Curriculum Map in General Pediatrics

General Pediatrics Entrustable Professional Activities (EPA)

List of Entrustable Professional Activities (EPAs)
Stage of Training Entrustable Professional Activities (EPA)
Transition to Discipline (TTD)
TTD 1 Performing and presenting a basic history and physical examination
TTD 2 Documenting orders for pediatric patients
Foundations of Discipline (FOD)
FOD 1 Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
FOD 2 Managing low risk deliveries and initiating resuscitation
FOD 3 Providing well newborn care
FOD 4 Assessing, diagnosing and initiating management for newborns with common problems
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 6 Providing primary and secondary preventive health care
FOD 7 Performing basic pediatric procedures
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
FOD 10 Transferring clinical information between health care providers during handover
FOD 11 Coordinating transitions of care for non-complex pediatric patients
Core of Discipline (COD)
COD 1 Resuscitating and stabilizing neonates following delivery
COD 2 Resuscitating and stabilizing critically ill patients
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 6 Assessing and managing patients with mental health issues
COD 7 Assessing and managing patients with developmental, behavioural, and school issues
COD 8 Recognizing and managing suspected child maltreatment and/or neglect
COD 9 Performing core pediatric procedures
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity
COD 12 Leading the inpatient team
COD 13 Advancing the discipline through scholarly activity
COD 14 Providing teaching and feedback
Transition to Practice (TTP)
TTP 1 Leading a general pediatric inpatient service
TTP 2 Managing the longitudinal aspects of patient care in a general pediatric outpatient setting
TTP 3 Leading discussions about goals of care
TTP 4 Leading family meetings and interprofessional team meetings
TTP 5 Analyzing patient safety events to improve quality of care

Curriculum Map by Rotation

Adolescent Medicine
Rotation   EPAs
Adolescent Medicine COD 3 Assessing patients with medical and/or psychosocial complexity
COD 6 Assessing and managing patients with mental health issues**
COD 7 Assessing and managing patients with developmental, behavioural, and school issues**
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations

** In this rotation, please ensure to cover EPAs 6 and 7 as it pertains to the adolescent population.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Ambulatory Pediatrics
Rotation   EPAs
Ambulatory Pediatrics TTD 1 Performing and presenting a basic history and physical examination*
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 6 Providing primary and or secondary preventive health care**
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
** If possible, please emphasize covering this EPA.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Anesthesia
Rotation   EPAs
Anesthesia FOD 7 Performing basic pediatric procedures
FOD 10 Transferring clinical information between health care providers during handover

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Community Pediatrics
Rotation   EPAs
Community Pediatrics
PGY-2 and PGY-3
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 6 Assessing and managing patients with mental health issues**
COD 7 Assessing and managing patients with developmental, behavioural, and/or school issues**
COD 8 Recognizing and managing suspected child maltreatment and/or neglect**

**If possible and clinical situation occurs, please emphasize on these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Complex Care Service
Rotation   EPAs
Complex Care Service
PGY-1
FOD 1 Recognizing deteriorating and/or critically ill patients and initiating stabilization and management**
FOD 7 Performing basic pediatric procedures**
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
COD 9 Performing core pediatric procedures**
Complex Care Service
PGY-4
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 5 Providing ongoing management for patients with chronic conditions
COD 9 Performing core pediatric procedures**
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity**
TTP 3 Leading discussion about goal of care
TTP 4 Leading family meetings and interprofessional team meetings

**If possible, please emphasize covering these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Developmental Pediatrics
Rotation   EPAs
Developmental Pediatrics COD 3 Assessing patients with medical and/or psychosocial complexity
COD 6 Assessing and managing patients with mental health issues**
COD 7 Assessing and managing patients with developmental, behavioural and school issues**
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations

** In this rotation, please emphasize covering these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Electives
Rotation   EPAs
Electives
PGY-1
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems (early in academic year)
FOD 8 Communicating assessment findings and management plans to patients and/or families (early in academic year)
FOD 9 Documenting clinical encounters (early in academic year)
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 14 Providing teaching and feedback
Electives
PGY-2
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 14 Providing teaching and feedback
Electives
PGY-3
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 14 Providing teaching and feedback
Electives
PGY-4
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
TTP 3 Leading discussions about goal of care
TTP 4 Leading family meetings and interprofessional team meetings

Please note that for elective rotations, EPAs to be covered can vary significantly depending on year of training, trainee’s previous experience with the discipline, cases/situations seen, and type of clinical exposure (inpatient vs outpatient setting).

