1. Pediatrics Amy Acker Mary Bouchard

2. What we have done so far… What we hope to do…

3. Pediatric EPAs V1 “Scope of practice” 17 EPAs (“what should a general pediatrician be able to do when they finish residency”) Eg. 1.Assess, diagnose and manage common acute problems in previously well children. 2.Evaluate, manage and co-ordinate care for children with complex acute problems needing subspecialty care, including advocating for access to community resources. 3.Provide care for the medically complex newborn, infant or child in an inpatient care setting. 4.Lead and coordinate interdisciplinary care teams.

4. Length of stages Transition to Discipline Foundations of discipline Core of discipline Transition to Practice ~ 2 months - Baseline assessment - “Level playing field” - Orientation/ boot camp - Buddy call 12-18 months - Jr call - Data gathering and initial steps of analysis/ synthesis - Reporting/case presentation 12-18 months - Transition to senior call - Synthesis and analysis of problem - Supervising - Teaching 6-12 months - Refining skills - Supervisory role - Teaching role - Leadership skills

5. Mapping Settings FoundationsCore Patients-> Neonateinfant/childteenNeonateinfant/childteen Outpatient common acuten/aAmb/ER/Clinics n/aAmb/ER/Clinics complexn/aAmb/ER/Clinics n/aER/Clinics chronicn/aClinics n/aER/Clinics Inpatient common acuteNNU/NICUWard NNU/NICUWard complexNICUWard NICUPICU/PCCU chronicNICUWard NICUWard Community undiff community hospitaloffice community hospitaloffice

6. Pediatric Stage specific EPAs Transition to Discipline (2 months) = 1 EPA Foundation (12-18 months) = 14 EPAs Core (12-18 months) = 17 EPAs Transition to Practice (6-12 months) = 6 EPAs Total = 38 EPAs

7. Pediatric SS EPA example StageTransition to discipline FoundationCoreTransition to practice Stage- specific EPA Perform basic assessments for children & adolescents across clinical settings Assessment and diagnosis of common acute problems for previously well children & adolescents Management of common acute problems in previously well children & adolescents Management of outpatient services

9. Assessment & Evaluation Module Pilot Piloting the new Assessment & Evaluation Module within MEdTech Central Transition Process – Facilitating the transition to MEdTech Central – The unique position of Educational Consultant – Working with the Education Technology Unit

10. Assessment & Evaluation Module Pilot Features of a stress-free transition: – Communication & Support With faculty, residents, staff, and IT Preemptive learning support systems e.g. “Quick Guides for Assessors” and notifying staff of upcoming changes – Collaboration With other departments to help facilitate the development of new or improved MEdTech features

11. Assessment & Evaluation Module Pilot Ongoing Development – Working with MEdTech to create and modify specific features and tools e.g. Resident Progress Dashboard & Delegator Dashboard Troubleshooting – Catching potential issues ahead of time e.g. spreadsheet indicating assessors, targets, and forms for each block – Resolving any issues that arise and providing alternative options if necessary (e.g. paper ITER)

12. Assessment & Evaluation Module Pilot Next steps for Pediatrics – Set up procedure logging – Encounter cards on MEdTech (+/- app) – Learning event evaluation (AHD, GR) – Multisource feedback options

13. QUESTIONS?