Rotation Objectives
As part of the on-going implementation of the Triple C competency-based curriculum, the In-Training Evaluation Reports (ITERs) have been modified to reflect the program competencies and entrustable professional activities.
Family Medicine - Urban (London)
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
A5. Perform common office procedures
A6. Provide care for vulnerable and underserviced populations
A7. Diagnose and manage pregnancy-related and post-partum conditions
A8. Provide appropriate virtual care
A9. Provide care for newborn infants
A10. Diagnose and manage palliative and end of life conditions
Residential
R1. Diagnose and manage palliative and end of life conditions
R2. Provide appropriate care in the home/retirement home/LTC setting
R3. Provide appropriate telephone triage and management within goals of care
Hospital – L & D
L1. Diagnose and manage common presentations at triage
L2. Assess and manage progress of labour (Stages 1, 2, and 3)
L3. Perform common procedures related to labour and delivery
L4. Provide hospital care and manage common postpartum presentations (to hospital discharge)
L5. Assess newborn infant and recognize need to escalate care as needed
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Leader Competencies
L1.1 Apply the science of quality improvement to contribute to improving systems of patient care
L1.2 Contribute to a culture that promotes patient safety
L2.2 Apply evidence and management processes to achieve cost-appropriate care
L3.1 Demonstrate leadership skills to enhance health care
L4.1 Set priorities and manage time to integrate practice and personal life
Scholar Competencies
S1.1 Develop, implement, monitor, and revise a personal learning plan to enhance professional practice
S2.4 Plan and deliver a learning activity
S2.5 Provide feedback to enhance learning and performance
S3.1 Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that address them
S3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
Family Medicine - Urban (Windsor)
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
A5. Perform common office procedures
A6. Provide care for vulnerable and underserviced populations
A7. Diagnose and manage pregnancy-related and post-partum conditions
A8. Provide appropriate virtual care
A9. Provide care for newborn infants
A10. Diagnose and manage palliative and end of life conditions
Residential
R1. Diagnose and manage palliative and end of life conditions
R2. Provide appropriate care in the home/retirement home/LTC setting
R3. Provide appropriate telephone triage and management within goals of care
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Leader Competencies
L1.1 Apply the science of quality improvement to contribute to improving systems of patient care
L1.2 Contribute to a culture that promotes patient safety
L2.2 Apply evidence and management processes to achieve cost-appropriate care
L3.1 Demonstrate leadership skills to enhance health care
L4.1 Set priorities and manage time to integrate practice and personal life
Scholar Competencies
S1.1 Develop, implement, monitor, and revise a personal learning plan to enhance professional practice
S2.4 Plan and deliver a learning activity
S2.5 Provide feedback to enhance learning and performance
S3.1 Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that address them
S3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
Family Medicine - Regional and Rural
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
A5. Perform common office procedures
A6. Provide care for vulnerable and underserviced populations
A7. Diagnose and manage pregnancy-related and post-partum conditions
A8. Provide appropriate virtual care
A9. Provide care for newborn infants
A10. Diagnose and manage palliative and end of life conditions
Residential
R1. Diagnose and manage palliative and end of life conditions
R2. Provide appropriate care in the home/retirement home/LTC setting
R3. Provide appropriate telephone triage and management within goals of care
Hospital – L & D
L1. Diagnose and manage common presentations at triage
L2. Assess and manage progress of labour (Stages 1, 2, and 3)
L3. Perform common procedures related to labour and delivery
L4. Provide hospital care and manage common postpartum presentations (to hospital discharge)
L5. Assess newborn infant and recognize need to escalate care as needed
Hospital – ER
E1. Diagnose and manage emergent presentations across the life cycle in the ED
E2. Diagnose and manage non-emergent presentations across the life cycle in the ED
E3. Recognize illness severity and changes in patient status and take appropriate steps
E4. Perform common ER procedures
E5. Assess and arrange patient discharge and follow-up
E6. Request consultations appropriately in the ED
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Leader Competencies