The EPAs listed above are suggestions, but may well be adjusted depending on areas the trainees and faculty would like to focus on.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Emergency Medicine
Rotation   EPAs
Emergency Medicine
PGY-1
TTD 1 Performing and presenting a basic history and physical examination*
TTD 2 Documenting orders for pediatric patients*
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 7 Performing basic pediatric procedures**
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
FOD 10 Transferring clinical information between health care providers during handover
Emergency Medicine
PGY-2
COD 2 Resuscitating and stabilizing critically ill patients**
COD 4 Diagnosis and managing patients with acute illness
COD 9 Performing core pediatric procedures**
Emergency Medicine
PGY-3
COD 2 Resuscitating and stabilizing critically ill patients**
COD 4 Diagnosing and managing patients with acute illness
COD 9 Performing core pediatric procedures**

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
**If possible, please make sure to cover these EPAs. Also note that mock codes/simulation are excellent ways to cover EPA COD 2.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Medical Admissions and Patient Flow Junior Attending
Rotation   EPAs
Medical Admissions and Patient Flow Junior Attending
PGY-4
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity
COD 14 Providing teaching and feedback
TTP 1 Leading a general pediatric inpatient service
TTP 5 Analyzing patient safety events to improve quality of care

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Medical Day Hospital
Rotation   EPAs
Medical Day Hospital
PGY-1
TTD 1 Performing and presenting a basic history and physical examination*
TTD 2 Documenting orders for pediatric patients*
FOD 4 Assessing, diagnosing and initiating management for newborns with common pediatric problems
FOD 5 Assessing, diagnosing, and managing patients with common problems
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
Medical Day Hospital
PGY-4
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 14 Providing teaching and feedback
TTP 2 Managing the longitudinal aspects of patient care in a general pediatrics outpatient setting**

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritied.
**If possible, please empasize covering this EPA.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Newborn Nursery
Rotation   EPAs
Newborn Nursery TTD 1 Performing and presenting a basic history and physical examination*
TTD 2 Documenting orders for pediatric patients*
FOD 3 Providing well newborn care- initial or discharge assessment**
FOD 4 Assessing, diagnosing and initiating management for newborns with common problems

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
**Please make sure to cover this EPA.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

NICU
JUNIOR RESIDENTS   EPAs
Ward CTU Junior Rotation
Block 1
TTD 1 Performing and presenting a basic history and physical examination
TTD 2 Documenting orders for pediatric patients
FOD 4 Assessing, diagnosing and initiating management for newborns with common problems
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 8 Communicating assessment findings and management plans to patients and/or families

Although not specifically listed under the McGill pediatrics EPAs for the first Ward CTU JR rotation, the following EPAs may ALSO be applicable to you:

FOD 1* Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
FOD 7* Performing basic pediatric procedures
Ward CTU Junior Rotation
Blocks 2 and 3
FOD 1* Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
FOD 10  Transferring clinical information between health care providers during handover
FOD 11 Coordinating transitions of care for non-complex pediatric patients
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 5 Providing ongoing management for patients with chronic conditions

Although not specifically listed under the McGill pediatrics EPAs for the first Ward CTU JR rotation, the following EPAs may ALSO be applicable to you:

FOD 4 Assessing, diagnosing and initiating management for newborns with common problems
FOD 7* Performing basic pediatric procedures

*These EPAs can be assessed in a simulated environment.

SENIOR RESIDENTS   EPAs
Ward CTU Senior Rotation COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity
COD 12 Leading the inpatient team
COD 14 Providing teaching and feedback
TTP 1 Leading a general pediatric inpatient service
TTP 4 Leading family meetings and interprofessional team meetings
TTP 5* Analyzing patient safety events to improve quality of care

Although not specifically listed under the McGill pediatrics EPAs for the Ward SR rotation, the following EPAs may also be applicable on your rotation:

COD 2* Resuscitating and stabilizing critically ill patients
COD 9* Performing core pediatric procedures
TTP 3* Leading discussions about goals of care

*These EPAs can be assessed in a simulated environment.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

PICU
PICU Rotation   EPAs
PICU
PGY-1
FOD 1 Recognizing deteriorating and/or critically ill patients and initiating stabilization and management**
FOD 7 Performing basic pediatric procedures
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 10 Transferring clinical information between health care providers at handover
FOD 11 Coordinating transitions of care for non-complex pediatric patients
PICU
PGY-2
FOD 10 Transferring clinical information between health care providers at handover
COD 2 Resuscitating and stabilizing critically ill patients**
COD 4 Diagnosing and managing pediatric patients
COD 9 Performing core pediatric procedures
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity
COD 14 Providing teaching and feedback
PICU Night Float Rotation   EPAs
PICU Night Float
PGY-3
COD 2 Resuscitating and stabilizing critically ill patients**
COD 9 Performing core pediatric procedures
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
PICU Night Float
PGY-4
COD 2 Resuscitating and stabilizing critically ill patients**
COD 9 Performing core pediatric procedures
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
TTP 3 Leading discussions about goal of care**

**If possible please make sure to cover these EPAs. Also please note that mock codes/simulation are excellent ways to cover EPAs FOD 1 and COD 2.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Resident Continuity Clinic (RCC)
Rotation   EPAs
RCC
PGY-1
TTD 1 Performing and presenting a basic history and physical examination
TTD 2 Documenting orders for pediatric patients
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 6 Providing primary and or secondary preventive health care**
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
RCC
PGY-2
FOD 6 Providing primary and or secondary preventive health care**
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 6 Assessing and managing patients with mental health issues**
COD 7 Assessing and managing patients with developmental, behavioural, and/or school issues**
RCC
PGY-3
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 6 Assessing and managing patients with mental health issues
COD 7 Assessing and managing patients with developmental, behavioural, and/or school issues
TTP 2 Managing the longitudinal aspects of patient care in a general pediatric outpatient setting**

**If possible, please emphasize these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Rural
Rotation   EPAs
Rural
PGY-1
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 6 Providing primary and or secondary preventive health care**
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
FOD 11 Coordinating transitions of care for non-complex pediatric patients** (transfer to other health care center)
Rural
PGY-2 and PGY-3
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing pediatric patients
COD 5 Providing ongoing management for patients with chronic conditions
COD 6 Assessing and managing patients with mental health issues**
COD 7 Assessing and managing patients with developmental, behavioural and/or school issues**
COD 8 Recognizing and managing suspected child maltreatment and/or neglect**
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity** (transfer to other health care center)

**If possible and clinical situation occurs, please emphasize these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Social Pediatrics
Rotation   EPAs
Social Pediatrics FOD 6 Providing primary and secondary preventative health care
COD 6 Assessing and managing patients with mental health issues
COD 7 Assessing and managing patients with developmental, behavioural, and school issues
COD 8 Recognizing and managing suspected child maltreatment and/or neglect

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Wards
Wards Jr Rotation   EPAs
Wards Jr - Block 1 TTD 1 Performing and presenting a basic history and physical examination*
TTD 2 Documenting orders for pediatric patients*
Wards Jr - Block 2 FOD 1 Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
FOD 5 Assessing, diagnosing, and managing patients with common pediatric problems
FOD 8 Communicating assessment findings and management plans to patients and/or families
FOD 9 Documenting clinical encounters
FOD 11 Coordinating transitions of care for non-complex pediatric patients
Wards Jr - Block 3 FOD 1 Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
FOD 10 Transferring clinical information between health care providers during handover
FOD 11 Coordinating transitions of care for non-complex pediatric patients
COD 3 Assessing patients with medical and/or psychosocial complexity
COD 5 Providing ongoing management for patients with chronic conditions

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.

Wards Sr Rotation   EPAs
Wards Sr - Block 1 COD 3 Assessing patients with medical and/or psychosocial complexity
COD 4 Diagnosing and managing patients with acute illness
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 12 Leading the inpatient team**
COD 14 Providing teaching and feedback
TTP 5 Analyzing patient safety events to improve quality of care***
Wards Sr - Block 2 COD 3 Assessing patients with medical and/or psychosocial complexity
COD 5 Providing ongoing management for patients with chronic conditions
COD 10 Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 11 Coordinating transitions of care for patients with medical or psychosocial complexity
COD 12 Leading the inpatient team**
COD 14 Providing teaching and feedback
TTP 4 Leading family meetings and interprofessional team meetings**
TTP 5 Analyzing patient safety events to improve quality of care***
Wards Sr - Block 3 TTP 1 Leading a general pediatric inpatient service**
TTP 4 Leading family meetings and interprofessional team meetings**
TTP 5 Analyzing patient safety events to improve quality of care***

**If possible, please emphasize these EPAs.
***The TTP 5 EPA should be assessed at least once over the trainee's three blocks of wards.

Wards Night Float Rotation   EPAs
Wards Night Float Jr
Block 1 and 2
TTD 2 Documenting orders for pediatric patients*
FOD 9 Documenting clinical encounters
FOD 10 Transferring clinical information between health care providers during handover**
Wards Night Float Sr
Block 1 and 2
FOD 10 Transferring clinical information between health care providers during handover**
COD 3 Assessing patients with medical and/or psychosocial complexity***
COD 4 Diagnosing and managing patients with acute illness***
COD 14 Providing teaching and feedback

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
**If possible, please emphasize these EPAs.
***Could be done via infirect observation (i.e. verbal discussion of the assessment and management of a patient overnight).

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

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