Adolescent Medicine

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion

Assessment type

1. ●history
2. ●physical
3. ●psychosocial

Medical Expert

• □ME 2.2 Elicit an accurate, relevant history, including psychosocial assessment
• □ME 2.2 Perform a physical examination relevant to the presentation
• □ME 2.2 Perform a mental status examination
• □ME 2.2 Synthesize and organize clinical information for presentation to a supervisor

Communicator

• □COM 1.2 Optimize the physical environment for patient comfort, dignity and privacy
• □COM 1.1 Convey empathy, respect, and compassion to facilitate trust and engagement of the AYA and family
• □COM 1.1 Advise the patient and family about the role and limits of confidentiality in patient assessment
• □COM 2.3 Seek and summarize relevant information from other sources
• □COM 3.1 Use plain language and avoid medical jargon

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Age

1. ●under 13
2. ●14-16
3. ●17+

Medical Expert

• □ME 2.2 Select and use appropriate interviewing and screening tools

Communicator

• □COM 2.2 Provide a clear structure for and manage the flow of the encounter
• □COM 1.1 Set the stage for the psychosocial assessment, including building initial rapport and trust
• □COM 2.1 Conduct a patient-centred interview, gathering all relevant biomedical and psychosocial information
• □COM 1.1 Convey empathy, respect, and compassion to facilitate trust and engagement of the AYA and family
• □COM 1.1 Exhibit a positive, non-judgmental attitude
• □COM 1.4 Respond to non-verbal communication and use appropriate non-verbal behaviours to enhance communication
• □COM 1.5 Recognize when personal feelings in an encounter are valuable clues to the patient’s emotional state
• □COM 1.6 Explore the adolescent’s beliefs, concerns, expectations and experiences relevant to the presenting condition
• □COM 2.1 Actively listen and respond to patient cues
• □COM 2.1 Use strategies to engage the reluctant or ambivalent adolescent, including motivational interviewing and strengths-based interviewing

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion

Diagnostic category

1. ●contraceptive counselling
2. ●chronic illness
3. ●eating disorder(s)
4. ●mental health
5. ●sexual health
6. ●somatic symptoms
7. ●substance use
8. ●other (write in)

Sexual maturity rating

1. ●yes
2. ●no

Medical Expert

• □ME 1.3 Apply knowledge of clinical and biomedical sciences to manage common non-complex AYA health issues
• □ME 2.2 Elicit an accurate, relevant history, including psychosocial assessment
• □ME 2.2 Perform a physical examination relevant to the presenting problem
• □ME 2.2 Conduct an assessment of growth and development, including the use of a sexual maturity rating, as appropriate
• □ME 2.2 Select and/or interpret investigations
• □ME 2.2 Identify the clinical significance of findings
• □ME 2.2 Synthesize patient information to determine a differential diagnosis and most likely diagnosis
• □ME 2.4 Develop a treatment pan
• □ME 4.1 Establish a plan for follow-up on investigations and response to treatment
• □ME 2.2 Synthesize and organize clinical information for presentation to a supervisor, conveying clinical reasoning and the rationale for decisions
• □ME 2.4 Integrate knowledge of available resources into the development of the treatment plan

Communicator

• □COM 5.1 Document the clinical encounter in an accurate, complete and timely manner

Health Advocate

• □HA 1.2 Apply knowledge of resources or agencies that address the health needs of AYA patients

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Setting

1. ●inpatient
2. ●outpatient
3. ●emergency department

Communicator

• □COM 1.1 Demonstrate empathy, respect and compassion
• □COM 3.1 Convey information about the diagnosis and/or plan for management clearly and accurately
• □COM 3.1 Use plain language and avoid medical jargon
• □COM 3.1 Verify and validate the patient’s and/or family’s understanding
• □COM 4.3 Answer questions from the patient and/or family
• □COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware
• □COM 4.3 Use communication skills and strategies to help the patient and family make informed decisions
• □COM 5.1 Document the encounter to convey the discussion and its outcome

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Type of observation

1. ●direct
2. ●indirect

Input provided by

1. ●other physician
2. ●nurse
3. ●social worker
4. ●psychologist
5. ●counsellor
6. ●other resident or student
7. ●other

Setting

1. ●inpatient
2. ●ambulatory/community
3. ●emergency department
4. ●other (write in)

Medical Expert

• □ME 2.2 Ascertain a patient’s health and personal needs

Collaborator

• □COL 1.2 Make effective use of the scope and expertise of other health care professionals
• □COL 1.2 Liaise as needed with referring physicians, consultants and other health care professionals
• □COL 1.3 Communicate effectively with other health care professionals
• □COL 1.1 Respond appropriately to input from other health care professionals
• □COL 2.2 Listen to understand and find common ground with collaborators

