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Transition to PracticeQueen’s Emergency Medicine CBME
ANDREW K. HALL MD, FRCPC
ASSISTANT PROFESSOR AND FRCPC PROGRAM CBME LEAD
DEPT. EMERGENCY MEDICINE, QUEEN’S UNIVERSITY
SEPT 23, 2015 – CBME WORKSHOP II
Exam
Competency-based Model:
5 years
Transition to Specialty
Foundations of Discipline
Core of Discipline Transition to Practice
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Experience with CBME transition to date…
Queen’s EM July 2017 ALL Canadian EM programs July 2018
SOOOO….
Queen’s EM CBME Transition
Queen’s EM is transitioning only 1 year ahead of the rest of the country
Isolation
Underwent local Delphi to develop Scope of Practice EPAs Issue of granularity
Had hoped to collaborate nationally and expedite the national process of EPA development
BUT….
Queen’s EM CBME Transition
Royal College cautioned us against proceeding
Decided to expediate Specialty Committee process of Development of EPAs to Jan/Feb 2016
How to proceed locally?
Our transition to CBME…
Exam
Competency-based Model:
5 years
Transition to Specialty
Foundations of Discipline
Core of Discipline Transition to Practice
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Entrustable Professional
Activities (EPAs)
Competencies
Learning Experiences
and Assessments
Milestones
Transition to Discipline Foundations of Discipline Core of Discipline Transition to PracticeDuration 2 months (July-Aug) PGY1-2 PGY3-4 PGY-5
EPAs ResuscitationAcute Care (Med/Surg/Psych/Peds)ProceduresED Patient Encounter
ResuscitationAcute Care (Med/Surg/Psych/Peds)Ambulatory CareProceduresDiagnostic InvestigationsConsultationDocumentationResearch and Literature
ResuscitationAcute Care (Med/Surg/Psych/Peds)Special Concepts (Ex Palliation, Tox, etc.)Ambulatory CareProceduresDiagnostic InvestigationsConsultationDocumentationED Management and TriageHealthcare TeamEMS and DisasterResearch and LiteratureEducation
Consultation and DispositionDocumentationED Management and TriageHealthcare TeamED Advocacy and Community SupportEMS and DisasterResearch and LiteratureAdministrationEducation
EM Learning Activities
Emergency Medicine Clinical ShiftsJr Resus RoundsSummer Seminar Series / Bootcamp
Emergency Medicine Clinical ShiftsCore RoundsJr Resus RoundsJournal Club AttendeeCAT Project
Emergency Medicine Clinical ShiftsCore RoundsJr Resus Rounds InstructionSr Resus RoundsJournal Club AdministrationAdvanced Research Project (optional)Medical Student Curriculum Teaching
Core Rounds InstructionEmergency Medicine Jr Attending Shifts Emergency Medicine Teaching ShiftsAdministration
Off-service Rotations
ICUAnesthesiaNeurosurgeryPlastic SurgeryPsychGeneral SurgeryObstetrics and GynecologyInternal MedicinePediatric EM
TraumaCardiologyPediatric EMToxicology ?Fellowship/Advanced Training
TraumaElectives ?Fellowship/Advanced Training
Assessments Work-place based assessmentsSimulation OSCEProcedural Assessments
Work-place based assessmentsPre-rounds written examsBruder written examsNational In-training examSimulation OSCEPractice OralsSelf-assessmentResident Research Day feedback360 evals
Work-place based assessmentsPre-round written examsBruder written examsNational In-training examSimulation OSCEPractice OralsSelf-assessmentResident Research Day evaluationJournal Club evaluation360 evaluationsMedical Student Teaching evaluationFRCPC Examination
Work-place based assessmentsSimulation OSCETeaching Shift Evaluations
TRANSITION TO PRACTICE EM EPAS
Seek appropriate consultation referral to other health professionals Assemble and convey medical information effectively and professionally from
and to other caregivers, agencies, patients and their family members. Manage the ED and triage patients to optimize patient care Participate effectively and appropriately within an inter-professional and
multidisciplinary health care team. Respond to individual patient, population, and community health needs as it
relates to the delivery of ED care in the region. Provide on-line supervision and direction for all Emergency Medical Services
(EMS), including transport/transfer, disaster management, medical directives, and specific patient management.
Critically evaluate new research, integrate medical advances into practice, and contribute to the creation and dissemination of new knowledge and clinical practices
Demonstrate and understanding of administrative issues related to Emergency Medicine at local, regional, national and international levels
Manage the education of students, residents and other health professionals in the Emergency Department
