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

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

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

Part 1 / Medical Foundation 1 / Cardiology / Week 3

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

Part 1 / Medical Foundation 1 / Respirology / Week 4

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

Part 2 / Medical Foundation 2 / Renal / Week 2

Approach to Bleeding (Archived)
Large Group Session

Part 1 / Medical Foundation 1 / Hematology

Dermatology Theme and Introduction to Rashes (Archived)
Clinical Skills Sessions

Part 3 / Medical Foundation 3

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

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

Headache
Clinical Skills Sessions

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

First Prenatal Visit
Clinical Skills Sessions

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

Child with a Limp
Tutorial

Clerkship / Pediatrics Rotation

Assessments

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

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

Part 2 / Medical Foundation 2 / Renal

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

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

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

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 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

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

Tag Info

Taxonomy

AFMC Entrustable Professional Activities

Tag Parent

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Use Count

105

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