Internal Medicine — Rotations
Infectious Diseases
Site: Infectious Diseases Hospital
EPAs mapped to this activity
For residents in F
| C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management | Required |
| 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 |
| F2b. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part B: Communication with Patient/Family | Required |
| F2c. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover | Optional |
| F6. Discussing and establishing patients’ goals of care | Optional |
| 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 |
| C10. Implementing health promotion strategies in patients with or at risk for disease | Optional |
| C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management | Required |
| C2b. Assessing and managing patients with complex chronic conditions - Part B: Patient Education/Communication | Required |
| C3a. Providing internal medicine consultation to other clinical services - Part A: Patient Assessment and Decision-Making | Required |
| C3c. Providing internal medicine consultation to other clinical services - Part C: Oral Communication with referring physician | Required |
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
For residents in TTP
| TTP3. Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment | Priority |
| 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 | ||||||
| 1.3. Apply knowledge of the clinical and biomedical sciences relevant to Internal Medicine | ||||||
| 1.3.5. Microbiology of community and hospital acquired infections | ||||||
| 1.3.6. Principles of antimicrobial prophylaxis, antibiotic stewardship, and infection prevention and control | ||||||
| 1.3.8. Pharmacology as it relates to pharmacokinetics, pharmacodynamics, mechanism of action, routes of delivery and elimination, and adverse effects of medications | ||||||
| 1.3.8.2. Antimicrobials | ||||||
| 1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management | ||||||
| 1.4.10. Immunologic | ||||||
| 1.4.10.4. Opportunistic infections | ||||||
| 1.4.12. Infection | ||||||
| 1.4.12.1. Disorders | ||||||
| 1.4.12.1.1. Infective endocarditis | ||||||
| 1.4.12.1.2. Pneumonia | ||||||
| 1.4.12.1.3. Infectious diarrhea | ||||||
| 1.4.12.1.4. Clostridium difficile colitis | ||||||
| 1.4.12.1.5. Intra-abdominal infections | ||||||
| 1.4.12.1.6. Urosepsis | ||||||
| 1.4.12.1.7. Meningitis and encephalitis | ||||||
| 1.4.12.1.8. Bone and joint infections | ||||||
| 1.4.12.1.9. Cellulitis and other skin infections | ||||||
| 1.4.12.1.10. Necrotizing soft tissue infections | ||||||
| 1.4.12.1.11. Fever of unknown origin | ||||||
| 1.4.12.1.12. Fever in the immuno-compromised host | ||||||
| 1.4.12.1.13. Fever in the hospitalized patient | ||||||
| 1.4.12.1.14. Fever, skin diseases, and diarrhea in the returning traveler | ||||||
| 1.4.12.1.15. Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) and its treatment and complications, including but not limited to: | ||||||
| 1.4.12.1.15.1. Fever | ||||||
| 1.4.12.1.15.2. Weight loss | ||||||
| 1.4.12.1.15.3. Dyspnea, cough, hemoptysis | ||||||
| 1.4.12.1.15.4. Dysphagia, diarrhea | ||||||
| 1.4.12.1.15.5. Anemia, neutropenia, thrombocytopenia | ||||||
| 1.4.12.1.15.6. Metabolic derangements | ||||||
| 1.4.12.1.15.7. Opportunistic infections | ||||||
| 1.4.12.1.16. Malaria | ||||||
| 1.4.12.1.17. Sexually transmitted infections | ||||||
| 1.4.12.1.18. Tuberculosis, including intradermal testing and interpretation | ||||||
| 1.4.12.2. Therapies | ||||||
| 1.4.12.2.1. Spectrum of activity, adverse effects, and dose adjustments for antibiotics | ||||||
| 1.4.12.2.2. Antimicrobial stewardship | ||||||
| 1.4.12.2.3. Infection control in the hospital setting | ||||||
| 1.4.12.3. Malignancy | ||||||
| 1.4.12.3.1. Oncologic emergencies including, but not limited to: | ||||||
| 1.4.12.3.1.1. Hypercalcemia | ||||||
| 1.4.12.3.1.2. Spinal cord compression | ||||||
| 1.4.12.3.1.3. Superior vena cava syndrome | ||||||
| 1.4.12.3.1.4. Pleural and pericardial effusion | ||||||
| 1.4.12.3.1.5. Tumour lysis syndrome | ||||||
| 1.4.12.3.2. Screening and prevention | ||||||
| 1.4.12.3.3. Complications of chemotherapy including myelosuppression and hyperemesis | ||||||
| 1.4.12.3.4. Principles of diagnosis and treatment of the following: | ||||||
| 1.4.12.3.4.1. Breast cancer | ||||||
| 1.4.12.3.4.2. Ovarian cancer | ||||||
| 1.4.12.3.4.3. Endometrial and cervical cancer | ||||||
| 1.4.12.3.4.4. Urothelial cancer | ||||||
| 1.4.12.3.4.5. Prostate cancer | ||||||
| 1.4.12.3.4.6. Head and neck cancers | ||||||
| 1.4.12.3.4.7. Para-neoplastic syndromes | ||||||
Training experiences included in this activity
Foundation of Discipline
Required1.3. Any ambulatory care clinic in Internal Medicine or its subspecialties
Recommended
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
Transition to Practice
Recommended3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care