Adult Endocrinology and Metabolism — Core of Discipline

C7 Providing indirect patient management recommendations to other health care professionals

Key Features:
- This EPA focuses on in-house or off-site calls or electronic communication with a requesting physician or other health care professional and provision of medical recommendations.
- This includes collecting the information necessary to provide recommendations for patient management including interpretation of labs, triage to an outpatient clinic for assessment, or transfer to an appropriate setting based on acuity.
- This EPA may be observed in simulation (e.g., OSCE).

Assessment Plan:
Direct and/or indirect observation by supervisor
Use Form 1. Form collects information on:
- Origin of call: in-house; off-site; e-consult
- Patient presentation (write in):
Collect 5 observations of achievement
- A variety of patient presentations
- At least 2 observers

Form

F1: Observation

Milestones

• COM 2.3. Gather relevant patient information from another health professional

• ME 2.2. Integrate information from the clinical assessment and/or investigations to determine the patient’s clinical status and health care needs

• ME 2.1. Determine the acuity of the issue and the priorities for patient care

• L 2.1. Apply knowledge of the health care resources available in other care settings

• ME 2.4. Determine the setting of care appropriate for the patient’s health needs

• ME 2.4. Support the referring physician in developing a plan for ongoing care in the local setting and/or for care prior to endocrinology assessment

• ME 2.4. Provide anticipatory guidance for management of potential changes in the patient’s clinical status

• COL 1.3. Communicate effectively with physicians and other health care professionals

• COM 5.1. Document advice provided to other health care providers

Context Variables

• Origin of call (single-choice)
  • in-house
  • off-site
  • e-consult
• Patient presentation (free-text)

Requirements

• Collect 5 observations of achievement (minimum 5)
• A variety of patient presentations
• At least 2 observers (minimum 2)
  • Counted once per distinct Assessor