Foundations of Discipline (FD)

Foundations of Discipline

The Foundations of Discipline Phase is designed for the residents to learn the essential skills of internal medicine. These skills will be utilised on a daily basis for the rest of their practice. In our program, this stage begins in September of R1 and continues until July of the R2 year. During Foundations, the resident is expected to achieve the following seven EPAs:

FD1: Assessing, diagnosing, and initiating management for patients with common acute medical presentations in acute care settings
FD2: Managing patients admitted to acute care settings with common medical problems and advancing their care plans
FD3: Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan
FD4: Formulating, communicating, and implementing discharge plans for patients with common medical conditions from acute care settings
FD5: Assessing and providing targeted treatment for unstable patients and consulting as needed
FD6: Discussing and establishing patients’ goals of care
FD7: Identifying personal learning needs while caring for patients and addressing those needs

EPA

Instruction

Assessment

High Yield Rotations

FD1: Assessing, diagnosing, and initiating management for patients with common acute medical presentations in acute care settings

Workplace Instruction (On call for inpatient services and on consultations services)

Covered at R1 Academic Day, additional detail at later AHD

EPA Observation FD1 - 10 successful

ITER (Ward Junior and Consults/Clinics) rating scales on Data Collection & Clinical Reasoning

R1 Foundations OSCE

All Inpatient Ward Junior rotations, CCU, and Emergency

FD2: Managing patients admitted to acute care settings with common medical problems and advancing their care plans

Workplace Instruction (inpatient services or consultation services)

Addressed in part at R1 Day (Handover, approach to common ward issues)

EPA Observation FD2A - 8 successful

EPA Observation FD2B - 2 successful

EPA Observation FD2C - 3 successful

ITER (Ward Junior and Consults/Clinics) rating scales on Clinical Decision Making and Communication

All Inpatient Ward Junior rotations and also Selective rotations for FD2A and FD2B

FD3: Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan

Workplace Instruction (inpatient services or consultation services)

Addressed in various areas including R1 Academic Day and GIM service orientation

EPA Observation FD3 - 4 successful

ITER (Ward Junior and Consults/Clinics) rating scales on Documentation and Verbal Presentation

All Inpatient Ward Junior rotations and some Selective rotations if applicable

FD4: Formulating, communicating, and implementing discharge plans for patients with common medical conditions from acute care settings

Workplace Instruction (inpatient services or consultation services)

EPA Observation FD4A - 2 successful

EPA Observation FD4B - 2 successful

ITER (Ward Junior and Consults/Clinics) rating scales on Collaboration

R1 Foundations OSCE

All Inpatient Ward Junior rotations

FD5: Assessing and providing targeted treatment for unstable patients and consulting as needed

Workplace Instruction (On call for inpatient services and on consultations services)

Covered at R1 Academic Day

EPA Observation FD5 - 7 successful

R1 Foundations OSCE

All Inpatient Ward Junior rotations, CCU, and Emergency

FD6: Discussing and establishing patients’ goals of care

Workplace Instruction (On call for inpatient services and on consultations services)

Covered at R1 Academic Day

EPA Observation FD6 - 3 successful

R1 Foundations OSCE

All Inpatient Ward Junior rotations, CCU, and Emergency

FD7: Identifying personal learning needs while caring for patients and addressing those needs

Reflection on Feedback and Assessments

EPA Observation FD7 - 6 required

All rotations

Report abuse

Foundations of Discipline (FD)