Adult Rheumatology — Core of Discipline

C9 Leading the provision of care for patients on a rheumatology service

Key Features:
- This EPA includes all aspects of leading an inpatient consultation service including responsibility for urgent consultation requests, patient handover, collaboration with other services, continuity of care, and professionalism.
- This EPA also includes managing, teaching, and providing feedback to the other learners on the team.
- The observation of this EPA must be based on both direct (3-way telephone consult, handover meeting, rheumatology service team meeting) and indirect (review of handover notes, case discussion, feedback from junior trainees or peers) observation.

Assessment Plan:
Direct and/or indirect observation by supervisor, incorporating feedback from other physicians and/or learners
Use Form 1.
Collect feedback on at least 2 occasions
- At least 2 assessors

Form

F1: Observation

Milestones

• ME 1.4. Perform relevant clinical assessments in a time-effective manner

• 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

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

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

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

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

• HA 1.1. Facilitate timely patient access to services and resources

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

• COL 2.1. Show respect toward other health professionals

• COL 1.3. Communicate effectively with physicians and other health care professionals

• L 4.1. Set priorities and manage time to fulfil diverse responsibilities including clinical, administrative, supervisory, and teaching responsibilities

• S 2.3. Balance supervision and graduated responsibility, ensuring the safety of patients and learners

• S 2.1. Recognize the influence of role-modelling and the impact of the formal, informal, and hidden curriculum on learners

Context Variables

No context variables defined.

Requirements

• Collect feedback on at least 2 occasions (minimum 2)
• At least 2 assessors (minimum 2)
  • Counted once per distinct Assessor