Health Advocate

• □HA 1.1 Facilitate access to health services and community resources

Professional

• □P 1.1 Exhibit appropriate professional behaviours

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●documentation review

Medical Expert

• □ME 4.1 Establish plans for ongoing care
• □ME 5.2 Use structured communication tools and strategies to enhance patient safety

Collaborator

• □COL 3.2 Organize the handover of care to the most appropriate physician or health care professional
• □COL 1.3 Integrate the patient’s perspective and context into the care plan
• □COL 3.2 Summarize patient issues providing rationale for key decisions
• □COL 3.2 Provide anticipatory guidance for ongoing management, such as results of outstanding investigations and/or anticipated events/outcomes
• □COL 3.2 Ensure communication of and continued adherence to risk management plans
• □COL 3.2 Clarify issues with the receiving physician(s), as needed

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Medical Expert

• □ME 2.1 Ascertain participants’ understanding of the situation and the reason for the encounter

Communicator

• □COM 1.4 Respond to non-verbal communication and use appropriate non-verbal behaviours to enhance communication
• □COM 3.1 Share information and explanations clearly and accurately
• □COM 1.5 Establish boundaries as needed in emotional situations
• □COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware
• □COM 4.3 Answer questions from the patient and/or family
• □COM 2.2 Provide a clear structure for and manage the flow of the encounter
• □COM 5.1 Document the encounter to convey the discussion and its outcome

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Complex

1. ●yes
2. ●no

Setting

1. ●inpatient
2. ●outpatient
3. ●emergency department

Presentation

1. ●new patient assessment
2. ●medical instability
3. ●ongoing care
4. ●later stage of care

Case mix

1. ●anorexia nervosa
2. ●ARFID
3. ●bulimia nervosa
4. ●binge eating disorder
5. ●refeeding syndrome
6. ●other (write in)

Binge-purge features

1. ●yes
2. ●no

Medical Expert

• □ME 1.3 Apply knowledge of the clinical and biomedical sciences relevant to eating disorders
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.2 Integrate the clinical data to establish the diagnosis and, if relevant, severity of the condition
• □ME 2.3 Establish goals of care in collaboration with the patient and family
• □ME 2.4 Develop a management plan
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Coordinate plans for ongoing investigation, treatment, monitoring and/or follow-up

Communicator

• □COM 3.1 Share information about the patient’s condition and plans for management clearly and compassionately

Collaborator

• □COL 1.2 Work effectively with members of the interprofessional team to implement a management plan

Leader

• □L 2.1 Consider costs and resource availability when selecting diagnostic or treatment options

Health Advocate

• □HA 1.2 Work with the patient to promote adherence to treatment and positive coping strategies

Scholar

• □S 3.4 Apply an evidence-based approach to clinical management

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Setting

1. ●clinical
2. ●simulation

Age

1. ●under 13
2. ●14-16
3. ●17+

Management aspect

1. ●initial consult
2. ●mental health/hormone readiness assessment
3. ●medical management
4. ●GnRH agonist counselling
5. ●gender affirming hormone counselling - estrogen
6. ●gender affirming hormone counselling – testosterone
7. ●gender affirming hormone treatment
8. ●anticipatory guidance for family
9. ●other (write in)

Medical Expert

• □ME 1.3 Apply knowledge of the clinical and biomedical sciences relevant to gender diverse patients
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.3 Establish goals of care in collaboration with the patient and family
• □ME 2.4 Develop a management plan
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Coordinate plans for ongoing investigation, treatment, monitoring and/or follow-up

Communicator

• □COM 1.6 Integrate the adolescent’s beliefs, concerns, expectations and experiences relevant to the presenting condition
• □COM 3.1 Share information and explanations clearly and accurately
• □COM 4.3 Use communication skills and strategies to help the patient and family make informed decisions

Collaborator

• □COL 1.2 Work effectively with members of the interprofessional team to implement a management plan

Health Advocate

• □HA 1.1 Facilitate access to health services and community resources

Scholar

• □S 3.4 Apply an evidence-based approach to clinical management

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Age

1. ●under 13
2. ●14-16
3. ●17+

Setting

1. ●clinical
2. ●simulation

Case mix/presentations

1. ●contraception
2. ●options counselling
3. ●menstrual disorder
4. ●healthy sexuality
5. ●sexually transmitted infections
6. ●early pregnancy
7. ●disorders of puberty
8. ●other (write in)

