FOD 6: Providing primary and secondary preventive health care

Key Features

• This EPA includes identifying opportunities and providing developmentally appropriate anticipatory guidance and preventive care for patients and their families.
• This includes guiding healthy habits (e.g., diet and nutrition, physical activity, sleep), preventing injuries and illness, advising regarding immunizations for children and contacts, performing appropriate screening, and supporting mental health.
• This EPA also includes applying knowledge of social determinants of health, dynamics of family functioning (including parental mental health), and the specific challenges faced by vulnerable populations.

Assessment Plan

Direct observation and/or case review by supervisor, subspecialty resident, senior resident, nurse practitioner or physician assistant

Use Form 1. Form collects information about:

• Observation type: direct; case review
• Age: neonate; infant; preschool; school age; adolescent
• Chronic disease: yes; no
• Vulnerable population: yes; no

Collect 5 observations of achievement

• At least 1 direct observation
• At least 1 from each age group
• At least 1 chronic disease
• At least 1 vulnerable population
• At least 2 different observers

CanMEDS milestones

1. ME 2.2 Assess a child’s growth and development
2. ME 2.2 Use screening tools and validated questionnaires, as applicable
3. ME 1.3 Apply knowledge of variations from typical growth, development and behavioural patterns
4. ME 2.2 Determine the patient’s status with respect to the immunization schedule
5. ME 2.2 Assess a patient’s and family’s health habits, access to health care, food and other resources, and other social determinants of health
6. ME 2.4 Provide counselling and anticipatory guidance, appropriate for age and developmental stage for healthy growth and development
7. COM 4.1 Incorporate the patient’s/family’s beliefs, values, preferences, context and expectations
8. ME 2.4 Develop a plan for primary and secondary prevention strategies as part of the child’s overall care
9. HA 1.1 Facilitate timely access to services and resources in the health and/or social system(s)
10. HA 1.2 Work with the patient and/or family to increase their understanding of their illness and health care needs
11. COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware
12. HA 1.2 Provide advice about appropriate educational resources
13. HA 1.3 Work with the patient and/or family to increase opportunities to adopt healthy behaviours