Internal Medicine EPAs

(Full document found here)

Transition to Discipline

• EPA 1
  Performing histories and physical exams, documenting and presenting findings, across clinical settings for initial and subsequent care.
• EPA 2
  Identifying and assessing unstable patients, providing initial management, and obtaining help.

Foundations

• EPA 1
  Assessing, diagnosing, and providing initial management for patients.
• EPA 2
  Managing patients admitted to acute care settings with common medical problems and advancing their care plans.
• EPA 3
  Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan.
• EPA 4
  Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings.
• EPA 5
  Assessing unstable patients, providing targeted treatment and consulting as needed.
• EPA 6
  Discussing and establishing patients’ goals of care.
• EPA 7
  Identifying personal learning needs while caring for patients, and addressing those needs.

Core

• EPA 1
  Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations.
• EPA 2
  Assessing and managing patients with complex chronic conditions.
• EPA 3
  Providing internal medicine consultation to other clinical services.
• EPA 4
  Assessing, resuscitating, and managing unstable and critically ill patients.
• EPA 5
  Performing the procedures of Internal Medicine.
• EPA 6
  Assessing capacity for medical decision-making
• EPA 7
  Discussing serious and/or complex aspects of care with patients, families, and caregivers.
• EPA 8
  Caring for patients who have experienced a patient safety incident (adverse event).
• EPA 9
  Caring for patients at the end of life.
• EPA 10
  Implementing health promotion strategies in patients with or at risk for disease.
• EPA 11
  Supervising junior learners in the clinical setting.

Transition to Practice

• EPA 1
  Managing an inpatient medical service.
• EPA 2
  Managing longitudinal aspects of care in a medical clinic.
• EPA 3
  Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment.
• EPA 4
  Providing consultation to off-site health care providers.
• EPA 5
  Initiating and facilitating transfers of care through the health care system.
• EPA 6
  EPA: Working with other physicians and healthcare providers to develop collaborative patient care plans.
• EPA 7
  Identifying learning needs in clinical practice, and addressing them with a personal learning plan.
• EPA 8
  Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery.