Date post: | 08-Jan-2018 |
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Pediatrics
Amy AckerMary Bouchard
• What we have done so far…
• What we hope to do…
Pediatric EPAs V1 “Scope of practice”
• 17 EPAs (“what should a general pediatrician be
able to do when they finish residency”)
Eg.1. Assess, diagnose and manage common acute problems in previously
well children.2. Evaluate, manage and co-ordinate care for children with complex
acute problems needing subspecialty care, including advocating for access to community resources.
3. Provide care for the medically complex newborn, infant or child in an inpatient care setting.
4. Lead and coordinate interdisciplinary care teams.
Length of stages
Transition to Discipline
Foundations of discipline
Core of discipline
Transition to Practice
~ 2 months
-Baseline assessment-“Level playing field”-Orientation/ boot camp-Buddy call
12-18 months
-Jr call -Data gathering and initial steps of analysis/ synthesis-Reporting/case presentation
12-18 months
-Transition to senior call -Synthesis and analysis of problem-Supervising-Teaching
6-12 months
-Refining skills-Supervisory role-Teaching role-Leadership skills
Mapping
Settings Foundations CorePatients-> Neonate infant/child teen Neonate infant/child teen
Outpatient
common acute n/a Amb/ER/Clinics Amb/ER/Clinics n/a Amb/ER/Clinics Amb/ER/Clinics
complex n/a Amb/ER/Clinics Amb/ER/Clinics n/a ER/Clinics ER/Clinics
chronic n/a Clinics Clinics n/a ER/Clinics ER/Clinics
Inpatient
common acute NNU/NICU Ward Ward NNU/NICU Ward Ward
complex NICU Ward Ward NICU PICU/PCCU PICU/PCCU
chronic NICU Ward Ward NICU Ward Ward
Communityundiff community hospital office office
community hospital office office
Pediatric Stage specific EPAs
• Transition to Discipline (2 months) = 1 EPA
• Foundation (12-18 months) = 14 EPAs
• Core (12-18 months) = 17 EPAs
• Transition to Practice (6-12 months) = 6 EPAs
• Total = 38 EPAs
Pediatric SS EPA example Stage Transition to
disciplineFoundation Core Transition to
practice
Stage-specific EPA
Perform basic assessments for children & adolescents across clinical settings
Assessment and diagnosis of common acute problems for previously well children & adolescents
Management of common acute problems in previously well children & adolescents
Management of outpatient services
Assessment & Evaluation Module Pilot• Piloting the new Assessment & Evaluation Module within MEdTech
Central
• Transition Process– Facilitating the transition to MEdTech Central– The unique position of Educational Consultant– Working with the Education Technology Unit
Assessment & Evaluation Module Pilot
• Features of a stress-free transition:– Communication & Support
• With faculty, residents, staff, and IT• Preemptive learning support systems e.g. “Quick Guides for
Assessors” and notifying staff of upcoming changes– Collaboration
• With other departments to help facilitate the development of new or improved MEdTech features
Assessment & Evaluation Module Pilot
•Ongoing Development – Working with MEdTech to create and modify specific features and
tools • e.g. Resident Progress Dashboard & Delegator Dashboard
•Troubleshooting– Catching potential issues ahead of time
• e.g. spreadsheet indicating assessors, targets, and forms for each block
– Resolving any issues that arise and providing alternative options if necessary (e.g. paper ITER)
Assessment & Evaluation Module Pilot
• Next steps for Pediatrics– Set up procedure logging– Encounter cards on MEdTech (+/- app)– Learning event evaluation (AHD, GR)– Multisource feedback options
Questions?