COD 7: Assessing and managing patients with developmental, behavioural, and schools issues

Key Features

  • This EPA focuses on the recognition, assessment, and management of behavioural, developmental, and school issues.
  • Examples include patients with autistic spectrum disorders, common behaviour problems, isolated and global learning difficulties, isolated and global developmental disorders, and sleep hygiene issues and sleep disorders

Assessment plan

Direct observation or case review by supervisor

Use form 1. Form collects information on:

  • Type of observation: direct; case review
  • Condition: autistic spectrum disorder; common behaviour problem(s); learning difficulty; developmental disorder; sleep hygiene issue and/or sleep disorder
  • Setting: inpatient; outpatient; emergency department; community; longitudinal clinic

Collect 5 observations of achievement.

  • At least 2 by direct observation
  • At least 4 different conditions
  • At least 2 in longitudinal clinic
  • At least 2 in the community
  • At least 3 different observers

CanMEDS milestones

  1. ME 1.3 Apply knowledge of normal and abnormal physical, cognitive, emotional, social and behavioural development
  2. ME 1.4 Perform a clinical assessment that addresses all relevant issues
  3. ME 2.2 Use screening tools and validated questionnaires, as applicable
  4. ME 2.2 Adapt the clinical assessment to the child’s age and developmental stage
  5. ME 2.2 Synthesize biological, psychological, and social information to determine a diagnosis
  6. ME 2.4 Develop and implement a management plan that considers all of the patient’s health problems and context
  7. ME 4.1 Determine the need for and timing of referral to another health care
  8. ME 4.1 Develop a plan for ongoing management and follow-up
  9. COL 1.3 Support and educate professionals in other sectors, including daycare and school teachers, in their interactions with the patient and family
  10. COM 1.1 Communicate using a patient-centred approach that facilitates trust and autonomy and is characterized by empathy, respect, and compassion
  11. COM 5.1 Document clinical encounters to adequately convey clinical reasoning and the rationale for decisions
  12. HA 1.1 Facilitate timely access to services and resources in the health and/or social system(s)
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