Annually demonstrates performance competency in each of the following: Obtains medical, family and social histories, performs physical examination, orders appropriate and interprets appropriate diagnostic studies and laboratory tests, Interprets patient data to accurately diagnose disease and disease stage, Identifies appropriate medical treatment, whether protocol or non-protocol, participates in the implementation of appropriate medical treatment. May write orders as permitted by the Clinical Staff Rules and Regulations, monitors and evaluates patient response to medical treatment, facilitates appropriate patient referrals, provides patient and family support, provides patient follow-up to other health care providers, including referring physicians, performs diagnostic procedures as prescribed by treatment guidelines or as indicated by changes in clinical status.