Adult Endocrinology and Metabolism — Foundation of Discipline

F4 Counselling patients and families for the purposes of patient education, disease prevention, and/or health promotion

Key Features:
- This EPA focuses on sharing information and engaging the patient and/or family in their care.
- It includes being sensitive to patient specific factors (age, gender, religion, culture, preferences, etc.), applying a patient/family centred approach, using plain language, providing clear explanations, engaging in shared decision-making, respecting patient autonomy, and assessing the patient’s/family’s understanding of the discussion.
- Examples of scenarios relevant to this EPA include disclosing a diagnosis, teaching the patient and/or family about their condition, its management, and/or preventive measures, discussing pharmacologic and non-pharmacologic therapies, and discharge planning.

Assessment Plan:
Direct observation by supervisor, which may include input from other health care professionals or the patient/family
Use Form 1. Form collects information on:
- Topic: disease/treatment education; disease prevention/health promotion
Collect 3 observations of achievement
- At least 1 of each topic
- At least 2 different observers

Form

F1: Observation

Milestones

• COM 1.1. Establish rapport with the patient and/or family

• COM 1.1. Engage the patient in the discussion as appropriate for their health literacy

• COM 3.1. Provide accurate information about the medical condition and management plan

• COM 3.1. Use plain language and avoid medical jargon

• COM 4.3. Solicit and answer questions from the patient and/or family

• COM 3.1. Verify and validate the understanding of the patient and/or family

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

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

• HA 1.2. Provide the patient and/or family with education resources

• P 1.1. Demonstrate respect for patient autonomy

Context Variables

• Topic (single-choice)
  • disease/treatment education
  • disease prevention/health promotion

Requirements

• Collect 3 observations of achievement (minimum 3)
• At least 1 of each topic: disease/treatment education (minimum 1)
  • Only counts when Topic is disease/treatment education
• At least 1 of each topic: disease prevention/health promotion (minimum 1)
  • Only counts when Topic is disease prevention/health promotion
• At least 2 different observers (minimum 2)
  • Counted once per distinct Assessor