Internal Medicine — Rotations
CCU
Critical Cardiac Unit
Sites: Adan, Amiri, Farwaniya, Jaber, MKH
EPAs mapped to this activity
For residents in TTD
| F4a. Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part A: Discharge plan documentation | Optional |
| F4b. Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part B: Discharge plan communication | Optional |
| F7. Identifying personal learning needs while caring for patients, and addressing those needs | Required |
| TTD1. Performing histories and physical exams, documenting and presenting findings, across clinical settings for initial and subsequent care | Required |
| TTD2. Identifying and assessing unstable patients, providing initial management, and obtaining help | Priority |
For residents in F
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
| F1. Assessing, diagnosing, and providing initial management for patients with common acute medical presentations in acute care settings | Required |
| F2a. Managing patients admitted to acute care settings with common medical problems and advancing their care plans- Part A: Patient Assessment and Management | Required |
| F2c. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover | Optional |
| F3. Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan | Optional |
| F4a. Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part A: Discharge plan documentation | Required |
| F4b. Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part B: Discharge plan communication | Required |
| F5. Assessing unstable patients, providing targeted treatment and consulting as needed | Priority |
| F7. Identifying personal learning needs while caring for patients, and addressing those needs | Required |
For residents in C
| C1. Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations | Optional |
| C4a. Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient Care | Priority |
| C4b. Assessing, resuscitating, and managing unstable and critically ill patients - Part B: Interprofessional Care | Priority |
| C5. Performing the procedures of Internal Medicine | When Possible |
| C6. Assessing capacity for medical decision-making | Optional |
| C7. Discussing serious and/or complex aspects of care with patients, families, and caregivers | Optional |
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
| C9a. Caring for patients at the end of life - Part A: Symptom Management in End of Life | Priority |
| C9b. Caring for patients at the end of life - Part B: Discussion about transition away from disease modifying treatment | Priority |
For residents in TTP
| TTP1a. Managing an inpatient medical service - Part A: Overall Patient Care | Required |
| TTP1b. Managing an inpatient medical service - Part B: Interprofessional Care | Required |
| TTP3. Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment | Required |
| TTP4. Providing consultation to off-site health care providers | Required |
| TTP5. Initiating and facilitating transfers of care through the health care system | Required |
| TTP6. Working with other physicians and healthcare providers to develop collaborative patient care plans | Priority |
| TTP7. Identifying learning needs in clinical practice, and addressing them with a personal learning plan | Optional |
| TTP8. Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery | Optional |
Competencies covered in this activity
| 1. Practise medicine within their defined scope of practice and expertise | ||||||
| 1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management | ||||||
| 1.4.1. Cardiac | ||||||
| 1.4.1.1. Symptoms | ||||||
| 1.4.1.1.1. Chest pain | ||||||
| 1.4.1.1.2. Dyspnea | ||||||
| 1.4.1.1.3. Palpitations | ||||||
| 1.4.1.1.4. Syncope | ||||||
| 1.4.1.2. Findings and investigations | ||||||
| 1.4.1.2.1. Abnormal cardiac enzymes | ||||||
| 1.4.1.2.2. Cardiac murmurs | ||||||
| 1.4.1.3. Disorders | ||||||
| 1.4.1.3.1. Acute coronary syndromes and their complications | ||||||
| 1.4.1.3.2. Cardiomyopathies | ||||||
| 1.4.1.3.3. Congestive heart failure | ||||||
| 1.4.1.3.4. Coronary artery disease | ||||||
| 1.4.1.3.5. Pericarditis, pericardial effusion, and tamponade | ||||||
| 1.4.1.3.6. Pulmonary hypertension | ||||||
| 1.4.1.3.7. Valvular heart disease | ||||||
| 1.4.13. Medical aspects of specific situations | ||||||
| 1.4.13.1. Common medical emergencies | ||||||
| 1.4.13.1.1. Life-threatening cardiac, respiratory, gastrointestinal, metabolic, neurologic and other organ system dysfunction and abnormalities | ||||||
| 1.4.13.1.2. Hyperthermia / hypothermia | ||||||
| 1.4.13.1.3. Shock, including knowledge and identification of the different etiologies | ||||||
| 1.4.13.1.4. Cardio-respiratory arrest | ||||||
| 1.4.13.1.5. Poisoning | ||||||
| 1.4.13.1.6. Severe drug reactions including but not limited to anaphylaxis and toxic epidermal necrolysis | ||||||
| 1.4.13.1.7. Complications of chemotherapy | ||||||
| 1.4.13.1.7.1. Febrile neutropenia | ||||||
| 1.4.13.1.7.2. Tumour lysis syndrome | ||||||
Training experiences included in this activity
Transition to Discipline
Required1.1. Any inpatient medical (e.g., coronary care unit (CCU), intensive care unit (ICU), clinical teaching unit (CTU), subspecialty ward) service or emergency department
1.2. After-hours coverage for inpatients and internal medicine consultation to the emergency department
Foundation of Discipline
Required1.2. Inpatient cardiology service: acute cardiac presentations in hospitalized patients
1.3. Any ambulatory care clinic in Internal Medicine or its subspecialties
1.4. Acute care experience with patients presenting to emergency department
Recommended
3.1. Critical care (e.g., ICU, CCU)
3.2. Consultation service in a subspecialty of Internal Medicine
Core of Discipline
Required1.2. Ambulatory care: clinic and/or day hospital. This must include experience with a broad spectrum of conditions as well as patients with complex disorders
1.6. Experience with critically ill patients. This must include ICU, CCU, and internal medicine consultation to the emergency department
Transition to Practice
Recommended3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care