medportal CDB | Taxonomy | AFMC Entrustable Professional Activities / 5. Formulate, communicate and implement management plans

Taxonomies

AFMC Entrustable Professional Activities

5. Formulate, communicate and implement management plans

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Activities

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Apply evidence-based information to inform decision making and share with patient or family.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Assessments

Formulate, communicate and implement management plans
Direct Observation Tool

Clerkship / Pediatrics Rotation / Psychiatry Rotation

Objectives

Develop a mechanism-based approach to management of cardiovascular diseases: medications, behavioural modifications and population measures for prevention.
General Objectives

Part 1 / Medical Foundation 1 / Cardiology

Discuss your approach to the initial management of meningitis.
Activity Objectives

Part 4 / Medical Foundation 4 / Neuroscience

Describe the role of other health professionals in the management of the patient in the ED.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Gain skills and experience in meeting patients’ needs for prevention, problem identification and management, and complex disease management through episodic care of patients and their families in the community practice setting.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Demonstrate the ability to write physician orders under supervision.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess for risk of drug interactions (including an approach to polypharmacy in the elderly)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess for risk of iatrogenic complications (including increased risk among the elderly).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Participate in a care plan discussion with a patient understanding the role of shared-decision making.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

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

Clerkship / Internal Medicine Rotation

Consider the concepts of resource stewardship and high value care in making treatment decisions.
Clerkship Objectives

Internal Medicine Rotation

Monitor for response to therapy including compliance and potential adverse effects.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Consider legal and/or ethical issues as well as psychosocial aspects in deciding on an appropriate treatment.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Identify information resources for selecting diagnostic investigations for patients with common and uncommon medical problems.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Identify resources to help determine appropriate treatment options for common and uncommon medical problems.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Understand responsibility associated with treatment strategies: cost, ensuring the patient understands and is able to adhere to the treatment plan.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Adjust therapeutic plans appropriately when required (i.e., when new diagnostic information is available; when there is a change in patient preference or goals of care).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Understand the symptoms sometimes seen during end-of-life care and the basic principles of their management (e.g., pain, dyspnea, nausea and vomiting, anorexia, fatigue, depression, delirium, constipation).
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 formulate management plans for major obstetrical and gynaecological problems.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To identify and demonstrate the management of abnormal labour.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the management of a postpartum haemorrhage.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the management of shoulder dystocia.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the management of fetal bradycardia.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To construct differential diagnoses and management plans (for gynaecologic problems presenting to the emergency room).
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To formulate a post-operative management plan.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To describe the approach to the management of patients presenting with a history of domestic violence.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

Describe the main physiologic differences between pediatric and adult patients and explain their implication on anesthetic management
Clerkship Objectives

Clerkship / Anesthesia Rotation / Pediatrics Rotation

Understand preventative and management strategies to address childhood obesity.
Clerkship Objectives

Pediatrics Rotation

Develop management plans that demonstrate due attention to discharge planning, and recognition of key community resources to support the family once out of hospital.
Clerkship Objectives

Clerkship / Pediatrics 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

Assess capacity.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess and manage acute psychosis.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess the appropriateness for and recommend ECT and TMS: indications for use, side effects.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Knowledge of indications for referral to psychiatry.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Describe the presentation and management of hydrocephalus. Compare and contrast adult and pediatric hydrocephalus.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the presentations, etiologies and management of pulmonary embolus.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the risk factors, diagnosis and management of epistaxis. Describe the indications and techniques for nasal packing.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the staging and management of renal cell carcinoma, and transitional cell carcinoma.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the differential diagnosis of a patient having postoperative fever. For each entity, discuss the clinical manifestations, appropriate diagnostic work-up, and management: Within 24 hours: response to surgical trauma; atelectasis; necrotizing wound infections. Between 24 and 72 hours: pulmonary disorders (atelectasis, pneumonia); catheter related complications (IV-phlebitis, Foley-UTI). After 72 hours: infectious (UTI, pneumonia, wound infection, deep abscess, anastomotic leak, prosthetic infection, parotitis); noninfectious (deep vein thrombosis).
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the management of postoperative chest pain.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the evaluation and management of abdominal aortic aneurysms.
Clerkship Objectives

Clerkship / Surgery Rotation

Describe the early management of a major burn.
Clerkship Objectives

Clerkship / Surgery 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

Understand the judicious use of laboratory, radiographic, and other investigations to rule in and rule out each diagnosis.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Interpret the information provided and synthesize an appropriate basic management plan including:
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Rehabilitation prescription (physiotherapy, massage therapy, etc.)
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Brace, walking aid, and orthotic prescription.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Apply evidence-based information to inform decision making and share with patient or family.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

The student will learn the relevant surgical anatomy for a variety of musculoskeletal conditions.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Indications for surgery and general surgical principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Return to activity.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Referral to other specialists when appropriate.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

The student will differentiate physiologic from pathological growth.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

For the following disorders the student will interpret the information provided and synthesize an appropriate basic management plan including:
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Rehabilitation prescription (physiotherapy, massage therapy, etc.).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Brace, walking aid, and orthotic prescription.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Drug therapy (oral and topical analgesics, nonsteroidal anti-inflammatories, injections, narcotics, etc.) with an understanding of serious side-effects and addiction potential.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Indications for surgery and general surgical principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Return to activity.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Referral to other specialists when appropriate.
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

Outline potential complications of the (fracture) injury.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Formulate an immediate and long-term management plan for the injury (fracture) including brace or cast; Indications for surgery and the general surgical principles; Rehabilitation prescription (physiotherapy, massage therapy, etc.).
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

For the following problems, the student will: Diagnose and recognize their importance. Analyze the situation and determine the urgency. Outline the management principles.
Clerkship Objectives

Clerkship / Orthopedic Surgery Rotation

Learn how to develop and carry out patient management plans in association with the clinical supervisor.
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Demonstrate effective oral and written communication skills in documenting clinical encounters, making oral case presentations, prescription writing and making referrals to other care providers through clear, concise, efficient communication strategies.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Demonstrate life long learning practices in providing care to patients.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Develop a management plan including: Pharmacologic treatment and non-pharmacologic treatment.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Demonstrate an approach (the generation of a differential diagnoses, appropriate initial diagnostic investigations, and management plan) to the following core clinical paediatric presentations:
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

Assess the appropriate use of psychotherapy
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Overview of psychotherapy (indications, efficacy, impact, types, etc.). Use of motivational interviewing across disciplines.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Recommend medication management, monitoring and counselling, including: Classes of psychiatric medications and their indications. Medication counselling: indications, choice, side effects, etc. Pre-medication work-up. Medication monitoring and work-up. Side effects (blood tests and physical e.g. AIMS). Metabolic syndromes and monitoring. Special populations (pediatric, geriatric, pregnancy). Acute syndromes/reactions (NMS, dystonia, serotonin syndrome, toxicity).
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

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

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Provide a basic strategy for managing simple migraine headaches including discussion of the specific categories of drugs used to prevent, abort, and manage migraine headaches, and discuss why opioids should be avoided.
Activity Objectives

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Taxonomy

AFMC Entrustable Professional Activities

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Use Count

106

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