Transition to Discipline

Key Features

• This EPA focuses on clinical assessment, verifying the skills achieved in medical school, including performing a basic history and physical examination and presenting the case.

• This EPA does not include correct diagnosis, management, or communication of the plan with the patient/family.

Assessment Plan

• Direct observation of the history and physical by supervisor or senior resident

Collect 4 observations of achievement

• At least 1 neonate or infant

• At least 1 preschool or school age

• At least 1 adolescent

• At least 2 observations by supervisor

• At least 2 observations of a complete encounter that includes history, physical, and presentation

• At least 1 observation of a complete encounter by supervisor

Key Features

• This EPA focuses on written documentation of orders for assessment and management of any patient, after discussing the case with supervisor or a senior resident.

• This includes taking into account patient characteristics to adapt the assessment plan and/or dosing, and using the appropriate order structure and local order entry system.

• This EPA includes ordering diagnostic tests as well as treatments, such as intravenous fluids, medications, and diet/nutrition.

• This EPA may be observed in simulation.

Assessment Plan

• Review of clinical documentation by supervisor or senior resident

Collect 6 observations of achievement

• A variety of age groups

• At least 1 neonate/infant

• At least 1 child/adolescent

• At least 1 medication/prescription order

• At least 1 intravenous fluids order

• At least 1 diagnostic test

• At least 1 diet/nutrition order

• At least 3 observations by supervisor