| 1. Practise medicine within their defined scope of practice and expertise |
|
1.3. Apply knowledge of the clinical and biomedical sciences relevant to Internal Medicine |
| |
1.3.8. Pharmacology as it relates to pharmacokinetics, pharmacodynamics, mechanism of action, routes of delivery and elimination, and adverse effects of medications |
| | |
1.3.8.3. Cardiovascular medications |
| | |
1.3.8.10. Supplementary and complementary medications |
|
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 |
| 2. Perform a patient-centred clinical assessment and establish a management plan |
|
2.2. Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion |
| |
2.2.1. Elicit information relevant to the risk profile for disease |
| |
2.2.2. Assess risk factors for disease progression, as well as a patient’s need for health promotion and/or health surveillance |
| |
2.2.3. Obtain relevant information from the family history |
| |
2.2.4. Elicit an accurate occupational history, as appropriate, with documentation of the patient’s exposure to occupational health hazards, safety risks, and job demands |
| |
2.2.5. Perform a complete and appropriate assessment of complex medical presentations, including consideration of competing treatment needs |
| |
2.2.6. Assess the patient’s capacity to make decisions about his/her medical care |
| |
2.2.7. Perform a functional assessment of basic and instrumental activities of daily living, mental status examination, and assessment of gait and balance |
| |
2.2.8. Perform a quantitative measure of performance status for patients with malignancy |
| |
2.2.9. Select investigation strategies, demonstrating awareness of the availability and access to resources in various clinical settings |
| |
2.2.10. Apply criteria for use of diagnostic imaging and nuclear medicine examinations, including their risks and contraindications |
| |
2.2.11. Interpret cardio-pulmonary diagnostic testing, including electrocardiograms, and related reports |
| |
2.2.12. Interpret reports of medical imaging and pathology in the context of the patient |
| |
2.2.13. Integrate, synthesize and summarize information gathered through the clinical assessment and investigations |
|
2.3. Establish goals of care in collaboration with patients and their families1, which may include slowing disease progression, treating symptoms, achieving cure, improving function, and palliation |
| |
2.3.1. Recognize and respond to changes in patient status that indicate a need to reassess goals of care |
| |
2.3.2. Identify and respond to symptoms affecting patient comfort |
| |
2.3.3. Recognize when ongoing resuscitation efforts are no longer effective and should be discontinued |
|
2.4. Establish a patient-centred management plan |
| |
2.4.1. Develop and implement plans for |
| | |
2.4.1.1. Critically ill patients, including provision of hemodynamic support, non-invasive ventilation and monitoring |
| | |
2.4.1.2. Hospitalized patients with acute illness, or acute exacerbations of chronic illness |
| | |
2.4.1.3. Ambulatory patients with common acute presentations and/or chronic medical conditions |
| | |
2.4.1.4. Patients with multiple medical conditions, including consideration of competing priorities, conditions or treatments as well as drug interactions |
| | |
2.4.1.5. Safe discharge of patients with acute and chronic conditions, including medication reconciliation |
| | |
2.4.1.6. Safe transition to another health care setting, including anticipation, prevention, and management of changes in health status during transition |
| | |
2.4.1.7. Referral to comprehensive or interprofessional care |
| |
2.4.2. Identify and address interactions between different diseases and different treatments |
| |
2.4.3. Implement primary and secondary prevention strategies as part of the overall management plan |
| |
2.4.4. Incorporate consultant recommendations into diagnostic and treatment plans |
| |
2.4.5. Integrate recommendations from other health care professionals |
| |
2.4.6. Monitor clinical status and adapt management plans during the evolution of the patient’s clinical course |