EPAs

Internal Medicine EPAs

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Transition to Discipline

  • EPA 1
    Performing histories and physical exams, documenting and presenting findings, across clinical settings for initial and subsequent care.
  • EPA 2
    Identifying and assessing unstable patients, providing initial management, and obtaining help.

Foundations

  • EPA 1
    Assessing, diagnosing, and providing initial management for patients.
  • EPA 2
    Managing patients admitted to acute care settings with common medical problems and advancing their care plans.
  • EPA 3
    Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan.
  • EPA 4
    Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings.
  • EPA 5
    Assessing unstable patients, providing targeted treatment and consulting as needed.
  • EPA 6
    Discussing and establishing patients’ goals of care.
  • EPA 7
    Identifying personal learning needs while caring for patients, and addressing those needs.

Core

  • EPA 1
    Assessing, diagnosing, and managing patients with complex or atypical acute medical presentations.
  • EPA 2
    Assessing and managing patients with complex chronic conditions.
  • EPA 3
    Providing internal medicine consultation to other clinical services.
  • EPA 4
    Assessing, resuscitating, and managing unstable and critically ill patients.
  • EPA 5
    Performing the procedures of Internal Medicine.
  • EPA 6
    Assessing capacity for medical decision-making
  • EPA 7
    Discussing serious and/or complex aspects of care with patients, families, and caregivers.
  • EPA 8
    Caring for patients who have experienced a patient safety incident (adverse event).
  • EPA 9
    Caring for patients at the end of life.
  • EPA 10
    Implementing health promotion strategies in patients with or at risk for disease.
  • EPA 11
    Supervising junior learners in the clinical setting.

Transition to Practice

  • EPA 1
    Managing an inpatient medical service.
  • EPA 2
    Managing longitudinal aspects of care in a medical clinic.
  • EPA 3
    Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment.
  • EPA 4
    Providing consultation to off-site health care providers.
  • EPA 5
    Initiating and facilitating transfers of care through the health care system.
  • EPA 6
    EPA: Working with other physicians and healthcare providers to develop collaborative patient care plans.
  • EPA 7
    Identifying learning needs in clinical practice, and addressing them with a personal learning plan.
  • EPA 8
    Identifying and analyzing system-level safety, quality, or resource stewardship concerns in healthcare delivery.