Genital exam

1. ●yes
2. ●no

Medical Expert

• □ME 1.3 Apply knowledge of the clinical and biomedical sciences relevant to sexual and reproductive health issues
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.2 Perform a pelvic or genital examination, as relevant, and obtain appropriate specimens
• □ME 2.4 Develop a management plan
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Coordinate plans for ongoing investigation, treatment, monitoring and/or follow-up

Communicator

• □COM 1.6 Integrate the adolescent’s beliefs, concerns, expectations and experiences relevant to the presenting condition
• □COM 3.1 Share information about the patient’s condition and plans for management clearly and compassionately
• □COM 4.3 Use communication skills and strategies to help the patient and family make informed decisions

Collaborator

• □COL 1.2 Work effectively with members of the interprofessional team to implement a management plan

Health Advocate

• □HA 1.1 Facilitate access to health services and community resources

Professional

• □P 3.1 Adhere to requirement for mandatory reporting, including communicable diseases

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Setting

1. ●inpatient
2. ●outpatient
3. ●simulation

Case mix

1. ●chronic pain
2. ●functional neurologic symptoms
3. ●other (write in)

Medical Expert

• □ME 1.3 Apply knowledge of the clinical and biomedical sciences relevant to chronic pain, somatic symptoms and related disorders
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.3 Establish goals of care in collaboration with the patient and family
• □ME 2.4 Develop a management plan
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Coordinate plans for ongoing investigation, treatment, monitoring and/or follow-up

Communicator

• □COM 1.6 Integrate the adolescent’s beliefs, concerns, expectations and experiences relevant to the presenting condition
• □COM 3.1 Share information about the patient’s condition and plans for management clearly and compassionately

Collaborator

• □COL 1.2 Work effectively with members of the interprofessional team to implement a management plan

Health Advocate

• □HA 1.2 Provide guidance and support that gives the adolescent the best opportunity to achieve his/her health potential

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of document

Age

1. ●under 13
2. ●14-16
3. ●17+

Case mix

1. ●mental health
2. ●behaviour
3. ●school issues

Type of condition

1. ●ADHD
2. ●adjustment disorder
3. ●anxiety disorder
4. ●learning difficulty
5. ●mood disorder
6. ●disruptive behaviour disorder
7. ●parent- child relational problem
8. ●problematic interactive media use
9. ●school avoidance
10. ●suicidal ideation
11. ●non-suicidal self-injury
12. ●sleep disorders
13. ●other (write in)

Setting

1. ●inpatient
2. ●outpatient
3. ●community
4. ●longitudinal clinic
5. ●other (write in)

Medical Expert

• □ME 1.3 Apply knowledge of the clinical and biomedical sciences relevant to mental health disorders and behavioural issues
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.3 Establish goals of care in collaboration with the patient and family
• □ME 2.4 Develop a management plan
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Coordinate plans for ongoing investigation, treatment, monitoring and/or follow-up

Communicator

• □COM 1.6 Integrate the adolescent’s beliefs, concerns, expectations and experiences relevant to the presenting condition
• □COM 3.1 Share information about the patient’s condition and plans for management clearly and compassionately
• □COM 4.3 Use communication skills and strategies to help the patient and family make informed decisions

Collaborator

• □COL 1.2 Work effectively with members of the interprofessional team to implement a management plan

Health Advocate

• □HA 1.1 Facilitate access to health services and community resources

Scholar

• □S 3.4 Apply an evidence-based approach to clinical management

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Setting

1. ●clinical
2. ●simulation

Case mix

1. ●prevention/early intervention
2. ●chronic
3. ●acute toxicity
4. ●withdrawal
5. ●other (write in)

Substance type

1. ●alcohol
2. ●cannabis
3. ●hallucinogens
4. ●nicotine/vaping
5. ●opioids
6. ●prescription drug misuse
7. ●stimulants
8. ●other (write in)

Complex

1. ●yes
2. ●no

Medical Expert

• □ME 1.3 Apply knowledge of the clinical and biomedical sciences relevant to substance use and substance use disorders
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.2 Assess the patient’s need and readiness for substance abuse treatment
• □ME 2.4 Develop a management plan
• □ME 2.4 Apply harm reduction strategies
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Coordinate plans for ongoing investigation, treatment, monitoring and/or follow-up

Communicator

• □COM 2.1 Use strategies to engage the reluctant or ambivalent adolescent, including motivational interviewing and strengths-based interviewing
• □COM 1.6 Integrate the adolescent’s beliefs, concerns, expectations and experiences relevant to the presenting condition
• □COM 3.1 Share information about the patient’s condition and plans for management clearly and compassionately
• □COM 4.3 Use communication skills and strategies to help the patient and family make informed decisions

Collaborator

• □COL 1.2 Work effectively with members of the interprofessional team to implement a management plan

Health Advocate

• □HA 1.2 Work with the patient to promote adherence to treatment and positive coping strategies
• □HA 1.1 Facilitate access to health services and community resources

Scholar

• □S 3.4 Apply an evidence-based approach to clinical management

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Presentation

1. ●acute agitation/dysregulation
2. ●aggression/threatening behaviour
3. ●suicidality/self-harm
4. ●other (write in)

Management activity

1. ●managing/de-escalating dysregulation
2. ●managing elopement/flight risk
3. ●suicide risk assessment
4. ●violence risk assessment
5. ●other (write in)

Setting

1. ●inpatient
2. ●outpatient
3. ●emergency department
4. ●simulation

Medical Expert

• □ME 2.1 Identify mental health crisis situations
• □ME 3.1 Determine the most appropriate therapies and/or interventions to minimize risk
• □ME 2.4 Develop and implement an acute safety management plan
• □ME 2.4 Determine the setting of care appropriate for the patient’s health care needs
• □ME 4.1 Determine the need, timing and priority of referral to a mental health professional

Communicator

• □COM 1.5 Apply de-escalation skills and conflict resolution skills, as needed
• □COM 3.1 Convey to the patient/family the rationale for decisions regarding involuntary treatment and/or hospitalization

Collaborator

• □COL 3.2 Communicate safety issues and risk management plans to other members of the health care team

Professional

• □P 3.1 Apply legislation pertaining to consent and assent, mental health and/or child protection

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation
4. ●feedback from patient/family
5. ●other (write in)

Medical Expert

• □ME 2.2 Assess the patient’s clinical course and anticipate future health needs
• □ME 2.4 Develop a plan for management, which may include modification of current therapy
• □ME 4.1 Prevent and/or manage complications
• □ME 4.1 Determine the need and timing of referral to another physician
• □ME 4.1 Determine the frequency and timing of future investigations and visits
• □ME 4.1 Follow up and act on results of investigation and incoming correspondence

Communicator

• □COM 5.1 Document clinical encounters to adequately convey clinical reasoning and the rationale for decisions

Collaborator

• □COL 1.3 Engage in respectful shared decision-making with other physicians and/or health care professionals
• □COL 3.1 Determine when care should be transferred back to a primary care provider
• □COL 3.1 Ensure continuity of care when unavailable or away

Health Advocate

• □HA 1.3 Incorporate prevention, health promotion and health surveillance into patient interactions

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Setting

1. ●clinical
2. ●simulation

Age

1. ●under 13
2. ●14-16
3. ●17+

Presentation

1. ●medical condition
2. ●developmental disability
3. ●mental health condition
4. ●other (write in)

Medical Expert

• □ME 1.1 Demonstrate responsibility and accountability for patient care within the boundaries and expectations of the consultant role
• □ME 1.3 Apply clinical and biomedical sciences to manage patients with chronic health conditions/disabilities
• □ME 2.2 Gather and synthesize patient information to establish the clinical question
• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.2 Assess co-occurring and contributing factors impacting the patient’s health

Collaborator

• □COL 1.3 Communicate effectively with the consulting service
• □COL 1.3 Support clinical colleagues in the development and implementation of a management plan
• □COL 1.2 Support health care team members in their understanding of and approach to AYA patients

Scholar

• □S 3.4 Integrate best evidence and clinical expertise into decision-making

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●review of documentation

Setting

1. ●clinical
2. ●simulation

Case mix

1. ●child protection issue
2. ●confidentiality issue
3. ●involuntary admission
4. ●involuntary treatment
5. ●issue of capacity
6. ●other (write in)

Medical Expert

• □ME 1.3 Apply knowledge of legal principles and legislation relevant to Adolescent Medicine
• □ME 2.2 Assess a patient’s decision-making capacity

Communicator

• □COM 5.1 Document the encounter in an accurate and complete manner, and in compliance with legal and privacy requirements

Professional

• □P 3.1 Apply legislation pertaining to consent and assent, mental health and/or child protection
• □P 3.1 Adhere to requirements for mandatory and discretionary reporting
• □P 3.1 Fulfil and adhere to the professional and ethical codes, standards of practice, and laws governing practice

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Medical Expert

• □ME 1.1 Demonstrate responsibility and accountability for decisions regarding patient care, acting in the role of most responsible physician
• □ME 1.5 Prioritize among patients
• □ME 2.4 Develop and implement management plans

