems-Based Practice 3: Physician Role in Health Care Systems in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Identifies key Describes how Discusses how Manages various Advocates for or leads
components of the components of a individual practice components of the systems change that
complex health care complex health care affects the broader complex maternal enhances high-value,
system (e.g., hospital, system are interrelated, system (e.g., length of health care system to efficient, and effective
finance, personnel, and how they impact stay, readmission rates, provide efficient and maternal-fetal care
technology) patient care clinical efficiency) effective patient care
and transitions of care
States factors Documents anesthetic Explains the impact of Practices and Engages in external
impacting the costs of detail to facilitate documentation on advocates for cost- activities related to
anesthetic care accurate billing and billing and effective maternal advocacy for cost-
reimbursement reimbursement patient care effective maternal care
Comments:
Not Yet Completed Level 1
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10Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Practice-Based Learning and Improvement 1: Evidence-Based Practice and Scholarship in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Completes assigned/ Critically evaluates the Independently Participates in Participates in editorial
recommended scientific literature and integrates evidence- development of reviews and other
readings and reviews understands limitations based practices into evidence-based scholarly activity for
literature related to in addressing clinical clinical care clinical protocols and peer-reviewed medical
specific patient issues guidelines journals
problems
Participates in journal Uses self-directed Participates in scholarly Disseminates Participates in and
clubs, morbidity and literature review to activity related to the scholarly activity (e.g., leads professional
mortality conferences, modify patient care subspecialty abstract presentation, society and other
and other educational manuscript activities to advance
activities submission) scholarship
Comments:
Not Yet Completed Level 1
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11Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Practice-Based Learning and Improvement 2: Reflective Practice and Commitment to Personal Growth in Obstetric
Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Accepts responsibility Demonstrates Seeks performance Intentionally seeks Role models
for personal and openness to data episodically, with performance data consistently seeking
professional performance data adaptability and consistently, with performance data with
development by (feedback and other humility adaptability and adaptability and humility
establishing goals input) to inform goals humility
Identifies the factors Analyzes and Institutes behavioral Considers alternatives Models reflective
that contribute to acknowledges the change(s) to improve to improve practice
performance deficits factors that contribute performance performance
to performance deficits
Actively seeks Designs and Independently creates Integrates Facilitates the design
opportunities to implements a learning and implements a performance data to and implementation of
improve plan, with prompting learning plan adapt the learning learning plans for
plan others
Comments:
Not Yet Completed Level 1
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12Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Practice-Based Learning and Improvement 3: Mentorship and Teaching in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates self- Teaches medical Teaches health Organizes Designs and
awareness and students, residents, and professionals in formal educational activities implements clinical
identifies gaps in patients in informal settings (e.g., nursing at the program level; rotations, curricula, or
knowledge, skills, and settings; seeks faculty in-service training, mentors residents and learning and
experience; mentorship for self residency teaching other health care assessment tools;
incorporates feedback conference); mentors professionals models and teaches
medical students mentoring to others
Comments:
Not Yet Completed Level 1
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13Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Professionalism 1: Professional Behavior and Ethical Principles in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Identifies potential Demonstrates insight Demonstrates Recognizes situations Coaches others when
triggers for into professional professional behavior in that may trigger their behavior fails to
professionalism lapses behavior in routine complex or stressful professionalism meet professional
situations situations lapses and intervenes expectations
to prevent lapses in
oneself
Describes when and Takes responsibility for Recognizes need to Actively solicits help
how to report lapses in one’s own seek help in managing and acts on
professionalism professionalism lapses and resolving complex recommendations to
interpersonal situations resolve complex
interpersonal
situations
Demonstrates Analyzes Analyzes complex Recognizes and uses Identifies and seeks to
knowledge of the straightforward situations using ethical resources for address system-level
ethical principles situations using ethical principles managing and factors that induce or
underlying patient care principles resolving ethical exacerbate ethical
dilemmas problems or impede
their resolution
Comments:
Not Yet Completed Level 1
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14Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Professionalism 2: Accountability/Conscientiousness in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Responds promptly to Performs tasks and Performs tasks and Prioritizes tasks and
requests or reminders responsibilities in a responsibilities in a responsibilities in a
to complete tasks timely manner timely manner with timely manner with
appropriate attention to appropriate attention
detail in routine to detail in complex or
situations stressful situations
Takes responsibility for Recognizes situations Takes responsibility for Proactively Designs and
failure to complete that may impact one’s tasks not completed in implements strategies implements an
tasks own ability to complete a timely manner and to ensure that the institutional systems
tasks and identifies strategies to needs of patients, approach to ensure
responsibilities in a prevent recurrence teams, and systems timely task completion
timely manner are met and shared
responsibility
Comments:
Not Yet Completed Level 1
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15Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Professionalism 3: Well-Being in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Recognizes the Lists available With assistance, Independently Creates institutional-
importance of resources for personal proposes a plan to develops a plan to level interventions that
addressing personal and professional well- promote personal and promote personal and promote colleagues’
and professional well- being professional well-being professional well- well-being
being being
Describes institutional Recognizes which Describes institutional Describes institutional
resources that are institutional factors factors that positively programs designed to
meant to promote well- affect well-being and/or negatively examine systemic
being affect well-being contributors to burnout
Comments:
Not Yet Completed Level 1
This subcompetency is not intended to evaluate a fellow’s well-being. Rather, the intent is to ensure that each fellow has the fundamental
knowledge of factors that affect well-being, the mechanisms by which those factors affect well-being, and available resources and tools to
improve well-being.
