Internal Medicine — Foundation of Discipline

F2b Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part B: Communication with Patient/Family

Key Features:
- This EPA includes treating common acute medical presentations under remote, indirect supervision. At this level, trainees would be expected to solicit assistance from more senior residents, junior attendings, fellows, or attendings for complex presentations.

- The observation of this EPA is divided into three parts: patient assessment and management; communication with the patient and/or family throughout the clinical course; handover of patient care.

- The observation of handover should emphasize the interactive nature of handover for a group of patients (i.e. a handover event).

Assessment Plan:

Part B: Communication with Patient/Family Direct or indirect observation by supervisor

Use Form 1. Form collects information on:
- Type of observation: direct; indirect (with input from patient and/or family)

Collect 2 observations of achievement

Milestones

• ME 2.3. Work with patients and their families to understand relevant options for care

• COM 2.1. Integrate and synthesize information about the patient’s beliefs, values, preferences, context and expectations with biomedical and psychosocial information

• COM 2.3. Seek and synthesize relevant information from other sources, including the patient’s family, with the patient’s consent

• COM 3.1. Provide information on the results of clinical assessments, diagnostic testing, and treatment plans

• COM 3.1. Use strategies to verify and validate the understanding of the patient and family

• COM 4.1. Explore the perspectives of the patient and others when developing care plans

• COM 4.3. Answer questions from the patient and family about next steps