EPAs for Clinical Rotations (PGY1)

EPAs for Clinical Rotations (PGY1) Anatomical Pathology

D-4 Creating a personal teaching and learning plan
 
Key Features:

Relevant Milestones:

Part A: Clinical training portfolio

1. S 1.2 Use feedback to enhance self-assessment and improve learning

2. S 1.1 Create a learning plan in collaboration with a designated supervisor identifying learning needs related to Anatomical Pathology and career goals

3. S 1.1 Use technology to support learning in medicine 

Part B: Personal learning project

1. S 1.2 Identify and record learning needs that arise in daily work, and apply strategies to address those gaps
2. S 3.3 Identify relevant sources of information
3. S 3.3 Determine the validity and risk of bias in a source of evidence
4. S 4.5 Summarize and communicate to peers the findings of a literature search 

Suggestions for how to achieve:

Part A: Clinical training portfolio

Collect 1 observation of achievement 

EPAs for Clinical Rotations (PGY1)

Part B: Personal learning project Direct observation by supervisor

Collect 1 observation of achievement 

1. ME 1.1 Demonstrate compassion for patients

2. ME 2.2 Perform a physical exam that informs the diagnosis

3. ME 2.2 Select and/or interpret investigations

4. ME 2.2 Develop a differential diagnosis

5. ME 2.2 Synthesize and organize clinical information for clear and succinct presentation to supervisor

6. ME 2.4 Identify and/or monitor key clinical features in the implementation of a management plan

7. COM 3.1 Convey information to the patient and/or family clearly and compassionately

8. COM 3.1 Verify and validate the patient’s and/or family’s understanding of their care

9. COL 1.2 Work effectively as a member of the clinical team

10. COM 4.1 Document the essential elements of a clinical encounter using a structured approach

11. P 1.1 Complete assigned responsibilities 

Suggestions for how to achieve:

Collect at least 10 observations of achievement -

C-14 Teaching health care professionals and colleagues 
 
Key Features:

-This EPA focuses on the skills of critical appraisal as well as presentation and teaching skills 
 
Relevant Milestones:

1. S 2.4 Identify the learning needs and desired learning outcomes of others
2. S 2.4 Develop learning objectives for a teaching activity
3. S 3.3 Critically evaluate the integrity, reliability and applicability of health related research and literature
4. S 3.4 Integrate best evidence and clinical expertise
5. S 2.4 Present the information in an organized manner to facilitate understanding
6. S 2.4 Use audiovisual aids effectively
7. S 2.4 Provide adequate time for questions and discussion 

 
Suggestions for how to achieve:

C-18 Participating in direct patient care activities that highlight clinicopathological correlation 
 
Key Features:

1. ME 1.3 Apply a broad base and depth of knowledge in the clinical and biomedical sciences to perform a pathology consultation
2. ME 2.2 Gather and synthesize patient information to establish the clinical question
3. ME 2.2 Develop a differential diagnosis
4. ME 2.2 Select and recommend pathology investigations, including molecular pathology
5. COM 3.1 Convey information to patients and families about pathology tests results clearly and compassionately
6. ME 3.4 Recognize patterns of familial cancer syndromes, using or suggesting appropriate ancillary tests to guide genetic counselling
7. COL 1.1 Establish positive relationships with other members of the health care team
8. COL 1.3 Provide advice to clinical colleagues regarding specimen procurement and handling
9. COL 1.3 Convey information from the pathology assessment to clinicians in a manner that enhances patient management
10. COL 1.3 Support clinical colleagues in the development and implementation of a management plan, as appropriate
11. HA 1.1 Respond to individual patient diagnostic needs and issues as part of patient care
12. ME 1.6 Demonstrate insight into their own limits of expertise 

 
Part B: CPC conferences

1. ME 1.4 Synthesize cases for discussion at multidisciplinary rounds
2. ME 2.2 Apply tumor staging thresholds and other important prognostic parameters in synoptic reporting in order to position patients in treatment algorithms
3. COL 1.3 Convey information from the pathology assessment to clinicians in a manner that enhances patient management
4. S 3.4 Integrate best evidence and clinical expertise into decision-making
5. COL 1.3 Support clinical colleagues in the development and implementation of a management plan, as appropriate
6. HA 1.1 Respond to individual patient diagnostic needs and issues as part of patient care
7. P 1.1 Exhibit appropriate professional behaviours
8. ME 1.6 Demonstrate insight into their own limits of expertise 

 
Suggestions for how to achieve:

- Part A: Clinical setting  

Direct observation and/or case discussion by supervisor, this may include clinicians, pathologists, or senior trainees (TTP residents, fellows) in clinical or pathology disciplines