Internal Medicine — Foundation of Discipline

F2c Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover

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 C: Handover

Direct observation by supervisor

Use Form 1

Collect 3 observations of achievement
- At least 2 by an attending staff

Milestones

• COL 3.1. Identify patients requiring handover to other physicians or health care professionals

• COL 3.2. Summarize the patient’s issues, including plans to deal with ongoing issues

• COL 3.2. Communicate with the receiving physicians or health care professionals during transitions in care, clarifying issues as needed

• COL 3.2. Provide anticipatory guidance for results of outstanding investigations and/or next steps for management