Internal Medicine — Transition to Practice

TTP1a Managing an inpatient medical service - Part A: Overall Patient Care

Key Features:
- This EPA refers to a Junior Attending Role on an inpatient service.
- This EPA focuses on the efficient management of an inpatient service in the role of the physician most responsible for patient care.
- The observation of this EPA is divided into two parts: overall patient care and working effectively with the interprofessional team.
- The patient care aspects should provide a mix of acute and chronic medical conditions and a variety of medical diagnoses.

Assessment Plan:

Part A: Overall Patient Care

Chart review by supervisor

Use Form 1. Form collects information on
- Diagnosis (write in):
- Category: acute; chronic; both acute and chronic

Collect 10 observations of achievement
- A variety of medical diagnoses
- A mix of acute and chronic conditions
- At least 4 different assessors

Milestones

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

• ME 1.4. Perform relevant and time-effective clinical assessments

• ME 3.1. Determine the most appropriate procedures or therapies for the purpose of assessment and/or management

• S 3.4. Integrate best evidence and clinical expertise into decision-making

• ME 2.4. Establish patient centered management plans

• COL 1.3. Use referral and consultation as opportunities to improve quality of care

• ME 4.1. Coordinate investigation, treatment and followup when multiple physicians and health care professionals are involved

• COM 5.1. Document clinical encounters in an accurate, complete, timely and accessible manner

• L 2.1. Allocate health care resources for optimal patient care

• L 4.1. Manage time and prioritize tasks

• ME 4.1. Formulate and implement plans for discharge that include appropriate ongoing care, arrangements for relevant community support services and followup on investigations

• COL 3.2. Demonstrate safe handover of care during patient transition out of the hospital setting

• ME 5.2. Use systems to track and follow-up on clinical data such as investigations and laboratory tests