Pediatrics
Amy Acker
Mary Bouchard
• What we have done so far…
• What we hope to do…
Pediatric EPAs V1
“Scope of practice”
• 17 EPAs
(“what should a general pediatrician be
able to do when they finish residency”)
Eg.
1. Assess, diagnose and manage common acute problems in previously
well children.
2. Evaluate, manage and co-ordinate care for children with complex acute
problems needing subspecialty care, including advocating for access to
community resources.
3. Provide care for the medically complex newborn, infant or child in an
inpatient care setting.
4. Lead and coordinate interdisciplinary care teams.
Length of stages
Transition
to Discipline
~ 2 months
Foundations
of discipline
12-18 months
Core of
discipline
12-18 months
Transition to
Practice
6-12 months
-Baseline
assessment
-“Level playing
field”
-Orientation/
boot camp
-Buddy call
-Jr call
-Data gathering
and initial steps
of analysis/
synthesis
-Reporting/case
presentation
-Transition to
senior call
-Synthesis and
analysis of
problem
-Supervising
-Teaching
-Refining skills
-Supervisory role
-Teaching role
-Leadership skills
Mapping
Settings
Outpatient
Inpatient
Foundations
Patients->
Neonate
infant/child
teen
common
acute
n/a
Amb/ER/Clinics
complex
n/a
chronic
common
acute
Core
infant/child
teen
Amb/ER/Clinics n/a
Amb/ER/Clinics
Amb/ER/Clinics
Amb/ER/Clinics
Amb/ER/Clinics n/a
ER/Clinics
ER/Clinics
n/a
Clinics
Clinics
n/a
ER/Clinics
ER/Clinics
NNU/NICU
Ward
Ward
NNU/NICU
Ward
Ward
complex
NICU
Ward
Ward
NICU
PICU/PCCU
PICU/PCCU
chronic
NICU
Ward
Ward
NICU
Ward
Ward
office
community
hospital
office
office
Community undiff
community
hospital
office
Neonate
Pediatric Stage specific EPAs
• Transition to Discipline (2 months) = 1 EPA
• Foundation (12-18 months) = 14 EPAs
• Core (12-18 months) = 17 EPAs
• Transition to Practice (6-12 months) = 6 EPAs
• Total = 38 EPAs
Pediatric SS EPA example
Stage
Stagespecific
EPA
Transition to
discipline
Foundation
Perform basic
assessments for
children &
adolescents
across clinical
settings
Assessment and
diagnosis of
common acute
problems for
previously well
children &
adolescents
Core
Management of
common acute
problems in
previously well
children &
adolescents
Transition to
practice
Management
of outpatient
services
Assessment & Evaluation Module Pilot
• Piloting the new Assessment & Evaluation Module within MEdTech
Central
• Transition Process
– Facilitating the transition to MEdTech Central
– The unique position of Educational Consultant
– Working with the Education Technology Unit
Assessment & Evaluation Module Pilot
• Features of a stress-free transition:
– Communication & Support
• With faculty, residents, staff, and IT
• Preemptive learning support systems e.g. “Quick Guides for
Assessors” and notifying staff of upcoming changes
– Collaboration
• With other departments to help facilitate the development of new
or improved MEdTech features
Assessment & Evaluation Module Pilot
• Ongoing Development
– Working with MEdTech to create and modify specific features and
tools
• e.g. Resident Progress Dashboard & Delegator Dashboard
• Troubleshooting
– Catching potential issues ahead of time
• e.g. spreadsheet indicating assessors, targets, and forms for each
block
– Resolving any issues that arise and providing alternative options if
necessary (e.g. paper ITER)
Assessment & Evaluation Module Pilot
• Next steps for Pediatrics
– Set up procedure logging
– Encounter cards on MEdTech (+/- app)
– Learning event evaluation (AHD, GR)
– Multisource feedback options
QUESTIONS?