Critical Care Medicine — Core of Discipline

C11 Leading daily clinical rounds

Key Features:
- This EPA focuses on leading the daily care for all patients in the ICU.
- This includes leading team discussions and developing management plans for all patients (complex and routine), guiding junior residents through their tasks, conducting investigations, communicating and engaging other health professionals as part of the interprofessional team, and seeking and providing appropriate consults to other services.
- It includes transfer and discharge planning, as well as communication with patients and families during rounds.
- This EPA requires time management skills to balance patient care with teaching responsibilities, consideration of bed management issues, triaging of consults outside the ICU, and the management of disruptions.
- This EPA does not include the safety competencies, end of life discussions nor formal family meetings.

Assessment Plan:
Direct and indirect observation by supervisor
Use form 1.
Collect 5 observations of achievement
- At least 3 observers

Form

F1: Observation

Milestones

• ME 1.3. Apply a broad base and depth of knowledge in clinical and biomedical sciences to manage the breadth of patient presentations in the ICU

• ME 1.4. Perform focused clinical assessments that address all relevant issues

• ME 1.5. Prioritize among patients based on clinical acuity

• ME 1.5. Carry out professional duties in the face of multiple, competing demands

• ME 1.6. Recognize and respond to the complexity, uncertainty, and ambiguity inherent in medical practice

• ME 2.4. Establish patient centered management plans

• L 4.1. Integrate supervisory and teaching responsibilities into the overall management of the clinical service

• P 4.1. Manage the mental and physical challenges that impact physician wellness and/or performance in demanding or stressful clinical settings

• COL 2.1. Delegate tasks and responsibilities in a respectful manner

• L 2.1. Allocate health care resources for optimal patient care

• L 4.1. Manage time and prioritize tasks

• S 2.4. Demonstrate basic skills in teaching others

• S 3.4. Integrate best evidence and clinical expertise into decision-making

Context Variables

No context variables defined.

Requirements

• 5 observations of achievement (minimum 5)
• At least 3 observers (minimum 3)
  • Counted once per distinct Assessor