Geriatric Psychiatry

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. ●clinical
2. ●simulation

Medical Expert

• □ME 2.2 Perform a general psychiatric interview
• □ME 2.2 Perform a mental status examination
• □ME 2.2 Develop a formulation of the case
• □ME 2.2 Develop a differential and most likely diagnosis relevant to the patient’s presentation
• □ME 2.4 Propose an initial management plan

Communicator

• □COM 1.1 Convey empathy, respect, and compassion
• □COM 2.3 Seek and synthesize relevant information from other sources
• □COM 2.2 Demonstrate a clear structure and manage the flow of the encounter

Professional

• □P 1.1 Demonstrate awareness of the limits of one’s own expertise

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. ●mood disorder
2. ●anxiety disorder
3. ●psychotic disorder
4. ●neurocognitive disorder
5. ●other presentation

Medical Expert

• □ME 2.2 Adapt the assessment as appropriate for a patient with sensory and/or cognitive deficits
• □ME 2.2 Gather collateral information from other sources
• □ME 2.2 Elicit a social history, including family and caregiver issues
• □ME 2.2 Perform a mental status examination, including a cognitive assessment
• □ME 2.2 Perform a focused physical and neurological examination
• □ME 2.2 Perform a functional assessment of basic and instrumental activities of daily living
• □ME 2.2 Assess safety and/or risk for safety issues
• □ME 2.2 Develop a formulation of the case

Communicator

• □COM 2.1 Conduct a patient-centred interview gathering all relevant biomedical and psychosocial information
• □COM 2.2 Demonstrate a clear structure and manage the flow of the encounter

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. ●mood disorder
2. ●anxiety disorder
3. ●psychotic disorder
4. ●substance use disorder
5. ●sleep disorder
6. ●other presentation

CGPA observed

1. ●yes
2. ●no

Medical Expert

• □ME 1.3 Apply knowledge of normal and abnormal biological, psychological, functional, and cognitive aspects of aging
• □ME 1.4 Perform an assessment that addresses all relevant issues
• □ME 2.2 Elicit a social history, including family and caregiver issues
• □ME 2.2 Select and/or interpret appropriate investigations
• □ME 2.2 Synthesize biological, psychological, and social information to determine a diagnosis
• □ME 2.2 Assess the patient’s suitability for psychopharmacological, neurostimulation, and psychotherapeutic treatments
• □ME 3.1 Determine the most appropriate treatment for the patient’s presentation and clinical status
• □ME 2.4 Develop and implement a management plan that considers all of the patient’s health problems and context

Communicator

• □COM 1.6 Tailor the approach to decision-making to patient capacity, values, and preferences
• □COM 5.1 Document the encounter to convey the assessment and the rationale for decisions and/or recommendations

Health Advocate

• □HA 1.1 Work with the patient and/or family to address determinants of health
• □HA 1.1 Facilitate access to health care services and community resources

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

Neurocognitive disorder

1. ●mild
2. ●major

Diagnosis

1. ●Alzheimer’s
2. ●vascular dementia
3. ●Lewy body dementia
4. ●fronto-temporal dementia (FTD)
5. ●mixed
6. ●other diagnosis

Psychiatric comorbidity

1. ●no
2. ●yes

Medical Expert

• □Part A: ME 1.3 Apply knowledge of normal and abnormal biological, psychological, functional, and cognitive aspects of aging
• □Part A: ME 1.3 Apply knowledge of the symptoms, course of illness, and treatment of common neurocognitive disorders
• □Part A: ME 2.2 Identify indications for neuropsychological investigations
• □Part A: ME 2.2 Integrate clinical information to ascertain the most likely diagnosis
• □Part A: ME 2.4 Develop a management plan, including pharmacologic and non- pharmacologic therapy
• □Part A: ME 2.3 Identify and discuss the need for advance care plans
• □Part B: ME 1.3 Apply knowledge of the symptoms, course of illness, and treatment of common neurocognitive disorders
• □Part B: ME 2.1 Ascertain the patient/family’s understanding of the medical situation

