Internal Medicine — Core of Discipline

C11b Supervising junior learners in the clinical setting - Part B: Running the Team

Key Features:

- This EPA focuses on the informal teaching that occurs in the clinical (bedside) setting, and includes ensuring safe patient care, teaching and providing feedback.
- This EPA includes delegation of tasks to other residents and students and may include administrative duties relevant to organization of the medical team.
- The observation of this EPA is divided into two parts: teaching; and running the team.
- For Part A, the observation must be based on at least a week of contact with the junior learners.
- For Part B the observations must be by two different supervisors, and must be based on at least two different training experiences (i.e. not all on same block).

Assessment Plan:

Part B: Running the Team

Direct and indirect observation by supervisor

Use Form 1. Form collects information on
- Complexity of case load: low; medium; high

Collect 2 observations of achievement
- At least 1 case load of medium complexity
- 2 different supervisors

Milestones

• ME 1.5. Carry out professional duties in the face of multiple competing demands

• P 1.1. Seek guidance for teaching and team management when needed

• S 2.1. Use strategies for deliberate, positive role-modelling

• COL 2.1. Delegate tasks and responsibilities in an appropriate and respectful manner

• COL 2.1. Show respect toward collaborators

• COL 2.2. Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture

• S 2.2. Ensure a safe learning environment for all members of the team

• S 2.3. Supervise learners to ensure they work within their limits, providing guidance and supervision when needed

• S 2.3. Balance supervision and graduated responsibility, ensuring the safety of patients and learners

• L 4.1. Integrate supervisory and teaching responsibilities into the overall management of the clinical service

• L 4.1. Manage time and prioritize tasks

• L 4.1. Demonstrate efficiency and effectiveness in running the physician team