Pediatric Emergency Medicine ITAR
*
Scale:
1: unsatisfactory
2: marginal
3: good
4: very good
5: excellent
well below expected level
additional work needed
performance at the expected level
area of strength
exceptional performance
Family Medicine Expert
 Demonstrates an appropriate knowledge base
 Gathers relevant information (e.g. through history and physical) and uses that information
to generate appropriate differential diagnoses
 Demonstrates skill in performing patient-centred clinical assessments with the goal of
establishing a management plan
 Recognizes and responds appropriately to urgent and emergent conditions
 Differentiates between patients requiring hospitalization and patients able to be managed
in the community.
 Performs patient-centered clinical assessment and manage patients presenting with
common conditions (see objectives)
 Diagnoses and manages key pediatric mental health issues
 Prescribes appropriate medications and dosages, considering patient age, weight and
other parameters

Appropriately performs family medicine specialty-appropriate procedures
Communicator
 Optimizes the physical environment for patient comfort, privacy, engagement and safety.
 Utilizes patient centred interviewing skills and seeks corroborating information as needed
 Adapts communication methods based on the age of the child.
 Communicates the plan of care clearly and accurately to patients and their families.
 Answers questions from patients and families to facilitate decision-making.
 Communicates in a clear and timely way across all domains (charting, letters, reports)
and mediums (oral, written, electronic).
Collaborator
 Seeks and appropriately responds to feedback from colleagues in the health professions.
 Recognizes the role and scope of practice of other health professionals
 Appropriately uses referral/consultations to support patient care.
 Demonstrates safe handover of the care of patients to other health care professionals.
Leader/Manager
 Considers costs of diagnostic and therapeutic interventions.
 Completes patient related paperwork effectively and in a timely fashion
Health advocate
 Identifies vulnerable or at-risk patients.
 Seeks appropriate community-based resources for patients.
Scholar
 Recognizes knowledge gaps and seeks appropriate resources to address these gaps.

Integrates best available evidence into clinical decision-making.
Professional
 Demonstrates professional behaviour.
 Demonstrates an approach to ethical issues encountered in practice.
 Attends to responsibilities and completes duties as required.
 Recognizes his/her limitations and seeks assistance appropriately
 Is consistently available and responds in a timely fashion when on call
Entrustrable Professional Activities (EPAs)
Please provide an opinion as to this resident’s ability to perform the following EPAs:
21. Recognize and provide initial management
of common pediatric emergencies.
22. Determine when a child or adolescent
requires admission and inpatient hospital care.
* must provide comment when selecting
Data sources:
Number of field/end-of-shift notes used for this evaluation: ____
Procedure log reviewed for this rotation: ____
5: can supervise
others *
4: “unsupervised”
practice
3: practice with
supervision on
demand
2: practice with full
supervision
1: cannot practice
the EPA *
(Note: final decisions regarding ‘entrustrability’ will be made by the program)