Communicator

• □Part B: COM 3.1 Share information and explanations that are clear and accurate
• □Part B: COM 3.1 Use appropriate language and avoid medical jargon
• □Part B: COM 3.1 Verify understanding of the information conveyed
• □Part B: COM 1.4 Identify, verify, and validate non-verbal cues
• □Part B: COM 1.5 Recognize when strong emotions (such as anger, fear, anxiety, or sadness) are affecting an interaction and respond appropriately
• □Part B: COM 4.3 Answer questions from the patient and/or family
• □Part B: COM 4.1 Communicate with cultural awareness and sensitivity

Collaborator

• □Part A: COL 3.2 Anticipate and provide guidance regarding safety and/or risk for safety issues, including driving where applicable

Health Advocate

• □Part A: HA 1.2 Select and provide access to patient/family education resources
• □Part A: HA 1.1 Facilitate access to health care services and community resources

Professional

• □Part A: P 3.1 Respond to medico-legal aspects arising for patients with neurocognitive disorders

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

Co-morbidities

1. ●neurocognitive disorder
2. ●medication/substance related
3. ●medical condition
4. ●psychiatric disorder
5. ●palliative condition

Treatment

1. ●non-pharmacological intervention
2. ●antipsychotics
3. ●discontinue medications
4. ●other treatment

Medical Expert

• □ME 2.2 Perform a delirium screen using validated tools
• □ME 1.4 Perform a focused clinical assessment
• □ME 2.2 Gather collateral information from other sources
• □ME 2.2 Select and/or interpret appropriate investigations
• □ME 2.2 Synthesize patient information, incorporating caregiver and interprofessional team input to determine a diagnosis
• □ME 4.1 Determine the need and timing of medical investigation and consultation
• □ME 2.4 Develop a management plan, including pharmacologic and non- pharmacologic therapy
• □ME 5.2 Apply best practices for safe care of older adults

Communicator

• □COM 1.1 Communicate with patient and family using a patient-centred approach

Collaborator

• □COL 1.2 Communicate effectively with other physicians 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

1. ●direct
2. ●case discussion
3. ●other observation

Focused neurological exam

1. ●yes
2. ●no

Presentation

1. ●fall/mobility issue
2. ●frailty
3. ●pain
4. ●bowel/bladder issue
5. ●movement disorder
6. ●sensory impairment
7. ●vascular risk management
8. ●swallowing difficulty
9. ●end of life care
10. ●COPD
11. ●endocrine disorder

Medical Expert

• □ME 2.2 Gather a history relevant to the patient’s presentation
• □ME 2.2 Perform a focused physical and neurological examination
• □ME 2.2 Discriminate between urgent and non-urgent problems to develop a prioritized problem list
• □ME 4.1 Determine the need and timing of referral to another health care professional
• □ME 2.2 Select and/or interpret appropriate investigations
• □ME 2.4 Develop and implement an initial management plan

Communicator

• □COM 2.3 Seek and synthesize relevant information from other sources

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 1.3 Apply knowledge of pharmacokinetics and pharmacodynamics
• □ME 2.2 Perform a medication history, medical review, and reconciliation from all sources
• □ME 3.1 Describe the indications, contraindications, risk, and alternatives for common medications
• □ME 2.2 Identify and respond to adverse drug reactions
• □ME 2.4 Apply de-prescribing practices where appropriate
• □ME 2.4 Evaluate the applicability and/or limitations of the extrapolation of clinical trial data and/or clinical practice guidelines to older adults
• □ME 2.4 Provide and/or adjust medications considering pharmacokinetics and pharmacodynamics, adherence, adverse effects, and medication interactions
• □ME 4.1 Establish plans for monitoring the patient and treatment efficacy

Communicator

• □COM 4.1 Explore the perspectives of the patient and their family when developing care plans

Health Advocate

• □HA 1.2 Select patient education resources related to their diagnosis and medication

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. ●outreach

Presentation

1. ●major neurocognitive disorder
2. ●mild neurocognitive disorder with psychiatric comorbidity
3. ●late onset psychiatric disorder
4. ●early onset psychiatric disorder
5. ●other presentation

