Internal Medicine — Rotations

Neurology

Sites: Amiri, Farwaniya, Ibn Sina, Jahra, MKH

EPAs mapped to this activity

For residents in TTD

C5. Performing the procedures of Internal Medicine	When Possible
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
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

C5. Performing the procedures of Internal Medicine	When Possible
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	Required
C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management	Required
C3a. Providing internal medicine consultation to other clinical services - Part A: Patient Assessment and Decision-Making	Required
C4a. Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient 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

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	Required
TTP7. Identifying learning needs in clinical practice, and addressing them with a personal learning plan	Required
TTP8. Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery	Required

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
		1.4.7. Neurological
			1.4.7.1. Symptoms
				1.4.7.1.1. Acute and chronic headache
				1.4.7.1.2. Altered mental status and disorders of consciousness
				1.4.7.1.3. Dizziness and vertigo
				1.4.7.1.4. Syncope
				1.4.7.1.5. Tremors
				1.4.7.1.6. Weakness: local and generalized
			1.4.7.2. Findings and investigations
				1.4.7.2.1. Abnormal cranial nerve function
				1.4.7.2.2. Determination of brain death
				1.4.7.2.3. Increased intracranial pressure
			1.4.7.3. Disorders
				1.4.7.3.1. Acute spinal cord compression
				1.4.7.3.2. Amyotrophic lateral sclerosis
				1.4.7.3.3. Cerebral vascular disease: stroke and transient ischemic attack (TIA)
				1.4.7.3.4. Dementia and delirium
				1.4.7.3.5. Guillain-Barré syndrome
				1.4.7.3.6. Meningitis and encephalitis
				1.4.7.3.7. Movement disorders including Parkinson’s syndrome
				1.4.7.3.8. Multiple sclerosis
				1.4.7.3.9. Myasthenia gravis
				1.4.7.3.10. Peripheral neuropathy
				1.4.7.3.11. Seizure disorders and status epilepticus
				1.4.7.3.12. Brain neoplasms

Training experiences included in this activity

Transition to Discipline

Required
1.1. 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

Required
1.3. Any ambulatory care clinic in Internal Medicine or its subspecialties
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

Required
1.5. After hours coverage for a broad spectrum of inpatients and internal medicine consultation to the emergency department

Transition to Practice

Recommended
3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care