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Medical Education
Graduate Medical Education

Resident Responsibilities for Teaching Medical Students

Residents and clinical fellows play an important instructional role in the clinical education of medical students. In order to fulfill that responsibility, residents and clinical fellows need to be familiar with the competencies and milestones expected of third and fourth year medical students. These competencies are framed around the ACGME competencies and milestones, and are available on the School of Medicine website.

MD Program Objectives

The UCSF doctor of medicine curriculum requires students to achieve competence in the six domains listed below. For each domain, a set of milestones defines the expected progress throughout medical school toward achieving competence. Click below to see the milestones for each domain:

Upon graduation from the UCSF MD program, students are required to have demonstrated competence in the domains listed below:

Patient Care

Graduates will be able to:

  • Gather complete and focused histories in an organized fashion, appropriate to the clinical situation and specific population
  • Conduct relevant, complete, and focused physical examinations
  • Present encounters including reporting of information and development of an assessment and plan efficiently and accurately
  • Document encounters including reporting of information and development of an assessment and plan efficiently and accurately
  • Perform common procedures safely and correctly with attention to patient's comfort
  • Follow universal precautions and sterile technique
  • Demonstrate confidence and efficacy with the primary provider role in the acute and ambulatory settings and the provision of longitudinal car
  • Manage and prioritize patient care tasks for a group of patients
  • Anticipate patients’ needs, conduct discharge planning, and create individualized disease management and/or prevention plans including patient self-management and behavior change

Medical Knowledge

Graduates will be able to:

  • Engage in clinical reasoning to solve clinical problems
  • Apply knowledge of fundamental sciences to clinical problems
  • Recognize the central importance of discovery and understand the scientific foundations of medicine, and apply that understanding to the practice of evidence-based medicine

Practice-Based Learning & Improvement

Graduates will be able to:

  • Use information technology to access online medical information, manage information, and assimilate evidence from scientific studies in patient care
  • Identify clinical questions as they emerge in patient care activities and identify and apply evidence relevant to answering those questions
  • Appraise, assimilate, and apply scientific evidence from the literature to the care of individual patients
  • Apply clinical evidence appropriately in patient care
  • Critically reflect on one's own performance to identify strengths and challenges, set individual learning and improvement goals, and engage in appropriate learning activities to meet those goals
  • Employ strategies for seeking and incorporating feedback from all available resources
  • Use a portfolio to document professional and personal development in the UCSF MD competencies

Interpersonal & Communication skills

Graduates will be able to:

  • Establish collaborative and constructive relationships with patients and families
  • Communicate effectively with patients and families of diverse background and cultures
  • Effectively and empathetically discuss serious, sensitive, and difficult topics
  • Share information and negotiate treatment plans with patients and their families
  • Elicit and address patients' concerns, needs and preferences and incorporate them into management plans
  • Communicate effectively with diverse patients and ensure patient understanding
  • Present patient information efficiently in an organized, accurate, and logical fashion appropriate for the clinical situation, including assessment and plan
  • Communicate oral and written clinical information that accurately and efficiently summarizes patient data
  • Communicate effectively and respectfully with all members of the interprofessional team involved in a patient's care


Graduates will be able to:

  • Form doctor-patient relationships demonstrating sensitivity and responsiveness to culture, race/ethnicity, age, socioeconomic status, gender, sexual orientation, spirituality, disabilities, and other aspects of diversity and identity, and advocate for care for the underserved
  • Demonstrate respect, compassion, accountability, dependability, and integrity when interacting with peers, interprofessional healthcare providers, patients, and families
  • Be responsive to the needs of patients and society and appropriately balance these needs with one's own
  • Show accountability and reliability in interactions with patients, families, and other health professionals
  • Practice ethically and with integrity, including maintaining patient confidentiality, obtaining appropriate informed consent, and responding to medical errors
  • Adhere to institutional and professional standards and regulation for personal, patient and public safety, adhere to principles of ethical research, and manage conflicts of interest

Systems-Based Practice

Graduates will be able to:

  • Participate effectively as a member of the healthcare team with physicians and interprofessional healthcare providers
  • Understand basic principles of healthcare delivery, organization and finance, how costs affect healthcare delivery, and incentives methods for controlling costs

See the School of Medicine website: