medportal CDB | Taxonomy | AFMC Entrustable Professional Activities / 1. Obtain a history and perform a physical examination adapted to the patient’s clinical situation

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AFMC Entrustable Professional Activities

1. Obtain a history and perform a physical examination adapted to the patient’s clinical situation

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Activities

American Academy of Dermatology Part 1
e-Learning Module

Part 1 / Medical Foundation 1

Introduction to Inclusive Clinical Skills
Active Large Group Session

Part 1 / Medical Foundation 1 / Respirology / Week 1

Introduction to the Patient-Centred Physical Exam and Vital Signs
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 2

Respiratory Exam: Practice Case – Dyspnea & Wheeze
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 3

Introduction to the Cardiac Examination
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 1

Cardiac Exam: Practice Case - Chest Pain
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 2

Rational Clinical Examination Module 3 - Cardiac Exam Practice Case – Chest Pain
e-Learning Module

Part 1 / Medical Foundation 1 / Cardiology / Week 2

Head and Neck Exam: Practice Case - Hearing Loss
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Cardiology / Week 3

Introduction to Pain
Active Large Group Session

Part 1 / Medical Foundation 1 / Cardiology / Week 4

Rational Clinical Examination Module 4 - Head and Neck Exam Practice Case – Sore Throat
e-Learning Module

Part 1 / Medical Foundation 1 / Cardiology / Week 4

Respiratory Exam: Practice Case - Dyspnea and Cough
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Respirology / Week 4

Volume Status Exam: Practice Case – Volume Overload
Clinical Skills Sessions

Part 2 / Medical Foundation 2 / Renal / Week 2

Inclusive Clinical Skills for patients of various body sizes, and appropriate use of medical interpretation services
Active Large Group Session

Part 2 / Medical Foundation 2 / Hematology

Obstetrical History: Practice Case – Intrapartum Care, Labour and Delivery Triage
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy / Week 3

Inclusive Sexual History-Taking, Gender-Affirming Care, and Transition-Related Healthcare
Active Large Group Session

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy / Week 4

Psychiatry Exam: Practice Cases – General History/Screening and Depression
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 1

Psychiatry Exam: Practice Cases - Eating Disorders and Suicidality Assessment
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 2

Mental Status Exam (MSE) Write Up
Clinical Skills Practice Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 2

Psychiatry Exam: Practice Cases – Chronic Mental Illness and Substance Use Disorders
Clinical Skills Sessions

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 3

Postpartum Visit
Clinical Skills Sessions

Part 5 / Integration Foundation

Gender Affirming Care
Standardized Patients

Part 5 / Integration Foundation

Headache
Clinical Skills Sessions

Part 5 / Integration Foundation / Host Defense and Neoplasia / Week 2

Inclusive approach to clinical assessment for persons with sensory, motor disabilities
Active Large Group Session

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care

First Prenatal Visit
Clinical Skills Sessions

Part 5 / Integration Foundation / Maternal Health Risks/Aging-Related Care / Week 1

Fever
e-Learning Module

Clerkship / Emergency Medicine Rotation

Child with a Limp
Tutorial

Clerkship / Pediatrics Rotation

TTR Psychiatry Rotation Portfolio
Self-Directed Study

Psychiatry TTR / Clerkship / Transition to Residency

Assessments

Obtain a history and perform a physical examination adapted to the patient’s clinical situation
EPA Direct Observation Tool

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Internal Medicine Rotation / Obstetrics and Gynecology Rotation / Pediatrics Rotation / Psychiatry Rotation / Surgery Rotation

Objectives

Conduct an appropriate cardiology history.
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Conduct an appropriate physical exam of the cardiovascular system.
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

To practice the Lymph Node history and physical examination, with a focus on non-malignant presentations.
Activity Objectives

Part 2 / Medical Foundation 2

To apply an inclusive approach to physical examinations for patients of varying body sizes, with a focus on modifications to specific physical exam maneuvers, as well as to describe instances of fatphobia in medicine.
Activity Objectives

Part 2 / Medical Foundation 2

To demonstrate appropriate use of medical interpretation services in patient-centered clinical assessment.
Activity Objectives

Part 2 / Medical Foundation 2

Describe physical exam findings that are unique to patients on renal dialysis or with kidney transplant.
Activity Objectives

Part 2 / Medical Foundation 2 / Renal

To practice the Renal history and physical examination.
Activity Objectives

Part 2 / Medical Foundation 2 / Renal

To practice the Lymph Node history and physical examination, with a focus on malignant presentations.
Activity Objectives

Part 2 / Medical Foundation 2 / Renal

To discuss and to practice the components of the Hematological history and physical examination.
Activity Objectives

Part 2 / Medical Foundation 2 / Hematology

To discuss and to practice the components of the Peripheral Vascular history and physical examination.
Activity Objectives

Part 2 / Medical Foundation 2 / Hematology

To develop an approach to the basic skin exam.
Activity Objectives

Part 2 / Medical Foundation 2 / Hematology / Week 3

To discuss and to practice the Abdominal history and physical exam, with a focus on acute gastrointestinal symptoms.
Activity Objectives

Part 3 / Medical Foundation 3

Elicit the relevant history for gastrointestinal disease.
General Objectives

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition

Outline an approach to short stature in children including history, physical examination and basic investigations.
Activity Objectives

Part 3 / Medical Foundation 3 / Endocrinology

To discuss and to practice the components of the psychiatric history for a patient presenting with an eating disorder.
Activity Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

To discuss and to practice the components of the psychiatric history for a patient presenting with depression and suicidality, including risk assessment.
Activity Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

To develop an approach and to practice the mental status examination.
Activity Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

To discuss and to practice psychiatry history-taking with a focus on general screening questions.
Activity Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

To discuss and to practice the components of the psychiatric history for a patient presenting with depression.
Activity Objectives

Part 4 / Medical Foundation 4 / Brain and Behaviour

Describe the unique components of an orthopedic history (compared to other system-related histories).
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

Describe an approach to the orthopedic physical examination.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

To discuss and to practice the components of the history and physical exam for the Wrist/Hand and Elbow.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

To discuss and to practice the components of the history and physical exam for the Knee.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine

To discuss and to practice the components of the history and physical exam for the Shoulder.
Activity Objectives

Part 4 / Medical Foundation 4 / Musculoskeletal Medicine / Week 1

To develop an approach to differentiating patterns of upper motor neuron weakness versus lower motor neuron weakness.
Activity Objectives

Part 4 / Medical Foundation 4 / Neuroscience

To discuss and to practice the components of the screening neurological examination.
Activity Objectives

Part 4 / Medical Foundation 4 / Neuroscience

To discuss and to practice the components of the history and physical exam for a patient presenting with numbness.
Activity Objectives

Part 4 / Medical Foundation 4 / Neuroscience

To discuss and to practice the components of the history and physical exam for a patient presenting with vertigo
Activity Objectives

Part 4 / Medical Foundation 4 / Neuroscience

To discuss and to practice the components of the history and physical exam for a patient presenting with a loss of consciousness or an altered level of consciousness.
Activity Objectives

Part 4 / Medical Foundation 4 / Neuroscience

To apply an inclusive approach to navigating the patient-caregiver dyad for patients across developmental ages and stages (e.g. infant, child, adolescent) in performing histories and physical exam, including tailoring clinical language to a developmentally-appropriate level.
Activity Objectives

Part 5 / Integration Foundation

To practice components of an adolescent history with a focus on SSHADESS screening assessment.
Activity Objectives

Part 5 / Integration Foundation

To practice a focused history and physical exam for a patient presenting with chest pain, dyspnea and nausea/vomiting, with a focus on the cardiac, respiratory and abdominal exam.
Activity Objectives

