OFFICE OF THE DEAN ACADEMICS No.

SIMC/DA/HO/24
Dated: 30/12/2024

COMPETENCIES FRAMEWORK AND ASSESSMENT FOR HOUSE OFFICERS

SHAHIDA ISLAM TEACHING HOSPITAL AND SHAHIDA ISLAM DENTAL HOSPITAL
LODHRAN
The Pakistan Medical and Dental Council (PMDC) has made it mandatory to have an examination and
certification system in place to ensure that house job competencies are successfully achieved. Therefore,
following the PM&DC guidelines it will be compulsory for all house officers to demonstrate the acquisition of
the necessary competencies, before receiving their house job certificate. No certificate will be issued from
January 2025 onwards without ensuring the competencies have been achieved.
Additionally, an AHA-Certified Basic Life Support (BLS) Provider Certificate is a core requirement of
the training and obtaining the house job certificate.
This notification serves as a directive to implement the framework effectively, ensuring that house
officers meet the competencies required for safe and competent medical practice.
Sr. ASSESSMENT APPLICABLE
CATEGORY COMPETENCY DOMAIN
No. METHOD TO
Gather comprehensive and focused patient
1. history and perform a detailed physical
examination.
2. Formulate and justify differential diagnoses
based on clinical findings. Cognitive, Mini-CEX,
Patient Care All Departments
Plan and implement patient management, Psychomotor DOPS
3. including prescribing and monitoring
therapies.
4. Manage acutely ill patients and perform basic
life support under supervision.
5. Medical Apply evidence-based knowledge to solve
Knowledge/ clinical problems and guide patient care. Mini-CEX,
6. Continuing Evaluate and interpret clinical investigations to Portfolio/
Cognitive All Departments
Medical make informed decisions. Reflective
7. Education and Maintain a portfolio/log-book documenting Writing
Learning clinical assessments and reflective practices.
Communicate effectively with patients,
8. families, and healthcare teams using
appropriate verbal, written, and digital
Communication methods.
Mini-CEX, 360-
9. Skills/ Working Collaborate with colleagues to ensure patient
Affective degree All Departments
with Colleagues safety and care continuity.
Feedback
10. and Other Staff Adapt communication styles to the cultural
and social context of patients.
11. Provide and receive feedback constructively to
enhance team performance.

Page 1 of 7
 Sr. ASSESSMENT APPLICABLE
CATEGORY COMPETENCY DOMAIN
No. METHOD TO
12. Facilitate learning for peers and juniors
through structured teaching sessions.
13. Teaching and Participate actively in multidisciplinary team Cognitive, Mini-CEX, Peer
All Departments
Learning discussions and clinical case reviews. Affective Feedback
14. Reflect on teaching experiences to identify
areas for improvement.
15. Demonstrate respect for patient autonomy,
confidentiality, and informed consent. Mini-CEX,
Professionalism/
16. Exhibit accountability, compassion, and Portfolio/
Doctor-Patient Affective All Departments
integrity in all professional interactions. Reflective
Relationship
17. Promote health awareness and disease Writing
prevention during patient encounters.
Complete and document medical and legal
18. records accurately, including death and
sickness certificates. Mini-CEX,
Probity and Adhere to legal and institutional protocols Cognitive, Portfolio/
19. All Departments
Legal Issues when managing incidents and ethical Affective Reflective
dilemmas. Writing
20. Maintain honesty and integrity in professional
conduct.
21. Monitor and maintain personal health to
ensure safe and effective clinical performance. Mini-CEX,
22. Personal Health Seeking professional support for health issues Portfolio/
Affective All Departments
Issues that may impact patient care. Reflective
23. Balance professional responsibilities with self- Writing
care to prevent burnout.
24. Procedural Skills Record baseline physiological observations
Patient (vitals) accurately.
Perform systemic examinations of major body Psychomotor, Mini-CEX,
25. Observations All Departments
systems. Cognitive DOPS
and
26. Examinations Measure BMI and assess nutritional status.
27. Perform venipuncture and IV cannulation
All Departments
safely.
28. Draw blood for blood culture, cross matching
All Departments
etc.
29. Measure and interpret capillary blood glucose. Medical & Allied
30. Procedural Skills Conduct and interpret ECG. Medical & Allied
Psychomotor, Mini-CEX,
Basic Clinical
Cognitive DOPS
Procedures Perform and interpret PEF using simple
31. Medical & Allied
devices.

