Internal Medicine — Rotations

Gastroenterology

Sites: Amiri, Farwaniya, MKH

EPAs mapped to this activity

For residents in F

C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management	Required
C5. Performing the procedures of Internal Medicine	When Possible
C8. Caring for patients who have experienced a patient safety incident (adverse event)	When Possible
F1. Assessing, diagnosing, and providing initial management for patients with common acute medical presentations in acute care settings	Required
F2a. Managing patients admitted to acute care settings with common medical problems and advancing their care plans- Part A: Patient Assessment and Management	Required
F2b. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part B: Communication with Patient/Family	Optional
F2c. Managing patients admitted to acute care settings with common medical problems and advancing their care plans - Part C: Handover	Optional
F5. Assessing unstable patients, providing targeted treatment and consulting as needed	Priority
F7. Identifying personal learning needs while caring for patients, and addressing those needs	Required

For residents in C

C1. Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations	Required
C10. Implementing health promotion strategies in patients with or at risk for disease	Optional
C2a. Assessing and managing patients with complex chronic conditions - Part A: Assessment, Diagnosis, and Management	Required
C3a. Providing internal medicine consultation to other clinical services - Part A: Patient Assessment and Decision-Making	Required
C3c. Providing internal medicine consultation to other clinical services - Part C: Oral Communication with referring physician	Optional
C4a. Assessing, resuscitating, and managing unstable and critically ill patients - Part A: Patient Care	Required
C5. Performing the procedures of Internal Medicine	When Possible
C6. Assessing capacity for medical decision-making	Optional
C8. Caring for patients who have experienced a patient safety incident (adverse event)	When Possible

For residents in TTP

TTP1a. Managing an inpatient medical service - Part A: Overall Patient Care	Optional
TTP1b. Managing an inpatient medical service - Part B: Interprofessional Care	Optional
TTP3. Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment	Priority
TTP4. Providing consultation to off-site health care providers	Optional
TTP5. Initiating and facilitating transfers of care through the health care system	Optional
TTP6. Working with other physicians and healthcare providers to develop collaborative patient care plans	Priority
TTP7. Identifying learning needs in clinical practice, and addressing them with a personal learning plan	Required
TTP8. Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery	Required

Competencies covered in this activity

1. Practise medicine within their defined scope of practice and expertise
	1.4. Apply knowledge of the following systems, clinical scenarios, conditions, diseases and therapies applicable to Internal Medicine, including the manifestations, investigation, and management
		1.4.4. Gastrointestinal and hepatobiliary
			1.4.4.1. Symptoms
				1.4.4.1.1. Acute and chronic abdominal pain
				1.4.4.1.2. Dysphagia
				1.4.4.1.3. Nausea and vomiting
				1.4.4.1.4. Regurgitation
			1.4.4.2. Findings and investigations
				1.4.4.2.1. Ascites
				1.4.4.2.2. Encephalopathy
				1.4.4.2.3. Jaundice
				1.4.4.2.4. Abnormal liver tests
			1.4.4.3. Disorders
				1.4.4.3.1. Acute and chronic constipation
				1.4.4.3.2. Acute and chronic diarrhea
				1.4.4.3.3. Bacterial peritonitis
				1.4.4.3.4. Intestinal obstruction
				1.4.4.3.5. Malabsorption syndromes
				1.4.4.3.6. Upper and lower gastrointestinal bleeding
				1.4.4.3.7. Esophageal
					1.4.4.3.7.1. Gastroesophageal reflux and its complications
					1.4.4.3.7.2. Hiatus hernia
					1.4.4.3.7.3. Motility disorders
					1.4.4.3.7.4. Varices
					1.4.4.3.7.5. Neoplasms
				1.4.4.3.8. Gastroduodenal disease
					1.4.4.3.8.1. Gastritis
					1.4.4.3.8.2. Motility disorders
					1.4.4.3.8.3. Peptic ulcers
					1.4.4.3.8.4. Neoplasms
				1.4.4.3.9. Small and large intestine
					1.4.4.3.9.1. Diseases causing malabsorption, including celiac disease
					1.4.4.3.9.2. Diverticular disease
					1.4.4.3.9.3. Infectious diseases
					1.4.4.3.9.4. Inflammatory bowel disease
					1.4.4.3.9.5. Irritable bowel syndrome
					1.4.4.3.9.6. Neoplasms: small intestine and colorectal
				1.4.4.3.10. Hepatic
					1.4.4.3.10.1. Acute and chronic hepatitis
					1.4.4.3.10.2. Cirrhosis and its complications
					1.4.4.3.10.3. Neoplasms: primary and metastatic
				1.4.4.3.11. Biliary tract disease
					1.4.4.3.11.1. Cholelithiasis and its complications
					1.4.4.3.11.2. Sclerosing cholangitis
					1.4.4.3.11.3. Neoplasms
				1.4.4.3.12. Pancreatic disease
					1.4.4.3.12.1. Acute and chronic pancreatitis
					1.4.4.3.12.2. Neoplasms

Training experiences included in this activity

Foundation of Discipline

Required
1.3. Any ambulatory care clinic in Internal Medicine or its subspecialties

Recommended
3.2. Consultation service in a subspecialty of Internal Medicine

Core of Discipline

Required
1.2. Ambulatory care: clinic and/or day hospital. This must include experience with a broad spectrum of conditions as well as patients with complex disorders

Transition to Practice

Recommended
3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care