MED 8710: Core Experiences
Rural Family 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 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

• Required clinical experiences (T-Res) - Learning objectives, including Mandatory Procedures to be completed while on Core Family.
• Learn-FM Cases
• Mid-term assessment (formative ITAR)
• Weekly clinic cards (T-Res): 1 per week
• Mini-CEX
• Rourke Baby Record – 18 Month E-module
• RFM Final Exam – (Formative)

 
Summative assessment

• Final ITAR                                         
• Academic Half Day participation and presentation

All T-Res patient experiences and all weekly clinic cards must be completed. Academic Half Day Seminars will be assessed on the quality of the case presentation (comprehensiveness, quality of visual material, knowledge of content, presentation skills and engagement of participants), and on weekly participation.
 
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.
 
Definition of rural site
 
For the province of Newfoundland and Labrador, a rural site is defined as having a population of less than 50,000 people and not within a one hour commute of a population centre exceeding 100,000. For the province of New Brunswick, rural includes any location outside the main centers of New Brunswick (Moncton, Saint John, Fredericton).
 


Version date: March 2, 2022
Reviewed by SAS: April 27, 2022
Approved by UGMS: May 18, 2022