Internal Medicine — Rotations
Nephrology
Sites: Adan, Farwaniya, Jahra, MKH
EPAs mapped to this activity
For residents in TTD
| F2c. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover | Required |
| 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
| C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management | Optional |
| 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 | Required |
| F5. Assessing unstable patients, providing targeted treatment and consulting as needed | Priority |
| 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 | Required |
| C10. Implementing health promotion strategies in patients with or at risk for disease | Optional |
| 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 |
| C3b. Providing internal medicine consultation to other clinical services - Part B: Written consultation note | Optional |
| C3c. Providing internal medicine consultation to other clinical services - Part C: Oral Communication with referring physician | Required |
| C4a. Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient Care | Optional |
| C6. Assessing capacity for medical decision-making | Optional |
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
For residents in TTP
| TTP1a. Managing an inpatient medical service - Part A: Overall Patient Care | Priority |
| TTP1b. Managing an inpatient medical service - Part B: Interprofessional Care | Priority |
| 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 | Optional |
| TTP5. Initiating and facilitating transfers of care through the health care system | Optional |
| TTP6. Working with other physicians and healthcare providers to develop collaborative patient care plans | Required |
| 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 | ||||||
| 1.4.5. Renal | ||||||
| 1.4.5.1. Findings and investigations | ||||||
| 1.4.5.1.1. Acid-base disturbances | ||||||
| 1.4.5.1.2. Fluid and electrolyte abnormalities | ||||||
| 1.4.5.1.3. Hematuria | ||||||
| 1.4.5.1.4. Proteinuria | ||||||
| 1.4.5.2. Disorders | ||||||
| 1.4.5.2.1. Acute renal failure | ||||||
| 1.4.5.2.2. Acute tubular necrosis | ||||||
| 1.4.5.2.3. Chronic kidney disease and its complications | ||||||
| 1.4.5.2.4. Glomerulonephritis | ||||||
| 1.4.5.2.5. Interstitial nephritis | ||||||
| 1.4.5.2.6. Nephritic and nephrotic syndromes | ||||||
| 1.4.5.2.7. Renal calculi | ||||||
| 1.4.5.2.8. Renal tubular acidosis | ||||||
| 1.4.5.2.9. Renovascular hypertension | ||||||
| 1.4.5.2.10. Renal complications of diabetes, hypertension, and rhabdomyolysis | ||||||
| 1.4.5.3. Therapies | ||||||
| 1.4.5.3.1. Renal replacement therapy and transplantation | ||||||
| 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
Required1.1. Internal medicine inpatient service
1.3. Any ambulatory care clinic in Internal Medicine or its subspecialties
1.4. Acute care experience with patients presenting to emergency department
1.5. After-hours coverage for a broad spectrum of inpatients and internal medicine consultation to the emergency department
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
1.5. After hours coverage for a broad spectrum of inpatients and internal medicine consultation to the emergency department
Transition to Practice
Required1.1. Inpatient Internal Medicine
1.1.1. Inpatient medical service in the role of a junior attending, e.g., CTU
1.1.2. Inpatient consult service in the role of a junior attending, including to emergency department
Recommended
3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care