Pulmonary EPA Worksheet*
1. EPA Title
2. Description of the
activity
Demonstrate competence in performing the common procedures
of the pediatric pulmonary subspecialist
All pediatric pulmonologists need to be able to perform the
common procedures of the subspecialty. The ACGME currently
requires competence in interpretation of a variety of diagnostic
tests, including diagnostic imaging. The ACGME currently requires
competence in the performance of the following procedures: tests
of pulmonary function and evaluation of respiration during sleep,
bronchoscopy, mechanical ventilation and non-invasive
ventilation. The ACGME currently requires that fellows understand
the techniques of airway clearance and pulmonary rehabilitation.
In addition to technical skills, performing procedures requires:

3. Judicious mapping
to domains of
competence
4. Competencies
within each domain
critical to
entrustment
decisions
Medical knowledge including: the anatomy, physiology,
indications, risks, benefits, alternatives, and potential
complications of the procedure
 Management of post-procedure complications
 Management of pain and sedation for the procedure
 Interpretation of results of the procedure as indicated
 Communication with the patient and family that insures
informed consent as well as post procedure instructions
 Confidence that puts patients and families at ease
_X_ Patient Care
_X_ Medical Knowledge
___ Practice-based learning and Improvement
_X_ Interpersonal & Communication Skills
___ Professionalism
_X_ Systems-based Practice
_X_ Personal & Professional Development
PC 6: Clinical judgment
PC 8: Procedures
PC 9: Counseling
MK 1: Knowledge
ICS 6: Medical records
SBP 3: Cost awareness
PPD 1: Help-seeking
PPD 7: Self-confidence
*Modified from the work of Olle ten Cate
©2013. The American Board of Pediatrics.
(Updated-15_01_27)