Transition to Clerkship / Week 1

To practice a detailed substance use history.
Activity Objectives

Transition to Clerkship / Week 2

To practice a focused history and exam for a patient presenting with abnormal vital signs, with a focus on infection.
Activity Objectives

Transition to Clerkship / Week 2

To perform a history of gynaecologic problems presenting to the emergency room.
Clerkship Objectives

Clerkship

Assess a patient who has an ASA class 1 or 2 classification with regards to their readiness for anesthesia by taking an appropriate history and performing a relevant physical examination.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Assess the patient's airway for ease of mask ventilation, LMA insertion or endotracheal intubation.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Demonstrate a focused history and physical examination.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Validate and obtain historical information from other relevant informants (eg. partner, caregiver, Community Care Access Centre, family physician) where indicated.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Collect accurate information regarding function in basic and instrumental activities of daily living.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess a patient’s competence to make decisions regarding therapy.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Perform patient interview in a patient centered manner, using verbal and non-verbal means to create an empathetic and respectful environment for a variety of patients (including the frail elderly).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Take a history from a geriatric patient with special emphasis on physical and mental functioning.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Perform a physical examination and functional assessment on an elderly patient, adapting it to possible conditions of frailty, mobility, hearing loss, memory loss and other impairments.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Perform a mental status examination to evaluate confusion and/or memory loss in an elderly patient.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Demonstrate an appreciation of patient values when communicating with patients in order to understand their goals of care.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

To perform a comprehensive obstetrical and gynaecological history.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To develop the skills to perform an appropriate sexual health history procedures.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a complete obstetrical physical examination.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a complete gynecologic examination.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a physical examination on a labouring patient.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To perform a physical examination on a gynaecological patient presenting for emergency care.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

Psychotic Disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Mood Disorders (including in post-partum, seasonal, GMC)
Clerkship Objectives

Clerkship / Psychiatry Rotation

Anxiety Disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Personality Disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Substance Use Disorders (including concurrent disorders, and screening assessment tools e.g. CAGE, AUDIT, MAST)
Clerkship Objectives

Clerkship / Psychiatry Rotation

Somatoform disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Medical Psychiatry
Clerkship Objectives

Clerkship / Psychiatry Rotation

Trauma- and stressor-related disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Other: Impulse control disorders, Factitious Disorder and Malingering
Clerkship Objectives

Clerkship / Psychiatry Rotation

Amnestic and Dissociative disorders
Clerkship Objectives

Clerkship / Psychiatry Rotation

Conduct a general interview: learn specific skills that convey empathy. Take a psychiatric history in an empathic manner that enables the assessment of relevant psychological, medical and social factors. Adapt their interview techniques to deal with common sorts of "special" situations/patients (e.g., children, the elderly, those who don't speak English, those with communication or cognitive problems, use of interpreters, family members for collateral, etc.). Adapt their interview techniques to deal with common sorts of "challenging" styles (e.g., silent, over-talkative, angry, seductive, suspicious, passive, dependent, defensive, evasive patients, or those who deny they need help).
Clerkship Objectives

Clerkship / Psychiatry Rotation

Perform a mental status examination of a patient with psychiatric illness.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess capacity.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess a sexual and trauma history.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess sleep history and provide counselling.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess child and family functioning.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess and manage acute psychosis.
Clerkship Objectives

Clerkship / Psychiatry Rotation

The student will build on their basic science, physiology, and clinical examination skills as it pertains to the structure and function of the bones, joints, muscle, and connective tissues.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Understand new history and physical examination techniques to formulate a differential diagnosis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will identify the major sensory and motor nerves in the extremity and apply this knowledge to examination of the extremities.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will recognize the importance of compound fractures and their management.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Demonstrate effective communication skills in conducting a patient centered interview, including exploring the patient’s illness experience as well as the family and social context.
Clerkship Objectives

