Adult Endocrinology and Metabolism — Foundation of Discipline

F3 Performing endocrine focused physical examinations

Key Features:
- The focus of this EPA is the integration of the knowledge of endocrine anatomy and physiology and the pathophysiology and complications of endocrine diseases with physical examination skills to identify and recognize the significance of clinical findings.
- This EPA includes the assessment of one or more endocrine systems or diseases (e.g., pituitary, thyroid, diabetes, pubertal staging, etc.), as well as attention to patient comfort and privacy/draping during the physical exam.
- The observation of this EPA requires the supervisor to directly observe the performance of the physical examination of a patient not previously known to the resident.

Assessment Plan:
Direct observation by supervisor
Use Form 1. Form collects information on:
- Exam type (select all that apply): adrenal; diabetes foot exam; genital/breast; metabolic disease; osteoporosis exam; pituitary; pubertal staging; thyroid
Collect 4 observations of achievement
- At least 4 different exam types
- At least 1 genital/breast exam or pubertal staging
- At least 2 different observers

Form

F1: Observation

Milestones

• COM 1.2. Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety

• ME 2.2. Demonstrate an organized approach to the physical examination

• ME 2.2. Focus the clinical encounter, performing it in a time-effective manner, without excluding key elements

• ME 2.2. Interpret the findings of the physical exam in the context of the patient’s presentation

• P 1.1. Behave in a professional manner

Context Variables

• Exam type (multiple-choice)
  • adrenal
  • diabetes foot exam
  • genital/breast
  • metabolic disease
  • osteoporosis exam
  • pituitary
  • pubertal staging
  • thyroid

Requirements

• Collect 4 observations of achievement (minimum 4)
• At least 4 different exam types (minimum 4)
  • Counted once per distinct Exam type
• At least 1 genital/breast exam or pubertal staging (minimum 1)
• At least 2 different observers (minimum 2)
  • Counted once per distinct Assessor