Adult Endocrinology and Metabolism — Foundation of Discipline

F1 Assessing and managing individuals with an uncomplicated presentation of an endocrine condition

Key Features:
- This EPA includes all aspects of a consultation: gathering information from the history, physical exam and other sources, and developing a management plan which may include treatment as well as further investigation.
- This EPA may be observed in any care setting (e.g., clinic, hospital).
- At this stage, this EPA includes individuals whose presentation is typical or common and is not further complicated by multiple medical comorbidities or management challenges, including those due to social determinants of health and geographic and/or cultural complexities.

Assessment Plan:
Direct and/or indirect observation by supervisor, clinical fellow, or TTP resident
Use Form 1. Form collects information on:
- Observation (select all that apply): direct; indirect
- Presentation (write in):
Collect 4 observations of achievement
- At least 1 direct observation
- A variety of presentations
- No more than 2 presentations of diabetes

Form

F1: Observation

Milestones

• ME 2.2. Elicit a history and perform a relevant physical exam

• ME 2.2. Select and/or interpret investigations

• ME 2.2. Develop a differential and most probable diagnosis

• ME 2.2. Integrate the clinical data to establish the diagnosis and, if relevant, stage and/or severity of the condition

• ME 2.4. Develop and implement a management plan

• COM 3.1. Communicate the diagnosis and plan to the patient and/or family

Context Variables

• Observation (multiple-choice)
  • direct
  • indirect
• Presentation (free-text)

Requirements

• Collect 4 observations of achievement (minimum 4)
• At least 1 direct observation (minimum 1)
  • Only counts when Observation is direct
• A variety of presentations
• No more than 2 presentations of diabetes