Residency Objectives

Statement of Overall Goals of Residency Program

The family medicine residency-training program at Western University aims to graduate patient-centred and comprehensive family physicians, and develop future leaders for the discipline of family medicine through a flexible training program that is able to meet personal goals of our trainees and accreditation standards. Our trainees are evaluated through a multi-method strategy that includes regular reviews of clinical performance and direct observations.

Entrustable Professional Activities (EPA)

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 conditions
  • A8. Provide appropriate virtual care
  • A9. Provide care for newborn infants
  • A10. Diagnose ad 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 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
  • R/R=regional/rural program

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