Internal Medicine — Transition to Practice

TTP2b Managing longitudinal aspects of care in a medical clinic - Part B: Collaboration and Efficiency

Key Features:
- This EPA focuses on the efficient management of a longitudinal outpatient clinic in the role of the physician most responsible for patient care.
- This EPA may be observed in a variety of clinics: general Internal Medicine clinics with a variety of patient presentations; focused clinics with patients with a narrow spectrum of presentations (e.g. COPD clinic); general subspecialty clinics with a variety of patient presentations.
- The observation of this EPA is divided into two parts: overall patient care and working effectively and efficiently with the interprofessional team in an outpatient setting.

Assessment Plan:

Part B: Collaboration and Efficiency

Multiple observers provide feedback individually, which is then collated to one report

Use Form 3. Form collects information on:
- Role of observer: supervisor; nurse; other health care professional; clinic staff

Collect feedback from 5 observers
- At least 2 supervisors
- At least 1 member of clinic staff

Milestones

• COL 1.2. Make effective use of the scope and expertise of other health care professionals

• COL 1.1. Respond appropriately to input from other health care professionals

• COL 1.3. Communicate effectively with physicians and other colleagues in the health care professions

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

• L 4.1. Manage time effectively in the ambulatory clinic

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

• L 4.1. Review and act on test results in a timely manner

• P 1.1. Respond punctually to requests from patients or other health care professionals

• P 1.1. Exhibit appropriate professional behaviors