TTP 2: Managing the longitudinal aspects of patient care in a general pediatric outpatient setting

Key Features

• This EPA focuses on the longitudinal management of a general pediatric outpatient clinic in the role of the physician most responsible for patient care.
• This includes responsibility for medical care decisions, time and caseload management, follow-up on investigations and accessibility in between clinic visits.
• The observation of this EPA is not based on a single patient encounter, but rather on the resident performance over a period of time.

Assessment Plan

Direct and/or indirect observation by supervisor(s), with input from nurse, clerk +/- other health care professionals

Use form 3.

Collect observations at 1-3 months intervals with at least 2 observations of achievement.

CanMEDS milestones

1. ME 2.2 Select investigation strategies demonstrating awareness of availability and access in the outpatient setting
2. ME 2.4 Formulate treatment plans that are suitable for implementation in the outpatient setting
3. S 3.4 Integrate best evidence and clinical expertise into decision-making
4. COL 1.3 Provide accurate, timely and relevant written information to the referring/primary care physician
5. L 4.1 Manage time effectively to maintain clinic flow
6. COL 1.2 Work effectively with outpatient clinic staff and managers
7. P 1.1 Respond punctually to requests from patients or other health care professionals
8. L 4.2 Manage clinic booking and scheduling
9. L 4.1 Review and act on incoming test results in a timely manner
10. L 4.2 Describe remuneration models relevant to Pediatric