Women's Health TTR / Clerkship / Transition to Residency

Students will be proficient in the performance of a focused women’s health history that is performed in a prioritized, organized manner. The history must be tailored to the clinical situation and specific patient encounter. The encounter must be conducted with respect, in a manner sensitive to the patient’s particular circumstances including sexual/gender orientation and cultural/religious beliefs.
Clerkship Objectives

Women's Health TTR / Transition to Residency

Students should use language appropriate for each patient and use non-verbal techniques to facilitate communication.
Clerkship Objectives

Women's Health TTR / Transition to Residency

Students should be proficient at obtaining supplemental historical information from other sources, such as family members, friends, or carers.
Clerkship Objectives

Women's Health TTR / Clerkship / Transition to Residency

Students should have knowledge of the social determinants of health and should be able to sensitively address these during history taking. Students should understand the special needs of vulnerable groups related to disparities and inequities in seeking and receiving care.
Clerkship Objectives

Women's Health TTR / Transition to Residency

Students should ‘bear witness’ to the patient’s experience of trauma and acknowledge the connection between these experiences and their current function.
Clerkship Objectives

Women's Health TTR / Transition to Residency

Conduct a sensitive, focused physical exam relevant to the patient’s presenting problem.
Clerkship Objectives

Women's Health TTR / Transition to Residency

Students will be proficient in performing an appropriate physical examination as it pertains to women’s health in a prioritized, organized manner, demonstrating appropriate patient draping for patient dignity and comfort.
Clerkship Objectives

Women's Health TTR / Transition to Residency

The physical exam is tailored to the clinical situation and specific patient encounter. The encounter is conducted with respect, in a manner, both trauma-informed and sensitive to the patient’s particular circumstances including sexual/gender orientation and cultural religious beliefs.
Clerkship Objectives

Women's Health TTR / Transition to Residency

Demonstrate effective communication skills in conducting a patient centered interview, including exploring the patient’s illness experience as well as the family and social context.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Conduct a sensitive, focused physical exam relevant to the patient’s presenting problem.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Conduct an effective patient interview to elicit appropriate information in patients presenting with the required presentations/conditions listed in the priority topics below.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Perform an appropriate physical examination relevant to the patient’s presentation, the history obtained, and the acuity of the encounter (includes mental status examination).
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Demonstrate appropriate infection control practices and patient draping during physical examination to ensure patient safety and comfort.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

The student is able to demonstrate proficiency in acquiring a complete and accurate paediatric history with consideration of the child’s age, development, and the family’s cultural, socioeconomic and educational background.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Demonstrate physical examination skills that reflect consideration of the clinical presentation as well as the comfort, age, development, and cultural context of the infant, child, or adolescent.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Geriatric and Cognitive Disorders: geriatric age-related mood, psychosis, anxiety disorders; Delirium and Dementia
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Child and Adolescent Psych (pediatric manifestation of common disorders, pediatric tx issues and their controversies): Neurodevelopmental disorders: intellectual disabilities, autism spectrum disorder, genetic syndromes ( e.g. Down, Fragile X, Fetal Alcohol), learning and communication disorders, AD/HD and treatments. Disruptive behaviour disorders (ODD, CD) Mood and anxiety disorders (incl. separation and school anxiety, and DMDD), use of SSRI in pediatric population Eating disorders. Key points in assessment of child and family functioning.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Conduct a suicide risk assessment and management.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Demonstrate proficiency in documentation and communication in psychiatry.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Perform focused history as part of the general medical history, including: chief complaint, present illness, surgical history, family history, and social history
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Interact with patient in order to gain his & her confidence and cooperation, to assure comfort and modesty, and to develop an understanding of age, race, culture & SES on the patient's health.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Perform a general physical examination with emphasis on:
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Chest & breast examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Abdominal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Inguinal & scrotal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Rectal examination
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Communicate the relevant results of the examination in well organized written & oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

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Taxonomy

AFMC Entrustable Professional Activities

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Use Count

156

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