32. Perform surgical scrubbing up/ donning and

Surgical & Allied
doffing.

Page 2 of 7
 Sr. ASSESSMENT APPLICABLE
CATEGORY COMPETENCY DOMAIN
No. METHOD TO
33. AHA Certified
Perform BLS and CPR according to protocols. All Departments
BLS Course
Manage airways using adjuncts (e.g.,
34. oropharyngeal airway, endotracheal Medical & Allied
Procedural Skills
intubation).
Emergency and Psychomotor,
35. Medicine &
Critical Perform lumbar puncture safely. Cognitive Mini-CEX,
Anesthesia
Procedures DOPS
36. Nephrology &
Perform central venous catheterization safely.
Anesthesia
37. Nephrology &
Perform arterial puncture in adults safely.
Anesthesia
38. Administer medications and infusions via IV,
All Departments
IM, and subcutaneous routes safely.
39. Administer blood and blood products safely. All Departments
40. Inject local anesthetic safely. Surgery & Allied
41. Procedural Skills
Prescribe and manage oxygen therapy. Psychomotor, Mini-CEX, All Departments
Therapeutic
Cognitive DOPS
42. Procedures Insert nasogastric tubes and measure N/G Medicine &
output. Surgery
43. Insert urinary catheters and measure urine
All Departments
output.
44. Perform wound care, including closure and
Surgery & Allied
dressing.
45. Conduct simple deliveries and use
Gynae
forceps/vacuum extraction.
46. Apply splints and immobilize fractures. Ortho
47. Procedural Skills Interpret X-rays (chest, abdomen, limbs). All Departments
Psychomotor, Mini-CEX,
Advanced
48. Perform digital rectal examination and Cognitive DOPS Surgery &
Procedures
proctoscopy. Urology
49. Conduct and interpret ophthalmoscopy. Ophthalmology
50. Conduct and interpret otoscopy. ENT

Shahida Islam Medical College Lodhran is committed to implementing a robust system to ensure
compliance with the outcome requirements outlined by the Pakistan Medical and Dental Council (PMDC). The
following measures will be undertaken to meet the prescribed standards:
• Examination and Certification System:
o An examination and certification system will be established to assess the achievement of house
job competencies.
o Assessment methods will include Mini-CEX, DOPS and portfolio reviews, ensuring
comprehensive evaluation of all competency domains.
o Certification will be issued upon satisfactory demonstration of all required competencies.

Page 3 of 7
 • Monitoring and Documentation:
o A structured system will be in place to monitor and document the progress of house officers
throughout their training.
o Supervisors and mentors will conduct regular evaluations to provide feedback and identify
areas for improvement.
o Progress reports will be maintained in the form of logbooks, portfolios, and performance
records, ensuring transparency and accountability.
• Institutional Accountability:
o The institution will ensure compliance with PMDC guidelines by conducting periodic internal
audits of the competency framework implementation.
o Mechanisms for continuous improvement of the training process will be instituted, aligning
with evolving PMDC standards.
By adopting this policy, Shahida Islam Medical College Lodhran ensures that its house officers are well-
prepared to meet the professional and ethical standards required for safe and competent medical practice.

