Anesthesia — Foundation of Discipline

F16 Assessing and initiating management for pediatric patients with common medical conditions

Key Features:
- This EPA includes the following common medical conditions: upper/lower respiratory
tract infections, urinary tract infections, minor injuries and febrile illness.
- This EPA may be observed in the inpatient setting, ambulatory clinic or emergency
room.
- This EPA may be observed by senior pediatric residents or staff.

Form

F1: Observation

Milestones

• ME 1.1. Demonstrate compassion for patients

• ME 1.3. Apply clinical and biomedical sciences to manage presentations in pediatric patients

• ME 2.1. Iteratively establish priorities, considering the perspective of the patient and family (including values and preferences) as the patient’s situation evolves

• ME 2.2. Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of developing a differential diagnosis and an initial management plan

• ME 2.4. Discuss with the patient and family the degree of uncertainty inherent in all clinical situations

• ME 2.4. Integrate all sources of information to develop and initiate a management plan that is safe, patient-centred, and considers the risks and benefits of all approaches

• ME 3.4. Seek assistance as needed when unanticipated findings or changing clinical circumstances are encountered

• COM 1.6. Assess patients’ decision-making capacity taking into account patient age and developmental stage, include parents and other care-givers in discussion

• COM 2.2. Conduct a focused and efficient patient interview, managing the flow of the encounter while being attentive to the patient’s cues and responses

• COM 2.3. Seek and synthesize relevant information from other sources, including the patient’s family, with the patient’s consent

• COL 1.1. Differentiate between task and relationship issues among health care professionals

• COL 3.1. Identify patients requiring handover to other physicians or health care professionals

• COL 3.2. Communicate with physicians or health care professionals during transitions in care, clarifying issues after transfer as needed

• S 1.2. Identify, record, prioritize and answer learning needs that arise in daily work, scanning the literature or attending formal or informal education sessions

• P 1.1. Exhibit appropriate professional behaviours

• P 1.3. Recognize and respond to ethical issues encountered in practice,
  including competence, consent, and confidentiality

Context Variables

• Condition (single-choice)
  • minor injuries
  • febrile illness
  • other condition
  • urinary tract infections
  • upper/lower respiratory tract infections
• Age of patient (free-text)

Requirements

• Collect a minimum of 4 observations (minimum 4)
• At least 2 patients under the age of 10