Clinical Competency Framework

1. Cognitive Clinical Management

(Clinical reasoning, decision-making, and documentation)

• Perform and document history & physical examination
• Formulate differential diagnosis
• Develop and document initial plan of care
• Write daily progress notes
• Interpret laboratory and radiological results
• Interpret hemodynamic parameters in critically ill patients
• Prepare discharge summary

2. Clinical Non-Invasive Management

(Patient care without procedural intervention)

• Order appropriate investigations
• Order appropriate medications and treatment plans
• Order referrals to other specialties
• Manage blood transfusions and blood products
• Arrange and adjust artificial feeding modalities
• Perform preoperative workup
• Obtain and document informed consent

3. Clinical Invasive Management

(Procedural and surgical skills)

• Perform nasogastric intubation
• Insert urethral catheter
• Perform surgical procedures under consultant supervision
• Assist in / perform re-exploration surgeries

4. Academic & Professional Responsibilities

• Participate in teaching activities (intradepartmental & interdepartmental)
• Engage in clinical discussions, case presentations, and audits

5. Documentation & Patient Safety (Cross-cutting domain)

These apply across all categories:

• Accurate clinical documentation
• Ethical practice including informed consent
• Safe prescribing and monitoring
• Coordination of continuity of care

Observations / Gaps (important if you're refining this):

• Items marked with (*) suggest supervised or competency-based progression—you may want to explicitly define levels (observer → assistant → independent).
• “Interpret hemodynamics” implies ICU-level exposure—consider separating critical care competencies if this is for a curriculum.
• Could benefit from adding:
  • Emergency management (e.g., shock, airway)
  • Communication skills (breaking bad news, counseling)
  • Infection control practices