Internal Medicine — Transition to Practice

TTP4 Providing consultation to off-site health care providers

Key Features:

- This EPA focuses on the interactions with health care providers from another institution/setting who are requesting a consultation for the purposes of ongoing care of a patient currently at their location.

- This EPA includes gathering information from the consulting physician to make a clinical assessment, assessing the resources required by the patient and the resources available at the consulting location and advising regarding ongoing care which may include suitability and timing of transfer as well as stabilization for and modality of transportation.

Suggested Assessment Plan:

Direct or indirect observation (review of case summary) by supervisor

Use Form 1. Form collects information on:
- Type of observation: direct; indirect (e.g. review of documents)
- Decision to transfer: yes; no
- Patient acuity: ward; emergency room; ICU/CCU

Collect 2 observations of achievement
- At least 1 transfer to ward
- At least 1 transfer to ICU/CCU

Milestones

• COM 2.3. Request and synthesize patient information gathered by another health professional

• ME 2.2. Interpret clinical information gathered by another health professional, along with the results of investigations, for the purposes of diagnosis and management

• ME 2.4. Determine the setting of care appropriate for the patient’s health needs

• L 2.1. Apply knowledge of the health care resources available in other care settings

• COL 3.1. Determine when a patient should be transferred to ensure optimal patient care

• ME 2.4. Establish a plan for ongoing care in the local setting and/or for care prior to and during transfer

• COL 3.2. Recognize and act on patient safety issues in the transfer of care

• COL 1.2. Negotiate overlapping and shared responsibilities with physicians and other colleagues in the health care professions