Adult Endocrinology and Metabolism — Core of Discipline

C9 Supporting adolescents/young adults with endocrine conditions in the transition from the pediatric to adult care setting

Key Features:
- This EPA focuses on the unique aspects of developmental readiness and risks that occur as adolescents/young adults progress to autonomy for their health care needs.
- The nature of the endocrine condition is not relevant for this EPA.

Assessment Plan:
Direct and/or indirect observation by supervisor
Use Form 1. Form collects information on:
- Patient condition (write in):
Collect 2 observations of achievement
- At least 2 different patient conditions
- At least 2 different observers

Form

F1: Observation

Milestones

• ME 2.2. Assess the patient’s health literacy and developmental readiness for the demands of the adult care setting

• ME 2.2. Assess psychosocial issues that may affect health and/or access to services

• ME 2.2. Assess adherence to treatment and monitoring plans

• HA 1.2. Work with the patient and/or family to increase their understanding of their illness and health care needs

• HA 1.2. Work with the patient to increase autonomy in their care

• COM 4.3. Use communication skills and strategies that foster effective patient-physician relationships

• ME 2.4. Anticipate, prevent and manage changes in health status at the time of transition

• ME 4.1. Establish plans for ongoing care that include monitoring health status and managing adherence

Context Variables

• Patient condition (free-text)

Requirements

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