Critical Care Medicine — Transition to Discipline

TTD5 Providing routine updates to patients or families

Key Features:
- This EPA focuses on the application of medical expertise and communication skills to summarize medical conditions and plans for the day to patients and families in the ICU setting.
- It includes communicating in a respectful and culturally aware manner, and respecting diversity and difference, including but not limited to the impact of socio-economic background, gender, religion, and cultural beliefs on decision making.
- It does not include managing challenging conversations, such as end-of-life discussion or disclosure of adverse events.

Assessment plan:
Direct observation by supervisor
Use Form 1. Form collects information on:
- Condition (write in):
Collect 2 observations of achievement
- At least 2 observers

Form

F1: Observation

Milestones

• P 1.2. Ensure that the patient and family are informed about the diagnosis and plan of care

• COM 1.1. Introduce oneself and explain one’s role in the interprofessional team

• COM 1.1. Communicate using a patient-centered approach that facilitates patient trust and autonomy and that is characterized by empathy, respect, and compassion

• COM 4.1. Communicate in a manner that is respectful, non-judgmental, and culturally aware

• COM 3.1. Convey information about medical course and management plan clearly and accurately

• COM 3.1. Use language tailored to the health literacy level of patients and families

• COM 1.4. Identify, verify and validate non-verbal cues on the part of the patient and/or family

• COM 3.1. Use strategies to verify and validate the understanding of the patient and family.

• COM 5.1. Document the clinical encounter to accurately reflect the discussion and decisions

• P 1.1. Respect diversity and difference, including but not limited to the impact of socio-economic background, gender, religion and cultural beliefs on decision making

Context Variables

• Condition (free-text)

Requirements

• Collect 2 observations of achievement (minimum 2)
• At least 2 observers (minimum 2)
  • Counted once per distinct Assessor