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Internal Medicine is rolling out CBD in July 2019. Anesthesia residents do a rotation in the Clinical Teaching Unit (CTU).
Department of Internal Medicine contacts for anesthesia residents:
- Dr. Selay Lam, CBD Lead
- domeducation@lhsc.on.ca for the Program Administrator
EPA REQUEST RULES
EPA REQUEST RULES
Each week, the goal is for you to achieve 1 EPA by the end of the week. *This may change as CTU is a team-based specialty and as more programs roll out CBD, it may be difficult to perform assessments for all learners.
Residents must communicate beforehand with the Observer/Assessor about which EPA they would like formally assessed. Be aware that the internist or the senior internal medicine resident may not be aware of the EPAs or CBD in general. Take this opportunity to explain and teach about what your needs are while keeping in mind the balance required for a busy clinical practice.
N.B. All residents, whether CBD or not, will adhere to the rules and standards of the department or division of the rotation they are in. That is, if the program completes in-training evaluation reports (ITERs ) at the end of the rotation, then these will also be completed for CBD residents.
ORGANIZING & PRIORITIZING
ORGANIZING & PRIORITIZING
Familiarize yourself with the possible EPAs that can be assessed during your Internal Medicine - CTU rotation.
Fortunately, all of these EPAs can be done in other locations as there are no EPAs that can only be done during this rotation. Below are copies of paper-based assessment forms you can print out in the event your Observer does not have ePortfolio access.
In addition to consultants, you can ask senior residents and nurse practitioners for an assessment. N.B. if an EPA requires a certain number of assessments from a staff/consultant.
Focus on EPAs
- F 2.5 (can be done by a senior resident)
- F 2.6 (can be done by a senior resident) *RESIDENTS ARE ACHIEVING THIS DURING THEIR EMERGENCY MEDICINE ROTATION
- F 2.14
If your progress is on track, then you can focus on the elective EPA: F 2.4
Managing patients admitted to acute care settings with common medical or surgical problems, and advancing their care plans
- Part A: Patient assessment and management
- Part B: Communication with patient/family
- Part C: Handover
Anes Found EPA 5 Part A fillable form.pdfEPA 2.5 Part A fillable form
Collect 3 observations of achievement
- At least 2 different locations
- At least 3 different conditions
- At least 2 observations by staff
- At least 3 assessors
Anes Found EPA 5 Part B fillable form.pdfEPA 2.5 Part B fillable form
Collect two observations of achievement
- At least one observation by staff
Anes Found EPA 5 Part C fillable form.pdfEPA 2.5 Part C fillable form
Collect two observations of achievement
- At least one by staff
Assessing, diagnosing, and initiating management for patients with common acute medical or surgical presentations in acute care settings
Collect 4 observations of achievement
- At least 2 surgical conditions
- At least 2 medical conditions
- At least two observations by staff
Anes Found EPA 6 fillable form.pdf- Managing side effects and complications related to fluid management, electrolyte disturbances and assessing the need for, ordering and managing transfusion of blood products during the perioperative period
Collect 8 observations of achievement
- At least 2 each type of issue (fluid administration, electrolyte disturbance, blood product management)
Anes Found EPA 14 fillable form.pdfF 2.4 *elective
F 2.4 *elective
- Diagnosing and initiating management of life-threatening conditions, in a variety of environments, in a time-appropriate manner
Collect 3 observations of achievement
- At least 2 different locations
- No more than one in OR
- Three different assessors
Anes Found EPA 4 fillable form - elective.pdfGoogle Sites
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