EPA Mapping

This simplified EPA mapping guide is intended to help you plan your EPA requests on your core rotations. Some EPAs may be listed (and thus are able to be requested) in multiple categories/rotations. However, special note is made when a specific EPA can only be be done in a certain location (i.e. only possible on an off-service rotation, such as ICU).

*Note that this guide is not intended to be a complete representation of the EPAs you may request on a rotation, but is meant to provide you with a starting point.

General Anesthesia Rotations

Subspecialty Anesthesia Rotations

Off-service Rotations

General Anesthesia Rotations

Introductory Anesthesia (TTD)

1.1 / D1 Assess healthy adults for non-complex scheduled surgery
1.2 / D2 Monitor healthy adults for non-complex surgery
1.3 / D3 Hand over healthy adults in PACU

General Anesthesia Rotation EPAs

2.1 / F2 Anesthetic considerations and plan for non-complex adult patients and surgery
2.2 / F2 Anesthetic management for non-complex adult patients
2.3 / F3 Non-airway basic procedures of Anesthesiology
2.4 / F4 Anticipated difficult airway - Identify and Prepare Plan
2.5 / F5 Patient positioning and related complications
2.6 / F6 Manage common/expected intraop events and physiologic changes for non-complex cases **NB Part B is a written reflection. See guided reflection outline here**
2.7 / F7 Blood transfusion indications, side effects, complications
2.8 / F8 Manage common post-op issues in PACU or surgical ward
2.9 / F9 Initiating resuscitation for life-threatening conditions
3.1 / C1 Anesthetic considerations and plan for complex patients
3.2 / C2 Anesthetic management for critically ill patients
3.3 / C3 Anesthetic management for patients with significant cardiac disease
3.4 / C4 Difficult airway management - anticipated and unanticipated
3.5 / C5 Resuscitation for unstable patients in the perioperative period
3.6 / C6 POCUS (point of care ultrasound) to answer a clinical question

3.14 / C14 Anesthetic management for airway procedures (ENT lists)
3.15 / C15 Anesthetic management for vascular surgery
3.16 / C16 Anesthetic management for spinal procedures
3.17 / C17 Anesthetic management for intracranial procedures
3.18 / C18 Anesthetic management for thoracic surgery
3.19 / C19 Comprehensive multi-modal management for complex acute pain
3.23 / C23 Managing goals of care discussions with patients and families
3.24 / C24 Providing care for patients who have experienced a patient safety incident **NB This is a written reflection. See guided reflection outline here**
3.25 / C25 Recognizing and managing ethical dilemmas that arise in the course of patient care **NB This is a written reflection. See guided reflection outline here**
4.1 / P1 Managing all aspects of care for patients presenting to a preoperative clinic
4.2 / P2 Managing all aspects of anesthesia care for a scheduled day list
4.3 / P3 Providing anesthesia services for an on-call period
4.4 / P4 Managing all aspects of care for obstetrical anesthesia services
4.5 / P5 Developing an academic portfolio

Subspecialty Anesthesia Rotations

Acute Pain and Out-of-OR (APOOR)

3.13 / C13 Anesthetic management for out-of-OR procedures
3.19 / C19 Comprehensive multi-modal management for complex acute pain
4.5 / P5 Developing an academic portfolio

Cardiac Anesthesia

3.2 / C2 Anesthetic management for critically ill patients
3.3 / C3 Anesthetic management for patients with significant cardiac disease
4.5 / P5 Developing an academic portfolio

Chronic Pain

3.20 / C20 Management of chronic pain patients**NB Entrustment score of 3 is considered achieved**
4.5 / P5 Developing an academic portfolio

Neuro Anesthesia

3.2 / C2 Anesthetic management for critically ill patients
3.16 / C16 Anesthetic management for spinal procedures
3.17 / C17 Anesthetic management for intracranial procedures
4.5 / P5 Developing an academic portfolio

OB Anesthesia

2.11 / F11 Assess OB patients and initiate med management**NB to be done on OB clinic week during OB anesthesia rotation**
2.12 / F12 Labour analgesia for healthy parturients
2.13 / F13 Anesthesia for patients undergoing non-complex C-section
3.7 / C7 Peripartum anesthetic management for high-risk parturients
3.8 / C8 Initiating resuscitation and providing anesthetic management for unstable parturients
4.4 / P4 Managing all aspects of care for obstetrical anesthesia services
4.5 / P5 Developing an academic portfolio

Pediatric Anesthesia

2.14 / F14 Anesthetic management for non-complex pediatric patients/cases
2.15 / F15 Manage common peds post-op complications - PACU or ward
3.9 / C9 Anesthetic plans for complex pediatric patients/cases
3.10 / C10 Anesthetic management for complex pediatric patients/cases
4.5 / P5 Developing an academic portfolio

POCUS (Point-of-care Ultrasound)

3.6 / C6 POCUS (point of care ultrasound) to answer a clinical question
4.5 / P5 Developing an academic portfolio

Regional Anesthesia (Block Room)

3.11 / C11 Anesthetic management incorporating a peripheral nerve block technique
3.12 / C12 Diagnose and manage complications of regional anesthesia
4.5 / P5 Developing an academic portfolio

Thoracic Anesthesia

3.2 / C2 Anesthetic management for critically ill patients
3.18 / C18 Anesthetic management for thoracic surgery
4.5 / P5 Developing an academic portfolio

Vascular Anesthesia

3.2 / C2 Anesthetic management for critically ill patients
3.15 / C15 Anesthetic management for vascular surgery
4.5 / P5 Developing an academic portfolio

Off-service Rotations

While Elentra is the default EPA system at Western, electronic fillable PDFs or printed PDFs of the relevant EPA assessment forms are linked below for any services or elective blocks that may not have access to Elentra.

PDFs of assessment forms

- 1. Print/send out a copy of the EPA assessment form to give to your Observer/Assessor
  2. Request the EPA and explain what it is
  3. Ensure you receive the completed form—don't forget to ask for feedback before the assessment takes place so that the feedback you receive is constructive and based on an observation!
  4. Upload your completed form in ePortfolio no later than 7 days after your request

Internal Medicine CTU

2.7 / F7 | PDF form | Blood transfusion indications, side effects, complications
2.10 / F10 | PDF form | Assess, diagnose, manage common med/surg presentations in acute care settings

Blood Bank

2.7 / F7 | PDF form | Blood transfusion indications, side effects, complications

General Surgery / ENT

2.7 / F7 | PDF form | Blood transfusion indications, side effects, complications
2.8 / F8 | PDF form | Manage common post-op issues in PACU or surgical ward
2.10 / F10 | PDF form | Assess, diagnose, manage common med/surg presentations in acute care settings **2.10 can ONLY be completed on ICU, IM, Surgery or ER - NOT periop**

Emergency Medicine

Adult EM

2.3 / F3 | PDF form | Non-airway basic procedures of Anesthesiology
2.7 / F7 | PDF form | Blood transfusion indications, side effects, complications
2.9 / F9 | PDF form | Initiating resuscitation for life-threatening conditions
2.10 / F10 | PDF form | Assess, diagnose, manage common med/surg presentations in acute care settings **2.10 can ONLY be completed on ICU, IM, Surgery or ER - NOT periop**

Pediatric EM

2.16 / F16 | PDF form | Assess and manage common peds medical conditions**2.16 must be completed on peds ER**

Narrative Assessment Form

**For off-service assessors who are not using Elentra and would like to make a comment about a resident's performance that is NOT associated with an EPA, please have them complete a Narrative Assessment Form.
The same instructions apply: obtain verbal feedback, have the form completed (printed or electronic PDF) within 7 days, and either upload it into ePortfolio or send via hospital email to Lori Dengler at UH Dept of Anesthesia.**

Critical Care

Applicable to all critical care areas:

3.24 / C24 Providing care for patients who have experienced a patient safety incident **NB This is a written reflection. See guided reflection outline here**
3.25 / C25 Recognizing and managing ethical dilemmas that arise in the course of patient care **NB This is a written reflection. See guided reflection outline here**

Adult Critical Care (MSICU/CCTC)

2.3 / F3 | PDF form | Non-airway basic procedures of Anesthesiology
2.7 / F7 | PDF form | Blood transfusion indications, side effects, complications
2.8 / F8 | PDF form | Manage common post-op issues in PACU or surgical ward
2.9 / F9 | PDF form | Initiating resuscitation for life-threatening conditions
2.10 / F10 | PDF form | Assess, diagnose, manage common med/surg presentations in acute care settings **2.10 can ONLY be completed on ICU, IM, Surgery or ER - NOT periop**
3.21 / C21 | PDF form | Ongoing management of critically ill patients in an intensive care setting **3.21 can ONLY be completed on Critical Care rotations**
3.22 / C22 | PDF form | Initiating and leading resuscitation for unstable patients, outside of the operating room or PACU
3.23 / C23 | PDF form | Managing goals of care discussions with patients and families

Pediatric Critical Care (PCCU)

3.21 / C21 | PDF form | Ongoing management of critically ill patients in an intensive care setting **3.21 can ONLY be completed on Critical Care rotations** 3.22 / C22 | PDF form | Initiating and leading resuscitation for unstable patients, outside of the operating room or PACU

Neonatal Intensive Care (NICU)

3.21 / C21 | PDF form |Ongoing management of critically ill patients in an intensive care setting **3.21 can ONLY be completed on Critical Care rotations**
3.22 / C22 | PDF form |Initiating and leading resuscitation for unstable patients, outside of the operating room or PACU

Coronary Care Unit (CCU)

2.10 / F10 | PDF form | Assess, diagnose, manage common med/surg presentations in acute care settings
3.21 / C21 | PDF form |Ongoing management of critically ill patients in an intensive care setting **3.21 can ONLY be completed on Critical Care rotations**
3.22 / C22 | PDF form | Initiating and leading resuscitation for unstable patients, outside of the operating room or PACU
3.23 / C23 | PDF form | Managing goals of care discussions with patients and families

Cardiac Surgery Recovery Unit (CSRU)

3.21 / C21 | PDF form | Ongoing management of critically ill patients in an intensive care setting **3.21 can ONLY be completed on Critical Care rotations**
3.22 / C22 | PDF form | Initiating and leading resuscitation for unstable patients, outside of the operating room or PACU
3.23 / C23 | PDF form | Managing goals of care discussions with patients and families

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