MED 8710: Core Experiences
Internal 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
Clinical Evaluation cards (T-Res): 2 per week
Prescribed clinical experiences records (T-res)
SIMPLE cases (Aquifer): must complete 8
 
Summative assessment
Learners are assessed regularly throughout the Internal Medicine rotation. As learners complete their rotation across different sites, the distribution of In-Training Assessment Reports (ITARs) differs depending on the length of the rotation.
 
The summative assessment consists of:

• ITARs (various by site, see below)*
• Mini-CEX

* The number of ITARs varies among sites as follows:
 
St. John’s, NL

 
Saint John, NB

 
Moncton, NB
Number of ITARs is individualized to learner’s schedule.
 
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 10, 2022
Reviewed by SAS: April 27, 2022
Approved by UGMS: May 18, 2022