Ambulatory ITAR

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Ambulatory Pediatrics ITAR

Scale:

1: unsatisfactory

* well below expected level

2: marginal

3: good

4: very good

5: excellent additional work needed performance at the expected level area of strength exceptional performance

Family Medicine Expert

Demonstrates an appropriate pediatric knowledge base

Gathers relevant information (e.g. through history and physical) and uses that information to generate appropriate differential diagnoses

Demonstrates knowledge of normal range of findings in the physical examination of children

Demonstrates knowledge of normal childhood growth and developmental milestones

Demonstrates skill in the provision of period health exams to infant, children and adolescents

Utilizes common screening tests, including for scoliosis, strabismus, hearing, blood pressure, etc

Demonstrates knowledge of immunization protocols and the risks, benefits and adverse effects of immunization

Integrates health promotion for varying age groups [e.g., healthy active living, injury prevention, supportive home environment, sexual development and health, and adolescent risk-taking behaviours (HEADDSS)]

Appropriately assesses and manages children and adolescents presenting with common

(key) conditions

Able to diagnose and manage key pediatric mental health issues

Provides appropriate advice and reassurance to parents regarding common infectious diseases which do not routinely require medical attention or antibiotic therapy

Prescribes appropriate medications and dosages considering patient age, weight and other parameters

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:

(Note: final decisions regarding ‘entrustrability’ will be made by the program)

18. Provide family medicine centered care to newborns in the first weeks of life.

19. Provide a periodic health exam and preventative care of infants, children and adolescents.

20. Assess, manage and follow-up infants, children and adolescents presenting with common (key) conditions.

* must provide comment when selecting

Data sources :

Number of field notes used for this evaluation: ____

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