Adult Rheumatology — Foundation of Discipline

F1 Assessing and providing initial diagnosis and treatment plans for patients with uncomplicated rheumatology presentations

Key Features:
- This EPA focuses on the initial assessment and management of patients with uncomplicated rheumatologic presentations, including conducting a rational assessment and creating a plan based on appropriate data synthesis and integration.

Assessment Plan:
Direct observation and/or case review by supervisor
Use Form 1. Form collects information on:
- Setting: inpatient; outpatient; emergency room; simulation
- Case mix: inflammatory arthritis; systemic rheumatologic disease; non-inflammatory MSK condition; crystal arthritis
Collect 4 observations of achievement
- At least 2 inflammatory arthritis
- At least 1 systemic rheumatologic disease
- At least 1 non-inflammatory MSK condition
- At least 2 assessors

Form

F1: Observation

Milestones

• COM 2.1. Use patient-centred interviewing skills to effectively gather all relevant information

• ME 2.2. Elicit a history and perform a relevant physical exam

• ME 2.2. Synthesize patient information to determine diagnosis

• ME 2.2. Select and/or interpret appropriate investigations

• ME 2.4. Develop management plans in the context of best evidence and guidelines

• ME 1.4. Present clinical findings in an organized and well synthesized manner

• COM 5.1. Document clinical encounters to convey clinical reasoning and the rationale for decisions

• ME 1.3. Apply knowledge of rheumatologic disease as it pertains to inflammatory arthritides, systemic rheumatologic diseases, and non-inflammatory MSK conditions

• COM 2.3. Seek and synthesize relevant information from other sources

• ME 2.2. Apply the clinical implication of test results, sensitivity/specificity, and pre- and post-test probabilities

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

Context Variables

• Setting (single-choice)
  • inpatient
  • outpatient
  • emergency room
  • simulation
• Case mix (single-choice)
  • inflammatory arthritis
  • systemic rheumatologic disease
  • non-inflammatory MSK condition
  • crystal arthritis

Requirements

• Collect 4 observations of achievement (minimum 4)
• At least 2 inflammatory arthritis (minimum 2)
  • Only counts when Case mix is inflammatory arthritis
• At least 1 systemic rheumatologic disease (minimum 1)
  • Only counts when Case mix is systemic rheumatologic disease
• At least 1 non-inflammatory MSK condition (minimum 1)
  • Only counts when Case mix is non-inflammatory MSK condition
• At least 2 assessors (minimum 2)
  • Counted once per distinct Assessor