1. EPAs/ Competencies Curricula Educational Trajectory Assessment Data Educational Achievement Data You can look at the same data through different lenses…

2. Competency Framework Competency Object Curriculum Report Other competency framework Educational Achievement data Performance Framework 1 2 3 1 2 3 1 2 3 Mapping (SKOS) Specification available Development pending Existing resources Educational Trajectory data

3. My Educational Achievement Data * Available Data My Competencies CanMeds ACGME My Entrustable Activities and Skills My Trajectories My Curricula University of Toronto University of Maryland NBME ABP Other Available Actions Report my data To residency program director To certifying board Share with mentor Date of report: October 5, 2011

4. My Competencies: CanMeds Performance levels 1 – Novice 2 – Intermediate 3 – Expert Related Activity: University of Toronto MD Program Date of report: Oct 5, 2011 Date of achievement: May 30, 2008 Source: University of Toronto

5. My Competencies: CanMeds Performance levels 1 – Novice 2 – Intermediate 3 – Expert Related Activity: University of Toronto MD Program As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. See full framework As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. See full framework Date of report: Oct 5, 2011 Date of achievement: May 30, 2008 Source: University of Toronto

6. My Competenciess: CanMeds Performance levels 1 – Novice 2 – Intermediate 3 – Expert Related Activity: University of Toronto MD Program Function effectively as consultants, integrating all of the CanMEDS Roles to provide optimal, ethical and patient- centered medical care See full framework Date of report: Oct 5, 2011 Date of achievement: May 30, 2008 Source: University of Toronto

7. My Competencies: CanMeds Performance levels 1 – Novice 2 – Intermediate 3 – Expert Related Activity: University of Toronto MD Program Performance levels Novice: demonstrates behaviors expected of a first year trainee. Requires close supervision. Intermediate: demonstrates behaviors expected of a trainee after 2 years. Requires some supervision. Expert: demonstrates behaviors expected of a trainee at the completion of training. No supervision required. Performance levels Novice: demonstrates behaviors expected of a first year trainee. Requires close supervision. Intermediate: demonstrates behaviors expected of a trainee after 2 years. Requires some supervision. Expert: demonstrates behaviors expected of a trainee at the completion of training. No supervision required. Date of report: Oct 5, 2011 Date of achievement: May 30, 2008 Source: University of Toronto

8. My Competencies: ACGME Performance levels 1 – Beginner 2 – Adv Beginner 3 – Competent 4 – Adv Competent 5 – Mastered Related Activity: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

9. My Competency-based Achievements: Patient Care Performance levels 1 – Beginner 2 – Adv Beginner 3 – Competent 4 – Adv Competent 5 – Mastered Learner provided: Spanish asthma brochure Learner Notes My notes (private): Review procedure list and discuss action plan with mentor (Private comment) CB: There are some additional procedures I’d like you to work on – let’s discuss Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

10. My Competencies: Gathering Essential Information Peer group: Institution cohort Details Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland Context: University of Maryland Pediatrics Residency Note score can now be a decimal point (between two levels)

11. My Competency-based Achievements: Gathering Essential Information Benchmark to Peers Details Date of report: Oct 5, 2011 Date of achievement: Sep 10, 2011 Source: University of Maryland

12. My Competency-based Achievements: Gathering Essential Information – Benchmark to Peers Peer group: Institution Date of report: Oct 5, 2011 Date of achievement: Sep 10, 2011 Source: University of Maryland

13. My Competencies: Gathering Essential Information – Details Title: Pediatric Level 3 360 Degree Feedback Site: University of Maryland Medical Center Duration: 2 Hours Description: Residents receive feedback from supervisors, peers, nurses, and patients. Keywords: Inservice training Interprofessional? No Associated Competencies: Gathering Essential Information, Professionalism Resource: Real Patient Assessment Method: Multisource feedback Purpose: Formative assessment Assessment results: Professionalism – 75, Communication – 70, Patient care – 78, Faculty notes: learner performing appropriately for level of training. View associated course Date of report: Oct 5, 2011 Date of achievement: Sep 10, 2011 Source: University of Maryland

