Internal Medicine — Core of Discipline
C4b Assessing, resuscitating, and managing unstable and critically ill patients - Part B: Interprofessional Care
Key Features:
- This EPA focuses on leading and participating in the resuscitation of unstable patients.
- This includes the assessment and management of critically ill patients in the acute care setting, including level two intensive care units, with remote attending physician supervision.
- This EPA does not include managing invasive ventilation, continuous renal replacement therapy, or patients requiring a level one intensive care unit for other reasons (e.g., trauma, multi-organ dysfunction syndrome, or invasive monitoring such as right heart catheters and intracranial pressure monitors).
- The observation of this EPA is divided into two parts: patient care; interprofessional work. The observers for Part B must be individuals who have had multiple interactions with the resident throughout a training experience.
Assessment Plan:
Part B: Interprofessional Care
Direct and/or indirect observation by supervisor, with input from members of the interprofessional team
Use Form 3. Form collects information on:
- Input from (select all that apply): nurse; other physician; pharmacist; respiratory therapist; social worker; other
- Number of people providing input (Please specify):
Collect at least 1 observation
- At least 6 people providing input
- A variety of team members
Milestones
COL 1.2. Work effectively as a member of a resuscitation team
L 4.2. Establish clear leadership in resuscitative efforts, assuming the leadership role as appropriate
COL 2.1. Delegate tasks and responsibilities in an appropriate and respectful manner
COL 1.3. Apply closed loop communication in urgent or crisis situations to work effectively with physicians and other colleagues in the health care professions
COL 3.2. Organize the handover of care to the most appropriate physician or health care professional
P 4.1. Maintain capacity for professional clinical performance in stressful situations