Internal Medicine — Core of Discipline

C10 Implementing health promotion strategies in patients with or at risk for disease

Key Features:
- This EPA focuses on the identification of opportunities for health promotion and preventive management, in a range of health care settings and across the breadth of acute and chronic conditions.
- The observation of this EPA may be performed by physician supervisors as well as nurses or other health professionals involved in patient education.
- This EPA may be observed in any health care setting.

Assessment Plan:

Direct observation or case discussion/chart review

Use Form 1. Form collects information on:
- Condition: asthma/COPD; cancer screening in at risk populations; diabetes; falls/frailty; immunocompromised patient; medication reviews; vaccinations; vascular risk reduction; other

Collect 4 observations of achievement
- Case mix must include a range of conditions

Milestones

• ME 1.1. Demonstrate compassion for patients

• ME 1.4. Perform clinical assessments that address the breadth of issues in each case

• ME 2.2. Assess risk factors for disease progression as well as a patient’s need for health promotion and/or health surveillance

• ME 2.2. Identify a patient’s relevant determinants of health

• ME 2.4. Integrate primary and secondary prevention strategies as part of the overall management plan

• COM 1.4. Respond to patients’ non-verbal communication and use appropriate non-verbal behaviours to enhance communication with patients

• COM 1.5. Recognize when strong emotions (such as anger, fear, anxiety, or sadness) are impacting an interaction and respond appropriately

• COM 2.1. Actively listen and respond to patient cues

• COM 3.1. Convey information related to the patient’s health status, care, and needs in a timely, honest, and transparent manner

• HA 1.1. Facilitate timely patient access to services and resources

• HA 1.2. Apply the principles of behaviour change during conversations with patients about adopting healthy behaviours

• HA 1.2. Counsel and support patients regarding risk factor reduction, such as smoking cessation

• HA 1.3. Work with the patient and/or family to identify opportunities for disease prevention, health promotion and health protection

• HA 1.3. Evaluate with the patient the potential benefits and harms of health screening