Case complexity

1. ●low
2. ●medium
3. ●high

Medical Expert

• □Part A: ME 1.4 Perform an assessment that addresses all relevant issues
• □Part A: ME 2.2 Adapt the assessment as appropriate for a patient with sensory and/or cognitive deficits
• □Part A: ME 2.2 Select and/or interpret appropriate investigations
• □Part A: ME 2.2 Develop a formulation of the case
• □Part A: ME 2.2 Develop a differential and most likely diagnosis relevant to the patient’s presentation
• □Part A: ME 2.2 Assess suitability for treatment and therapy
• □Part A: ME 2.4 Develop a patient-centered management plan
• □Part B: ME 2.1 Ascertain the patient/family’s understanding of the medical situation

Communicator

• □Part A: COM 1.1 Convey empathy, respect, and compassion
• □Part B: COM 4.1 Communicate with cultural awareness and sensitivity
• □Part B: COM 3.1 Share information and explanations that are clear and accurate
• □Part B: COM 3.1 Use appropriate language and avoid medical jargon
• □Part B: COM 3.1 Verify understanding of the information conveyed
• □Part B: COM 1.4 Identify, verify, and validate non-verbal cues
• □Part B: COM 1.5 Recognize when strong emotions (such as anger, fear, anxiety, or sadness) are affecting an interaction and respond appropriately
• □Part B: COM 4.3 Answer questions from the patient and/or family
• □Part B: COM 4.3 Use communication skills and strategies that help the patient and/or family make informed decisions

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

Symptom

1. ●physical aggression
2. ●hallucinations/delusions
3. ●mood disturbance (apathy/depression/lability/anxiety)
4. ●sexually disinhibited behavior
5. ●wandering/exit- seeking
6. ●disruptive vocalization
7. ●psychomotor agitation
8. ●other symptom

Patient location

1. ●residential care home
2. ●long term care home
3. ●inpatient
4. ●specialized dementia unit
5. ●living at home (outpatient/outreach)
6. ●other settings

Medical Expert

• □ME 1.4 Perform an assessment that addresses all relevant issues
• □ME 2.2 Select and apply appropriate scales and/or tools to assess BPSD
• □ME 2.2 Integrate the clinical information to develop an approach to causality
• □ME 2.2 Assess safety and/or risk for safety issues
• □ME 2.4 Develop a management plan, including pharmacologic and non- pharmacologic therapy
• □ME 5.2 Apply best practices for safe care of older adults

Communicator

• □COM 2.3 Demonstrate an appreciation of the importance of information obtained from other sources, such as a patient’s family and other health care professionals
• □COM 4.3 Support and educate families and caregivers in their care of the elderly patient

Collaborator

• □COL 1.2 Work effectively with the geriatric mental health care team
• □COL 1.3 Provide effective consultation to colleagues in long term care and assisted living facilities

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 1.3 Apply knowledge of relevant mental health legislation and regulations
• □ME 1.3 Apply principles of capacity determination in multiple domains
• □ME 2.2 Perform a mental status examination, including a cognitive assessment
• □ME 2.2 Select and apply structured cognitive assessment and functional tools and/or functional assessments
• □ME 2.2 Gather collateral information from other sources
• □ME 2.2 Interpret the results of neuropsychological investigations
• □ME 4.1 Determine the need and timing of referral to another health care professional
• □ME 2.2 Integrate all relevant data to develop a case synthesis and determination of capacity

Communicator

• □COM 1.1 Convey empathy, respect, and compassion
• □COM 1.2 Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety
• □COM 1.3 Identify and respond to factors influencing the patient’s reactions to the psychiatrist and the assessment
• □COM 5.1 Document the encounter to convey the assessment and the rationale for decisions and/or recommendations

Health Advocate

• □HA 1.1 Recognize and address stigmatization associated with aging and mental illness

Professional

• □P 3.1 Apply professional standards and laws governing capacity and competence

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

Indication for ECT

1. ●treatment refractory depression
2. ●psychotic depression
3. ●catatonia
4. ●bipolar disorder
5. ●schizophrenia
6. ●other indication

