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

Assessment Plan

Entrustable Professional Activities (EPAs)  assessed in Internal 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.

EPA 14: Incorporate the relevant social determinants of health (SDoH) and cultural safety in relation to patient’s illness and management planning.

Learning Objectives

Prescribed clinical experiences for Internal Medicine

Formative assessment

Clinical cards (T-Res): 2 per week
Prescribed clinical experience records (T-Res)
SIMPLE cases (Aquifer): must complete 8
Mini-CEX
Academic Half-Day attendance

Completion of the Mini-CEX is mandatory. The assessment can be completed by a faculty or resident preceptor. If a learner has any identified learning needs based on their formative assessments, it is at the discretion of the Internal Medicine Clerkship Discipline Coordinator (CDC) to require a specific learning plan to address those.

Learners are encouraged to submit more than the minimum required clinic cards to best reflect their performance.

Summative assessment

Learners are assessed regularly throughout the Internal Medicine rotation. A summative ITAR is completed for each block by the primary preceptor as outlined below. The Internal Medicine CDC compiles the final ITAR based on the assessments completed for the rotation.

St. John’s

3-week ITAR St. Clare’s

3-week ITAR HSC

3-week ITAR Subspecialty

Learners completing 6 weeks at a rural site (Grand Falls) will have one summative ITAR completed for that block.

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 24, 2025
Review by SAS: April 30, 2025
Approved by UGMS: May 21, 2025