14. My Competencies: Gathering Essential Information – Details Title: Pediatric Level 3 360 Degree Feedback Duration: 2 Hours Description: Residents receive feedback from supervisors, peers, nurses, and patients. Keywords: Inservice training Interprofessional? No Associated Competencies: Gathering Essential Information, Professionalism Resource: Real Patient Assessment Method: Multisource feedback Purpose: Formative assessment Assessment results: Professionalism – 75, Communication – 70, Patient care – 78. View associated course Date of report: Oct 5, 2011 Date of achievement: Sep 10, 2011 Source: University of Maryland Title: Pediatric Residency level 3 Description: The resident begins this sequence midway through their training. Duration: 12 months Academic level: 3 Competencies: Patient Care, Professionalism Includes: (list of instruction and assessment events or sub- courses) Title: Pediatric Residency level 3 Description: The resident begins this sequence midway through their training. Duration: 12 months Academic level: 3 Competencies: Patient Care, Professionalism Includes: (list of instruction and assessment events or sub- courses)

15. My Competency-based Achievements: Medical Knowledge Identifies evidence-based resources to answer basic and clinical science questions. Met Met With Concerns □ Did Not Meet □ Insuff Evid □ Evidence: Brief Summary: Applies core concepts of pathophysiology to new problems in the basic and clinical sciences relevant to medicine. Met □ Met With Concerns Did Not Meet □ Insuff Evid □ Evidence: Brief Summary: Identifies and acknowledges gaps in knowledge and develops and implements plans to correct. Met Met With Concerns □ Did Not Meet □ Insuff Evid □ Evidence: Brief Summary: Achieves breadth and depth of knowledge in the curricular threads (eg. physiology, pharmacology, etc.). Met Met With Concerns □ Did Not Meet □ Insuff Evid □ Evidence: Brief Summary: Justify your decision Medical Knowledge Competency Met Met With Concerns □ Did Not Meet □ Insuff Evid □ Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

16. My Entrustable Activities and Skills StatusActivitySummaryRelated Curricula Arterial puncture for blood gas analysis Level 2 of 5 Details Clinical skills OSCE, U Toronto Intravenous catheter insertionEntrustment Details Skills and thrills, U Toronto... Manage patients with common, single system diagnoses who require a hospital setting Entrustment Details Infant/Toddler Rotation, U Maryland Care of a healthy newbornEntrustment Details Nursery rotation, U Maryland Provide patient resuscitation… Entrustment Ad Hoc - Details In-patient rotation, U Maryland Date of report: Oct 5, 2011 Date of achievement: Various Source: Various

17. My Entrustable Activities and Skills Date of report: Oct 5, 2011 Date of achievement: Various Source: Various Context: University of Toronto MD Program Arterial Puncture for Blood Gas Analysis Level of Entrustment: 2 Entrustment Scale: University of Toronto UME Entrustment Scale 13 5 2 4 Fewest responsibilities Most responsibilities Entrusted to observe Entrusted to perform under heavy supervision Entrusted to perform under light supervision Entrusted to perform without supervision Entrusted to supervise

18. My Entrustable Activities and Skills Date of report: Oct 5, 2011 Date of achievement: Jun 1, 2008 Source: University of Toronto Context: University of Toronto MD Program Intravenous Catheter Insertion Exam: Clinical Skills OSCE Exam 1, May 1, 2008 Passed Additional Criteria: Satisfactory completion of 4 intravenous catheter insertions as determined by supervising faculty member. Description: Learners are required to demonstrate satisfactory skills on simulators and real patients. Methodology: Clinical performance rating/checklist

19. My Entrustable Activities and Skills: Activity Details Manage patients with common, single system diagnoses who require a hospital setting: Assessment Peer group: Institution cohort Subcompetencies Supervision October 5, 2011 Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland Context: University of Maryland Pediatrics Residency

20. My Entrustable Activities and Skills : Activity Details Manage patients with common, single system diagnoses who require a hospital setting: Assessment Peer group: Institution cohort Subcompetencies Supervision October 5, 2011 August 2011 Details Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland Description Methodology

21. My Entrustable Activities and Skills : Activity Details Manage patients with common, single system diagnoses who require a hospital setting: Assessment Peer group: Institution cohort Subcompetencies Supervision October 5, 2011 Level 2: Expected Elements: Tries to approach the physical examination with attention to the developmental and emotional state of the child by altering the flow to attend to those areas causing most distress towards the end, with some lapses due to: a) inexperience with specific examination maneuvers, b) strict adherence to an examination template for fear of errors of omission, and c) inexperience in judging triggers for distress based on developmental age. (continue) Details Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

22. My Activity-specific Subcompetencies Manage patients with common, single system diagnoses who require a hospital setting PC: Perform complete and accurate physical examinations (psychomotor performance) Perform complete and accurate physical examinations (approach) Perform complete and accurate physical examinations (approach to focused exam) (continued) Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

