Pediatrics

Amy AckerMary 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

Foundations of discipline

Core of discipline

Transition to Practice

~ 2 months

-Baseline assessment-“Level playing field”-Orientation/ boot camp-Buddy call

12-18 months

-Jr call -Data gathering and initial steps of analysis/ synthesis-Reporting/case presentation

12-18 months

-Transition to senior call -Synthesis and analysis of problem-Supervising-Teaching

6-12 months

-Refining skills-Supervisory role-Teaching role-Leadership skills

Mapping

Settings Foundations CorePatients-> Neonate infant/child teen Neonate infant/child teen

Outpatient

common acute n/a Amb/ER/Clinics Amb/ER/Clinics n/a Amb/ER/Clinics Amb/ER/Clinics

complex n/a Amb/ER/Clinics Amb/ER/Clinics n/a ER/Clinics ER/Clinics

chronic n/a Clinics Clinics n/a ER/Clinics ER/Clinics

Inpatient

common acute NNU/NICU Ward Ward NNU/NICU Ward Ward

complex NICU Ward Ward NICU PICU/PCCU PICU/PCCU

chronic NICU Ward Ward NICU Ward Ward

Communityundiff community hospital office office

community hospital office office

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 Transition to

disciplineFoundation Core Transition to

practice

Stage-specific EPA

Perform basic assessments for children & adolescents across clinical settings

Assessment and diagnosis of common acute problems for previously well children & adolescents

Management of common acute problems in previously well children & adolescents

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?