The Hospital-Based pathway is designed to extend the medical knowledge base of students choosing one of many medical, surgical or procedural specialties, with a specific emphasis on internship readiness.  However, it is also appropriate to students who are interested in gaining a deeper exposure to the variety of patient presentations seen in hospital or procedure based practices.

A student should choose the Hospital-Based Pathway if he/she has interest in:

  • providing patient care, including diagnostic and therapeutic procedural expertise, as part of a larger health care.
  • has career goals which are best served by educational experiences in both patient-care and procedural settings.
  • pursuing a career in the following specialities: Anesthesia, Diagnostic Radiology, Emergency Medicine, Pathology, Radiation Oncology.
  • pursuing a career in the following specialties: Physical Medicine and Rehabilitation, Preventive Medicine, or Psychiatry.  (These specialties fall under both the Hospital-Based Pathway and Medical Pathway.)

Competency Based Objectives

Patient Care

  1. Obtain and present an accurate patient database.
  2. Demonstrate the ability to make evidence–based decisions about age–appropriate health promotion, disease prevention, diagnostic and therapeutic interventions.
  3. Demonstrate skills specific to the performance of diagnostic and therapeutic interventions .

Medical Knowledge

  1. Demonstrate analytic thinking about a specific patient and their problems.
  2. Demonstrate an understanding of the pathophysiologic etiologies of a broad spectrum of disease states.
  3. Demonstrate an understanding of a variety of chronic disease states.
  4. Describe the risks and benefits of diagnostic and therapeutic interventions, as applicable to specific clinical situations.
  5. Demonstrate the ability to recognize and intervene on human abuse and neglect.

Practice–Based Learning

  1. Demonstrate a commitment to improving healthcare outcomes.
  2. Employ recursive strategies of lifelong learning.
  3. Recognize areas for improvement and create strategies for doing so.
  4. Accept and give feedback that is constructive.

Interpersonal and Communication Skills

  1. Create and sustain therapeutic relationships with patients and their families.
  2. Demonstrate the ability to educate patients at a level of understanding that is individualized.
  3. Communicate effectively as part of an interdisciplinary team.
  4. Demonstrate the ability to educate other members of an interdisciplinary team.


  1. Demonstrate a commitment to professional virtues.
  2. Show an understanding of and adherence to ethical principles.
  3. Display sensitivity to contextual issues related to individual patients.
  4. Demonstrate the ability to complete accurate and timely medical records documentation.

System Based Practice

  1. Demonstrate an awareness of the interaction of the health care system with individual patients.
  2. Work effectively as part of an interdisciplinary team, in a variety of clinical settings.
  3. Demonstrate the ability to transition care to other healthcare givers and health delivery systems.