MED 8710: Core Experiences
Emergency Medicine Core Rotation
Class of 2024
Academic Year 2022-2023

Assessment Plan

All aspects of this assessment plan to be completed at a satisfactory level as determined by the discipline.
 
EPAs that are assigned in this rotation:
EPA 1: Obtain a history and perform a physical examination adapted to the patient’s clinical situation.
EPA 2: Formulate and justify a prioritized differential diagnosis.
EPA 3: Formulate an initial plan of investigation based on the diagnostic hypotheses.
EPA 4: Interpret and communicate results of common diagnostic and screening tests.
EPA 5: Formulate, communicate and implement management plans.
EPA 6: Present oral and written reports that document a clinical encounter.
EPA 7: Provide and receive the handover in transitions of care.
EPA 8: Recognize a patient requiring urgent or emergent care, provide initial management and seek help.
EPA 9: Communicate in difficult situations.
EPA 10: Participate in health quality improvement initiatives.
EPA 11: Perform general procedures of a physician.
EPA 12: Educate patients on disease management, health promotion and preventative medicine.
EPA 13: Collaborate as a member of an interprofessional team.
EPA 14: Incorporate the relevant social determinants of health (SDoH) and cultural safety in relation to patient’s illness and management planning.
 
Any of the 13 EPAs can be assessed if requested by the learner or preceptor, or assigned in the learning plan. EPA 14 is included as a pilot and can be assessed as deemed appropriate by the learner or preceptor. Inclusion of EPA 14 in any assessments is strongly encouraged but not required.
 
Formative Assessment

1. Emergency Medicine Shift Assessment Cards (T-Res)

 
At the conclusion of each EM clinical shift the learner will receive verbal and written feedback in the form of an EM Shift Assessment Card via T-Res.  The learner must submit all completed EM Shift Assessment Cards no later than one week following each shift so that they can be compiled for the Final Summative ITAR.  All EM Shift Assessment Cards must be submitted prior to the completion of the rotation in order to successfully complete the rotation. Learners are required to notify the EM APA about all missed shifts. Learners must email or call directly and confirm that the message was received by the APA, as this may be relevant to their completion of the rotation.
 
Summative Assessment

1. Emergency Medicine Shift Assessment Cards (T-Res)
2. Mini-Clinical Evaluation Exercise (Mini-CEX)
3. Final Summative In-Training Assessment Report (ITAR)

 
Completion of the Emergency Medicine Teaching modules is mandatory.
 
During the second half of the rotation learners will be required to participate in a Mini-Clinical Evaluation Exercise (Mini-CEX) where their patient interaction will be observed and evaluated by their staff physician on shift.  The learner will receive verbal and written feedback on their performance.
 
A final summative ITAR based on the Entrustable Professional Activities of Core Clerkship will be completed by the Clerkship Discipline Coordinator at the conclusion of the Emergency Medicine Core rotation.
 
Clinic card requirements by rotation:
Please note that these are the minimum required and it benefits the learner to request/record feedback at multiple opportunities to best reflect their performance.
 
All aspects of this assessment plan will be collated and presented at the Phase 4 Comprehensive Reviews at 6, 9, and 12 months.
 
 
Version date: March 2, 2022
Reviewed by SAS: April 27, 2022
Approved by UGMS: May 18, 2022