A Framework for Professional Readiness

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The AAMC PREview® professional readiness exam is a situational judgement test that measures two broad skill areas — personal accountability and relational skills. These areas are critical to success in advanced health professions training.  

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The PREview exam was designed with medical schools in mind and was developed with their assistance and support. A variety of other health professions also value these skills, making the PREview exam a relevant measure of professional readiness for many post-graduate health education programs in addition to medical schools.  

The PREview exam asks examinees to identify effective and ineffective behaviors in real-world scenarios that students might encounter in their training. The scenarios and the responses examinees are asked to rate illustrate competencies within the two main skill areas — personal accountability and relational skills. 

Skill Areas Assessed by the Exam  

Personal Accountability: This skill area encompasses reliability, resilience, adaptability, ethical responsibility, and continuous self-improvement — qualities that help medical students manage challenges, remain accountable, and grow through reflection and feedback. 

Relational Skills: This skill area includes the ability to work effectively on teams, build relationships, and engage compassionately with patients and colleagues ­— qualities that help students engage effectively with peers, professors, colleagues, and eventually with patients. 

Why do These Skills Matter? 

Health education, the practice of medicine, and other health professions evolve constantly. Students and practitioners use their knowledge and critical thinking skills to stay current on the science and evidence that drives their understanding and supports their clinical decisions.  

During training, students demonstrate these skills by being active participants in group projects, completing assignments on time, attending classes regularly, providing support to classmates, seeking feedback, and modeling professionalism in their interactions with faculty, peers, and patients. 

Academic knowledge coupled with professional skills sets the foundation for students to further develop in the health professions.

  • Health professionals committed to learning and growth may be better prepared to adapt to and integrate new information, scientific discoveries, technological advancements, and situations.  
  • Providers who can work effectively on teams and collaborate, may be better able to create treatment plans, especially when they are caring for patients with more complex symptoms or chronic conditions.  
  • Health professionals must be persistent, because the road to health for an individual or a community can be long and winding.  
  • Patients depend and rely on their health care providers to provide timely information and follow-up care, so good communication skills are essential.  
  • Health care providers who understand the barriers preventing patients from accessing care and complying with treatment are able to more effectively communicate with patients to remove those obstacles. 

These are a few examples of why the professionalism competencies matter — both to medical schools and the people receiving care. They go hand-in-hand with the scientific knowledge and principles learned before and during medical or graduate school, as well as throughout one’s career. 

Read More About the Competencies Tested on the PREview Exam 

Students demonstrate their understanding of each of the skill areas, which encompass multiple competencies. 

Personal Accountability 

Competency

Description

Commitment to Learning & Growth

  • Pursues opportunities to improve knowledge and understanding 

  • Asks for and incorporates feedback to learn and grow 

  • Reflects on successes, challenges, and mistakes 

Reliability & Dependability

  • Prioritizes and fulfills obligations in a timely and satisfactory manner 

  • Understands consequences of not fulfilling one’s responsibilities to self and others 

Resilience & Adaptability

  • Perseveres in challenging, stressful, or ambiguous environments or situations by adjusting behavior or approach in response to new information, changing conditions, or unexpected obstacles 

  • Recognizes and seeks help and support when needed 

  • Recovers from and reflects on setbacks 

  • Balances personal well-being with responsibilities 

Ethical Responsibility to Self and Others

  • Behaves with honesty and integrity 

  • Considers multiple and/or conflicting principles and values to inform decisions 

  • Adheres to ethical principles when carrying out professional obligations; resists pressure to engage in unethical behavior; and encourages others to behave honestly and ethically 

Relational Skills 

Competency

Description

Teamwork & Collaboration

  • Prioritizes and achieves shared goals 

  • Adjusts role between team member and leader based on one’s own and others’ expertise and experience 

  • Shares information with team members and encourages this behavior in others 

  • Gives and accepts feedback to improve team performance 

Interpersonal Skills

  • Demonstrates an awareness of how social and behavioral cues affect people’s interactions and behaviors 

  • Adjusts behaviors appropriately in response to these cues 

  • Recognizes and manages one’s emotions and understands how emotions impact others or a situation 

  • Treats others with dignity, courtesy, and respect 

Empathy & Compassion

  • Demonstrates a desire to help others and alleviate others’ distress 

  • Recognizes, understands, and acknowledges others’ experiences, feelings, perspectives, and reactions to situations 

  • Sensitive to others’ needs and feelings 

Cultural Awareness & Humility

  • Appreciates how historical, sociocultural, political, and economic factors affect others’ interactions, behaviors 

  • Seeks out and engages diverse and divergent perspectives with a desire to understand and willingness to adjust one’s mindset 

  • Understands a situation or idea from alternative viewpoints 

  • Reflects on one’s values, beliefs, and identities and how they may affect others 

  • Reflects on and addresses bias in oneself and others 

  • Fosters a supportive environment that values inclusivity

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