Dean Academics
Prof. Dr. Azfar Farogh

Page 4 of 7
 MINI-CEX ASSESSMENT FORM
DEPARTMENT: DATE:
HOUSE OFFICER NAME:
ASSESSOR NAME:
ASSESSOR DESIGNATION:
CASE DETAILS
PATIENT CASE TYPE: (e.g., Medical, Surgical, Emergency, Obstetric etc.)
CASE COMPLEXITY:  Simple  Moderate  Complex
CLINICAL SETTING:  Ward  OPD  Emergency  ICU  OT
CLINICAL FOCUS AREA:
(e.g., history taking, physical exam, diagnosis, management, communication)
COMPETENCY DOMAINS AND ASSESSMENT
Rating
Domain Specific Competency Comments
(1–5)
Gather comprehensive and focused history.
Clinical Skills
Perform detailed physical examination.
Formulate and justify differential diagnoses.
Clinical Interpret investigations and make informed decisions.
Reasoning and
Develop and implement appropriate management plans.
Decision-Making
Apply evidence-based knowledge to solve clinical problems.
Communication Communicate effectively with patients, families, and healthcare teams.
Skills Adapt communication style to the context.
Demonstrate respect for patient autonomy and confidentiality.
Professionalism
Uphold accountability, compassion, and integrity.
Interpersonal Collaborate effectively with team members.
and Teamwork
Handle feedback and interpersonal challenges professionally.
Skills
Patient Prescribe and explain medications safely.
Management Provide preventative healthcare advice.
RATING SCALE:
1 = Below Expectations | 2 = Needs Improvement | 3 = Meets Expectations | 4 = Above Expectations | 5 = Outstanding
OVERALL FEEDBACK
STRENGTHS OBSERVED:

AREAS FOR IMPROVEMENT:

OUTCOME AND PLAN

COMPETENCY ACHIEVED:  YES  NO
FOLLOW UP ACTION (if required):

House Officer Signature: Assessor Signature:

Page 5 of 7
 DOPS ASSESSMENT FORM
DEPARTMENT: DATE:
HOUSE OFFICER NAME:
ASSESSOR NAME:
ASSESSOR DESIGNATION:
PROCEDURE DETAILS
PROCEDURE PERFORMED:
PROCEDURE COMPLEXITY:  Simple  Moderate  Complex
CLINICAL SETTING:  Ward  OPD  Emergency  ICU  OT
PATIENT CASE TYPE: (e.g., Medical, Surgical, Obstetric)
ASSESSMENT DOMAINS AND RATINGS
Rating
Domain Specific Competency Comments
(1–5)
Preparation Ensure patient safety, privacy, and informed consent.
Prepare necessary equipment and environment.
Technical Skills Perform the procedure using correct techniques.
Maintain precision and control during the procedure.
Infection Apply infection prevention measures effectively (e.g., hand hygiene, PPE).
Control Dispose of used materials safely.
Communication Explain the procedure to the patient clearly and obtain informed consent.
Skills Respond to patient concerns or queries.
Professionalism Demonstrate respect, compassion, and ethical conduct throughout the procedure.
Post Procedure Document the procedure accurately.
Care Monitor patient post-procedure and address any immediate complications.
RATING SCALE:
1 = Below Expectations | 2 = Needs Improvement | 3 = Meets Expectations | 4 = Above Expectations | 5 = Outstanding
OVERALL FEEDBACK
STRENGTHS OBSERVED:

AREAS FOR IMPROVEMENT:

OUTCOME AND PLAN

COMPETENCY ACHIEVED:  YES  NO
FOLLOW UP ACTION (if required):

House Officer Signature: Assessor Signature:

Page 6 of 7
 WEEKLY REFLECTIVE WRITING FORM
Shahida Islam Medical College Lodhran
Week Ending On: _________________________________________________________________________
House Officer Name: ______________________________________________________________________
Department of House Job: ______________________ Date of Writing Reflection: _____________________

1. WHAT (Reflect on the week’s experiences and learning)

What were the key events or experiences from this week? ________________________________________
_______________________________________________________________________________________
What tasks or responsibilities did you perform? _________________________________________________
_______________________________________________________________________________________
What were your most significant learning moments during the week? _______________________________
_______________________________________________________________________________________

2. SO WHAT (Analyze the impact and significance of your learning experiences)

What went well this week? Why? ____________________________________________________________

_______________________________________________________________________________________
What challenges or difficulties did you face? How did you address them? ____________________________
_______________________________________________________________________________________
How did this week’s experiences contribute to your learning and professional development? ____________
_______________________________________________________________________________________

3. WHAT NEXT (Plan for improvement and future learning)

What skills or knowledge do you want to improve in the upcoming weeks? ___________________________
_______________________________________________________________________________________
What strategies or actions will you take to achieve these goals? ____________________________________
_______________________________________________________________________________________
How will you apply what you learned this week in your future practice? _____________________________
_______________________________________________________________________________________
House Officer Signature: ___________________________________________________________________
HOD/Supervisor Signature: _________________________________________________________________

Page 7 of 7