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Understanding MOC Requirements
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April 11-13, 2019
Internal Medicine Meeting 2019
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Tanveer P. Mir MD, FACP
Senior Medical Director
Hospice Care Network
North Shore Long Island Jewish Health Care System
Woodbury, New York
Former ACP Governor
Q. How will you prepare yourself for training in the United States?
A. By demonstrating a good attitude.
A resident starting training on July 1st can encounter significant problems if he or she has not undergone a formal period of orientation. With demonstration of good planning and self-organizational skills, an International Medical Graduate can start training in July with confidence. The basic ingredient of any success story in medicine is a good attitude. A physician may demonstrate superior clinical skills and possess encyclopedic medical knowledge, but a poor attitude will prevent him or her from being successful. Attitude is a frequently discussed topic in resident evaluation forums. This personality trait combined with compassion and superior humanistic skills will lead to a better acceptance by the patients of a physician who is not born or brought up in this country. A good attitude will lead to letters of commendation and superior evaluations from faculty that make their way to the personal folder of the resident.
A. By demonstrating superior communication skills.
Communication is by far the most important component of a physician-patient relationship. Verbal and non-verbal communication, discussion with patients, families, faculty, and seniors is very important for a resident in training and is perfected by practice alone. Some training programs provide formal role-playing sessions but observation of faculty and senior residents with experience is the best teaching tool.
A. By demonstrating a superior fund of medical knowledge.
A good fund of medical knowledge is important for patient care. All residents are expected to read on a daily basis, and during each rotation, they may be asked to present a topic or two. Access to Medline and the Internet is universally available, and all residents are expected to be well versed with these issues. Regularly scheduled tests and annual in-service examinations prepare residents for taking the Boards after completion of training.
A. Please say "I don't know" and ask seniors when in doubt.
Residents are not expected to know everything in medicine. Familiarization with institutional policies and procedures is important. It is acceptable to say "I don't know" at any stage of training and seek help from senior residents and faculty. A resident who follows these basic guidelines will be successful in a training program. There is no prescription to being a good resident, but a good person always makes a good physician.
Tanveer Mir MD, MACP, is a graduate of the Medical College of Kashmir, India in 1981. In the U.S. she completed her training in Internal Medicine at Long Island Jewish Medical Center, New York in 1989. After completing a Chief Residency in Internal Medicine at Nassau University Medical Center, she stayed on as a faculty member. Dr. Mir was the Associate Program Director and Division Chief of Geriatrics at Nassau University Medical Center until 1999. She was also affiliated with the State University of New York at Stony Brook. Currently Dr. Mir is the Senior Medical Director of Hospice Care Network, an affiliate of North Shore Long Island Jewish Health Care System. She was the Governor of the ACP Downstate III Region (New York) and was chairperson of the International Medical Graduate subcommittee of the ACP New York Chapter.
This article was prepared for the ACP IMG Web site in 2000.