MED 8710: Core Experiences
Internal Medicine Core Rotation
Academic Year 2023-2024
Class of 2025

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: Contribute to a culture of safety and improvement.
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 EPAs 1-13 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 cards (T-Res): 2 per week
Prescribed clinical experience 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 (varies by site, see below)*
• Mini-CEX

* The number of ITARs varies among sites as follows:

St. John’s, NL

ITAR

4-week ITAR

4-week ITAR

2-week ITAR

Saint John, NB

ITAR

6-week ITAR

3-week ITAR

2-week ITAR

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.

Original work, completed wholly by the learner, is expected to be submitted in this course. The use of an artificial intelligence tool like chatGPT is not permitted.

Version date: March 10, 2023
Review by SAS: April 26, 2023
Approved by UGMS: May 17, 2023