Internal Medicine — Core of Discipline

C3b Providing internal medicine consultation to other clinical services - Part B: Written consultation note

Key Features:
- This EPA focuses on providing focused, timely, and collaborative medical consultations to other clinical services under remote attending supervision.
- This EPA includes applying these skills across peri-operative care, obstetrical medicine care, and medical consultation to other clinical services (e.g. surgical services, psychiatry, obstetrics and gynecology, family medicine/hospitalists).
- The observation of this EPA is divided into three parts: patient assessment and decision making; written documentation of the consultation; oral communication with the referring physician(s).

Assessment Plan:
Part B: Written consultation note

Review of written consultation note by supervisor

Use Form 1

Collect 6 observations of achievement

Milestones

• ME 2.2. Synthesize and interpret information from the clinical assessment

• COM 5.1. Organize information in appropriate sections

• COM 5.1. Document all relevant findings and investigations

• COM 5.1. Document clinical encounters to adequately convey clinical reasoning and the rationale for decisions

• COM 5.1. Provide a clear plan for ongoing management

• COM 5.1. Adapt the written consultation to the clinical context

• COL 1.3. Provide written documentation in a timely manner

• COL 1.3. Share expertise when acting in the consultant role, using referral as an opportunity to improve quality of care