Collaborator

• □COL 1.2 Work effectively with the interprofessional team

Leader

• □L 2.1 Allocate health care resources for optimal patient care
• □L 4.1 Integrate supervisory and teaching responsibilities into the overall management of the clinical service
• □L 4.2 Run the service efficiently, safely, and effectively

Scholar

• □S 3.4 Integrate best evidence and clinical expertise into decision-making

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Type of dissemination

1. ●oral or written (poster) presentation
2. ●publication
3. ●manuscript prepared for submission

Leader

• □L 4.1 Organize work to manage clinical, scholarly and other responsibilities

Scholar

• □S 4.4 Identify, consult and collaborate with content experts and others in the conduct of scholarly work
• □S 4.4 Generate focused questions for scholarly investigation
• □S 3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
• □S 4.5 Summarize the findings of a literature review
• □S 4.4 Select appropriate methods of addressing a given scholarly question
• □S 4.2 Identify ethical principles in research
• □S 4.4 Collect data for a scholarly project
• □S 4.4 Perform data analysis
• □S 4.4 Integrate existing literature and findings of data collection
• □S 4.4 Identify areas for further investigation
• □S 4.5 Disseminate the findings of scholarly activity, in written or oral form

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Type of activity

1. ●journal club
2. ●grand rounds
3. ●case presentation
4. ●other

Collaborator

• □Part B: COL 2.1 Delegate tasks and responsibilities in an appropriate and respectful manner

Scholar

• □Part A: S 2.4 Identify the learning needs and desired learning outcomes of others
• □Part A: S 2.4 Develop learning objectives for a teaching activity
• □Part A: S 3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
• □Part A: S 3.4 Integrate best evidence and clinical expertise
• □Part A: S 2.4 Present the information in an organized manner to facilitate understanding
• □Part A: S 2.4 Use audiovisual aids effectively
• □Part A: S 2.4 Facilitate interaction, questions and discussion
• □Part B: S 2.2 Create a positive learning environment
• □Part B: S 2.3 Be available and accessible to junior learners
• □Part B: S 2.4 Identify the learning needs and desired learning outcomes of others
• □Part B: S 2.4 Provide clinical teaching and/or other informal learning activities
• □Part B: S 2.5 Provide feedback to enhance learning and performance
• □Part B: S 3.4 Integrate best evidence and clinical expertise into decision-making

Professional

• □Part B: P 1.1 Intervene when behaviours toward colleagues and/or learners undermine a respectful environment

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Setting

1. ●inpatient
2. ●outpatient
3. ●consultation service

Medical Expert

• □ME 1.5 Carry out professional duties in the face of multiple competing demands

Collaborator

• □COL 1.2 Work effectively with the interprofessional team
• □COL 2.1 Delegate tasks and responsibilities in an appropriate and respectful manner
• □COL 2.2 Manage differences, and resolve conflicts

Leader

• □L 4.1 Manage time and prioritize tasks
• □L 4.2 Describe remuneration practices as they pertain to Adolescent Medicine 8 P. 4.1 Exhibit self-awareness and effectively manage influences on personal well- being and professional performance

Professional

• □P 1.1 Respond appropriately to feedback from patients, families and health care professionals

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation type

1. ●direct
2. ●case discussion
3. ●discharge letter/documentation review

Medical Expert

• □ME 2.4 Determine the setting of care appropriate for the patient’s health care needs
• □ME 4.1 Establish plans for ongoing care

Communicator

• □COM 3.1 Provide information to the patient and/or family regarding the plan for transfer

Collaborator

• □COL 1.3 Incorporate information and the perspectives of other members of the health care team when developing a plan for transfer of care
• □COL 3.2 Organize the handover of care to the most appropriate physician or health care professional
• □COL 3.2 Summarize all relevant issues of the clinical case in a transfer summary
• □COL 1.3 Integrate the patient’s perspective and context into the care plan
• □COL 3.2 Provide guidance for management of ongoing issues as well as anticipated changes in the clinical course

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Medical Expert

• □ME 1.1 Demonstrate an awareness of what is required to practise safely and effectively in the setting of future practice

Leader

• □L 4.2 Examine personal interests and career goals
• □L 4.2 Adjust educational experiences to gain competencies necessary for future practice

Scholar

• □S 1.2 Interpret data on personal performance to identify opportunities for learning and improvement
• □S 1.1 Define learning needs related to personal practice and/or career goals
• □S 3.1 Generate focused questions that address knowledge gaps
• □S 1.1 Create a learning plan that is feasible, includes clear deliverables and a plan for monitoring ongoing achievement
• □S 1.1 Identify resources required to implement a personal learning plan

Professional

• □P 2.1 Demonstrate a commitment to maintaining and enhancing competence

Case description

Feedback provided

Next steps