23. My Activity-specific Subcompetencies Manage patients with common, single system diagnoses who require a hospital setting PC: Make informed diagnostic & therapeutic decisions that result in optimal clinical judgment PC: Develop & carry out management plans ICS: Communicate effectively with patients, families, & the public, as appropriate, across a broad range of socioeconomic & cultural backgrounds Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

24. My Entrustable Activities and Skills: Activity Details Manage patients with common, single system diagnoses who require a hospital setting: Level of Supervision Peer group: Institution cohort Assessment October 5, 2011 Details Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

25. My Entrustable Activities and Skills: Activity Details Care of a healthy newborn, Awarded August 18, 2011 by Thelonius Smith October 5, 2011 Peer group: Institution cohort Subcompetencies Supervision Trajectory view Assessment Details Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

26. My Entrustable Activities and Skills: Activity Details Care of a healthy newborn, Awarded August 18, 2011 by Thelonius Smith October 5, 2011 Peer group: Institution cohort Assessment Level of Supervision Details Context: University of Maryland Pediatrics Residency Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

27. YearQuarter 1 (Jun - Aug) Quarter 2 (Sep - Nov) Quarter 3 (Dec – Feb) Quarter 4 (Mar – May) 05 – 06 06 – 07 07 – 08 08 – 09 03 01 02 01 02 01 02 01 02 Coursework leading to MD/primary degree Coursework beyond MD/primary degree Enrichment, priority Enrichment My Educational Trajectory John Doe, December 8, 2009 http://www.example.edu/portfolio/1234 02 Intravenous Catheter Insertion Date of report: Oct 5, 2011 Date of achievement: Dec 8, 2009 Source: University of Toronto

28. YearQuarter 1 (Jun - Aug) Quarter 2 (Sep - Nov) Quarter 3 (Dec – Feb) Quarter 4 (Mar – May) 05 – 06 06 – 07 07 – 08 08 – 09 03 01 02 01 02 01 02 01 02 Coursework leading to MD/primary degree Coursework beyond MD/primary degree Enrichment, priority Enrichment My Educational Trajectory John Doe, December 8, 2009 http://www.example.edu/portfolio/1234 02 Intravenous Catheter Insertion Date of report: Oct 5, 2011 Date of achievement: Dec 8, 2009 Source: University of Toronto University of Toronto MD Program Institution: University of Toronto Degree: M.D. Length of program: 4 years Jun 2005 – May 2009 The MD program consists of a preclerkship and clerkship curriculum. The basic goal of the Preclerkship is to help students learn the necessary biomedical and humanistic knowledge and skills, and to develop the appropriate professional attitudes. In Clerkship, students participate as members of a working health care team. Author: University of Toronto ID: utoronto.ca/23456 Updated: 12/8/2009 See Curriculum Details

29. YearQuarter 1 (Jun - Aug) Quarter 2 (Sep - Nov) Quarter 3 (Dec – Feb) Quarter 4 (Mar – May) 05 – 06 06 – 07 07 – 08 08 – 09 03 01 02 01 02 01 02 01 02 Coursework leading to MD/primary degree Coursework beyond MD/primary degree Enrichment, priority Enrichment My Educational Trajectory John Doe, December 8, 2009 http://www.example.edu/portfolio/1234 02 Intravenous Catheter Insertion Date of report: Oct 5, 2011 Date of achievement: Dec 8, 2009 Source: University of Toronto University of Toronto MD Program Institution: University of Toronto Degree: M.D. Length of program: 4 years Jun 2005 – May 2009 The MD program consists of a preclerkship and clerkship curriculum. The basic goal of the Preclerkship is to help students learn the necessary biomedical and humanistic knowledge and skills, and to develop the appropriate professional attitudes. In Clerkship, students participate as members of a working health care team. Author: University of Toronto ID: utoronto.ca/23456 Updated: 12/8/2009 See Curriculum Details My Curriculum: University of Toronto Year 1 The Art and Science of Clinical Medicine 1 Brain and behavior Determinants of Community Health Metabolism and Nutrition Structure and Function Previous Next My Curriculum: University of Toronto Year 1 The Art and Science of Clinical Medicine 1 Brain and behavior Determinants of Community Health Metabolism and Nutrition Structure and Function Previous Next

30. YearQuarter 1 (Jun - Aug) Quarter 2 (Sep - Nov) Quarter 3 (Dec – Feb) Quarter 4 (Mar – May) 09 – 10 10 – 11 11 – 12 01 02 01 Residency Training Additional Coursework beyond MD/primary degree Leave of absence My Educational Trajectory & Awarded Responsibilities John Doe, October 5, 2011 http://www.example.edu/portfolio/2234 03 Care of a Healthy Newborn Date of report: Oct 5, 2011 Date of achievement: Oct 5, 2011 Source: University of Maryland

