MED 8710: Core Experiences
Discipline: Emergency Medicine
Academic Year 2025-2026
Class of 2027

Assessment Plan

Entrustable Professional Activities (EPAs) assessed in Emergency Medicine:

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.

Learning Objectives

Prescribed clinical experiences for Emergency Medicine (EM)

The Emergency Medicine rotation consists of both adult and pediatric learning experiences. Learners at the St. John’s site complete an adult EM block and a separate pediatric EM block. Learners at rural sites complete a combined rotation with concurrent adult and pediatric EM experiences. The assessment is tailored to the rotation site.

Formative Assessment

All sites

• Emergency Medicine Shift Assessment Cards (T-Res)
• Emergency Medicine Teaching modules: completion is mandatory

At the conclusion of each EM clinical shift the learner will receive verbal and written feedback in the form of an EM Shift Assessment Card via T-Res. The learner must submit all completed EM Shift Assessment Cards no later than one week following each shift. All EM Shift Assessment Cards must be submitted prior to the completion of the rotation in order to successfully complete the rotation. Learners are required to notify the EM APA about all missed shifts. Learners must email or call directly and confirm that the message was received by the APA, as this may be relevant to their completion of the rotation.

Summative Assessment

St. John’s site

• Mini-Clinical Evaluation Exercise (Mini-CEX)
• Summative In-Training Assessment Report (ITAR) for pediatric learning experiences
• Feedback from preceptors for adult learning experiences

Rural site

• Mini-Clinical Evaluation Exercise (Mini-CEX)
• Summative In-Training Assessment Report (ITAR) for adult and pediatric learning experiences

During the second half of the rotation learners will be required to participate in a Mini-Clinical Evaluation Exercise (Mini-CEX) where their patient interaction will be observed and assessed by their staff physician on shift. The learner will receive verbal and written feedback on their performance.

The Clerkship Discipline Coordinator compiles the final summative ITAR based on the assessments completed during the Emergency Medicine Core rotation.

All aspects of this assessment plan will be collated and presented at the Phase 4 Comprehensive Reviews at 6, 9, and 12 months. Learners need to complete all items listed in the above assessment plan at a satisfactory level as determined by the discipline to meet the criteria for continued progress throughout the Core Experiences course.

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 27, 2025
Review by SAS: April 30, 2025
Approved by UGMS: May 21, 2025