L1.1 Apply the science of quality improvement to contribute to improving systems of patient care
L1.2 Contribute to a culture that promotes patient safety
L2.2 Apply evidence and management processes to achieve cost-appropriate care
L3.1 Demonstrate leadership skills to enhance health care
L4.1 Set priorities and manage time to integrate practice and personal life
Scholar Competencies
S1.1 Develop, implement, monitor, and revise a personal learning plan to enhance professional practice
S2.4 Plan and deliver a learning activity
S2.5 Provide feedback to enhance learning and performance
S3.1 Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that address them
S3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
Rural Family Medicine
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
A5. Perform common office procedures
A6. Provide care for vulnerable and underserviced populations
A7. Diagnose and manage pregnancy-related and post-partum conditions
A8. Provide appropriate virtual care
A9. Provide care for newborn infants
A10. Diagnose and manage palliative and end of life conditions
Residential
R1. Diagnose and manage palliative and end of life conditions
R2. Provide appropriate care in the home/retirement home/LTC setting
R3. Provide appropriate telephone triage and management within goals of care
Hospital – ER
E1. Diagnose and manage emergent presentations across the life cycle in the ED
E2. Diagnose and manage non-emergent presentations across the life cycle in the ED
E3. Recognize illness severity and changes in patient status and take appropriate steps
E4. Perform common ER procedures
E5. Assess and arrange patient discharge and follow-up
E6. Request consultations appropriately in the ED
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Internal Medicine - Inpatient
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
General Surgery
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A5. Perform common office procedures
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Pediatrics - Ambulatory
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
Pediatrics - ER
Hospital – ER
E1. Diagnose and manage emergent presentations across the life cycle in the ED
E2. Diagnose and manage of non-emergent presentations across the life cycle in the ED
E4. Perform common ER procedures
E5. Assess and arrange patient discharge and follow-up
Hospital – In-patients
H2. Determine appropriateness for and complete hospital admission across the life cycles
Obstetrics
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A7. Diagnose and manage pregnancy-related and post-partum conditions
Hospital – L&D
L1. Diagnose and manage common presentations at triage
L2. Assess and manage progress of labour (Stages 1, 2, and 3)
L3. Perform common procedures related to labour and delivery
L4. Provide hospital care and manage common postpartum presentations (to hospital
discharge)
L5. Assess newborn infant and recognize need to escalate care as needed
Geriatrics - Ambulatory
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
Geriatrics - Hospital
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Geriatrics - Long-Term Care
Ambulatory
A1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle
A2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle
A3. Provide wellness and preventive care across the life cycle
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
Residential
R1. Diagnose and manage palliative and end of life conditions
R3. Provide appropriate telephone triage and management within goals of care
Emergency Medicine
Hospital – ER
E1. Diagnose and manage emergent presentations across the life cycle in the ED
E2. Diagnose and manage of non-emergent presentations across the life cycle in the ED
E3. Recognize illness severity and changes in patient status and take appropriate steps
E4. Perform common ER procedures
E5. Assess and arrange patient discharge and follow-up
E6. Request consultations appropriately in the ED
Palliative Care
Ambulatroy / Residential
R1. Diagnose and manage palliative and end of life conditions
Hospital – In-patients
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Psychiatry
Ambulatory
A4. Diagnose and manage common mental health presentations and diseases across the life cycle
A6. Provide care for vulnerable and underserviced populations
Hospital – ER / In-patients
E1. Diagnose and manage emergent presentations across the life cycle in the ED
E5. Assess and arrange patient discharge and follow-up
E6. Request consultations appropriately in the ED
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
Intensive/Critical Care
Hospital – In-patients
H1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
H2. Determine appropriateness for and complete hospital admission across the life cycles
H3. Establish goals of care
H4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
H5. Determine appropriateness for and complete hospital discharge