31. My Curricula: University of Toronto Year 1 – The Art and Science of Clinical Medicine 1 – Brain and behavior – Determinants of Community Health – Metabolism and Nutrition – Structure and Function Year 2 – The Art and Science of Clinical Medicine 2 – Determinants of Community Health 2 – Mechanisms, Manifestations, and Management of Disease – Family Medicine Longitudinal Experience Date of report: October 5, 2011

32. My Curricula: University of Toronto (cont’d) Year 3 – Transition to Clerkship – Surgery Clerkship – Medicine Clerkship – Emergency Medicine Clerkship – Anesthesia Clerkship – Ophthalmology Clerkship – Otolaryngology Clerkship Year 3 cont’d – Psychiatry Clerkship – Paediatrics Clerkship – Obstetrics and Gynecology Clerkship – Family and Community Medicine Clerkship – Portfolio course – Integrated OSCE 1 – Integrated OSCE 2 Date of report: October 5, 2011

33. The Art and Science of Clinical Medicine 1 Description: This course is organized in hospital-based groups of 5 to 6 students, and will take place 1/2 day each week of the academic year. Timing: September 1, 2005 – July 30, 2006 Academic Level: 1 Competencies: Medical Experts, Communicator, Manager, Scholar, Professional Post-conditions: Students deemed to have failed the course by the Board of Examiners will be required to repeat the course in the following academic year… Events: Lecture 1, Group clinic: Listening, Group Clinic: questioning techniques… Assessment results: Passed Date of report: October 5, 2011

34. The Art and Science of Clinical Medicine 1 Description: This course is organized in hospital-based groups of 5 to 6 students, and will take place 1/2 day each week of the academic year. Timing: September 1, 2005 – July 30, 2006 Academic Level: 1 Competencies: Medical Experts, Communicator, Manager, Scholar, Professional Post-conditions: Students deemed to have failed the course by the Board of Examiners will be required to repeat the course in the following academic year… Events: Lecture 1, Group clinic: Listening, Group Clinic: questioning techniques… Assessment results: Passed Date of report: October 5, 2011 As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. See full framework See assessment data As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. See full framework See assessment data

35. The Art and Science of Clinical Medicine 1 Description: This course is organized in hospital-based groups of 5 to 6 students, and will take place 1/2 day each week of the academic year. Timing: September 1, 2005 – July 30, 2006 Academic Level: 1 Competencies: Medical Experts, Communicator, Manager, Scholar, Professional Post-conditions: Students deemed to have failed the course by the Board of Examiners will be required to repeat the course in the following academic year… Events: Lecture 1, Group clinic: Listening, Group Clinic: questioning techniques… Assessment results: Passed Date of report: October 5, 2011 As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. See full framework See assessment data As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter. See full framework See assessment data My Competencies: CanMeds

36. Medicine Clerkship Description: Timing: September 25, 2007 – December 15, 2007 Academic Level: 3 Competencies: Medical Expert, Professional Events: Shadowing, History taking, Medical skills Assessment Results: Grade: Proficient Comments: Interacted exceptionally well with patients and staff. Benchmark to peers Date of report: Oct 5, 2011 Source: University of Toronto

37. Medicine Clerkship: Benchmark to Peers Date of report: Oct 5, 2011 Date of achievement: Dec 15, 2007

38. My Curricula: NBME USMLE Step 1, May 15, 2007 Score: 230 Mean: 225 Standard deviation: 20 Source: NBME USMLE Step 2 CK, March 15, 2009 Score: 210 Mean: 225 Standard deviation: 20 Source: NBME Date of report: Oct 5, 2011

39. My Curricula: NBME USMLE Step 2 CS, April 15, 2009 Pass Source: NBME USMLE Step 3, May 15, 2010 Score: 230 Mean: 225 Standard deviation: 20 Source: NBME Date of report: October 5, 2011

40. My Curriculum: ABP American Board of Pediatrics In Training Exam, July 14, 2009 Score: 60 Mean: 58 Cohort: US Level 1 trainees Standard deviation: 8 American Board of Pediatrics In Training Exam, July 14, 2010 Score: 72 Mean: 67 Cohort: US Level 2 trainees Standard deviation: 8 Date of report: October 5, 2011

41. Other Undergraduate transcript Undergraduate portfolio Date of report: October 5, 2011