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16Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Interpersonal and Communication Skills 1: Patient- and Family-Centered Communication in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Communicates with Customizes Explains complex and Facilitates difficult Mentors others in the
patients and their communication in the difficult information to discussions with facilitation of crucial
families in an setting of personal patients and patients’ patients and patients’ conversations
understandable and biases and barriers with families families
respectful manner patients and patients’
families
Provides timely Actively listens to Uses shared decision- Effectively negotiates Mentors others in
updates to patients patients and patients’ making to make a and manages conflict conflict resolution
and patients’ families families to elicit patient personalized care plan among patients,
preferences and patients’ families, and
expectations the health care team
Comments:
Not Yet Completed Level 1
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17Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Interpersonal and Communication Skills 2: Patient Counseling in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Demonstrates Answers questions Counsels patients Counsels patients Counsels patients
understanding of the about treatment plans through the decision- through the decision- through the decision-
informed consent and seeks guidance making process, making process, making process,
process when appropriate including answering including answering including answering
questions, for simple questions, for questions, for
clinical problems complex clinical uncommon clinical
problems problems
Comments:
Not Yet Completed Level 1
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18Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Interpersonal and Communication Skills 3: Interprofessional and Team Communication in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Respectfully requests Clearly, concisely, and Uses closed-loop Coordinates Role models flexible
or receives promptly requests or communication to verify recommendations communication
consultations responds to a request understanding from different strategies that value
for consultation members of the input from all health
health care team to care team members,
optimize patient care resolving conflict when
needed
Uses language that Communicates Adapts communication Maintains effective Leads an after-event
values all members of information effectively style to fit team needs communication in debrief of the health
the health care team with all health care crisis situations care team
team members
Respectfully receives Solicits feedback on Communicates Communicates Facilitates regular
feedback from the performance as a concerns and provides constructive feedback health care team-based
health care team member of the health feedback to peers and to superiors feedback in complex
care team learners situations
Comments:
Not Yet Completed Level 1
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19Version 2 Obstetric Anesthesiology, ACGME Report Worksheet
Interpersonal and Communication Skills 4: Communication within Health Care Systems in Obstetric Anesthesiology
Level 1 Level 2 Level 3 Level 4 Level 5
Accurately records Accurately records Accurately records Uses medical record Explores innovative
information in the information in the information in the functionality to uses of the medical
patient record; anesthetic record for anesthetic record and highlight challenges in record to facilitate peri-
demonstrates judicious non-complex cases communicates complex anesthetic care to operative management
use of documentation care decisions for facilitate future peri-
shortcuts complex cases operative
management
Safeguards patients’ Documents required Appropriately selects Models exemplary Guides departmental or
personal health data in formats direct and indirect written or verbal institutional policies and
information specified by institutional forms of communication communication procedures around
policy based on context communication
Communicates Respectfully Respectfully Uses appropriate Initiates difficult
through appropriate communicates communicates channels to offer clear conversations with
channels as required concerns about the concerns about the and constructive appropriate
by institutional policy system system and contributes suggestions to stakeholders to improve
to solutions improve the system the system
Comments:
Not Yet Completed Level 1
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