Internal Medicine — Rotations
Geriatrics
Site: MKH
EPAs mapped to this activity
For residents in C
| 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 |
| C3b. Providing internal medicine consultation to other clinical services - Part B: Written consultation note | Optional |
| C5. Performing the procedures of Internal Medicine | When Possible |
| C6. Assessing capacity for medical decision-making | Priority |
| C8. Caring for patients who have experienced a patient safety incident (adverse event) | When Possible |
| C9a. Caring for patients at the end of life - Part A: Symptom Management in End of Life | Priority |
| C9b. Caring for patients at the end of life - Part B: Discussion about transition away from disease modifying treatment | Priority |
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 | Required |
| 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 | Optional |
| 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 | ||||||
| 1.4.13. Medical aspects of specific situations | ||||||
| 1.4.13.6. The elderly | ||||||
| 1.4.13.6.1. Symptoms | ||||||
| 1.4.13.6.1.1. Constipation | ||||||
| 1.4.13.6.1.2. Depression | ||||||
| 1.4.13.6.1.3. Delirium | ||||||
| 1.4.13.6.1.4. Falls and immobility | ||||||
| 1.4.13.6.1.5. Frailty and failure to thrive | ||||||
| 1.4.13.6.1.6. Gait instability | ||||||
| 1.4.13.6.1.7. Urinary and fecal incontinence | ||||||
| 1.4.13.6.2. Disorders | ||||||
| 1.4.13.6.2.1. Dementia including Alzheimer’s disease, Lewy-body, vascular, and frontal lobe dementias | ||||||
| 1.4.13.6.2.2. Nutritional deficiencies | ||||||
| 1.4.13.6.2.3. Neglect/abuse | ||||||
| 1.4.13.6.3. Therapies | ||||||
| 1.4.13.6.3.1. Rational drug prescribing | ||||||
Training experiences included in this activity
Core of Discipline
Required1.2. Ambulatory care: clinic and/or day hospital. This must include experience with a broad spectrum of conditions as well as patients with complex disorders
1.7. Internal medicine in a community based setting
Optional
4.2.1. Care for vulnerable/marginalized populations
Transition to Practice
Required1.4. Community based Internal Medicine
Recommended
3.5. Experience in any subspecialty of Internal Medicine. This may be inpatient or ambulatory care