Urgent situation

1. ●yes
2. ●no

Risk of adverse outcomes

1. ●low
2. ●medium
3. ●high

Medical Expert

• □Part A: ME 2.2 Identify indications to consider ECT as a therapeutic option
• □Part A: ME 2.2 Assess the patient’s suitability for ECT, considering risks and benefits, and alternate treatments
• □Part A: ME 3.1 Determine the most appropriate treatment for the patient’s presentation and clinical status
• □Part A: ME 2.4 Anticipate peri-procedural issues and complications, and incorporate these considerations in the management plan
• □Part B: ME 3.2 Describe the indications, contraindications, risks, and alternatives for neurostimulation

Communicator

• □Part B: COM 3.1 Share information and explanations that are clear and accurate
• □Part B: COM 3.1 Verify understanding of the information conveyed
• □Part B: COM 4.3 Answer questions from the patient and/or family
• □Part B: COM 4.3 Use communication skills and strategies that help the patient and/or family make informed decisions
• □Part B: COM 5.1 Document the consent discussion in an accurate and complete manner

Health Advocate

• □Part B: HA 1.2 Work with patients and their families to decrease stigma regarding neurostimulation treatments

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. ●major neurocognitive disorder
2. ●mild neurocognitive disorder with psychiatric comorbidity
3. ●late onset psychiatric disorder
4. ●early onset psychiatric disorder
5. ●other presentation

Patient receiving ECT

1. ●yes
2. ●no

Treatment decision

1. ●no change
2. ●side effect management
3. ●treatment modification
4. ●level of care
5. ●discharge to primary care
6. ●other decision

Medical Expert

• □ME 1.4 Perform an assessment that addresses all relevant issues
• □ME 2.2 Interpret the results of investigations performed to monitor the condition and/or treatment
• □ME 2.2 Synthesize patient information to determine clinical status and response to treatment
• □ME 2.2 Anticipate the trajectory of illness and function, and associated care needs
• □ME 2.3 Integrate the patient’s and family’s perspectives and context into the care plan
• □ME 2.4 Develop a plan for ongoing management, taking into consideration the patient’s clinical status, supports and available community resources
• □ME 4.1 Determine the frequency and timing of future investigations and visits

Communicator

• □COM 4.3 Use communication skills and strategies that help the patient and/or family make informed decisions

Collaborator

• □COL 3.1 Determine if care should be transferred back to the primary health care professional

Health Advocate

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

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

Setting

1. ●inpatient
2. ●outpatient
3. ●outreach

Observer role

1. ●physician
2. ●nurse
3. ●social worker
4. ●other team member

Medical Expert

• □Part A: ME 4.1 Coordinate treatment and follow-up across care settings
• □Part B: ME 2.1 Identify urgent and emergency situations arising in the care of older adults
• □Part B: ME 2.2 Elicit a social history, including family and caregiver issues
• □Part B: ME 2.2 Ascertain a patient’s health and personal care needs, including goals, to facilitate an integrated care plan
• □Part B: ME 2.4 Develop a patient-centered management plan
• □Part B: ME 4.1 Determine the need and timing of referral to another health care professional

Collaborator

• □Part A: COL 1.2 Make effective use of the scope and expertise of other health care professionals
• □Part A: COL 1.1 Respond appropriately to input from other health care professionals
• □Part A: COL 1.2 Communicate effectively with other physicians and health care professionals
• □Part A: COL 1.2 Work effectively with the geriatric mental health care team
• □Part B: COL 1.2 Work effectively with the geriatric mental health care team

Leader

• □Part A: L 4.2 Lead and direct the activities of the interprofessional team, when appropriate
• □Part B: L 2.1 Apply knowledge of health care resources available in other care settings

Health Advocate

• □Part B: HA 1.1 Facilitate access to health care services and community resources

Professional

• □Part A: P 1.1 Respond punctually to requests from patients or other health care professionals
• □Part A: 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. ●review of documentation
3. ●case discussion

Communicator

• □COM 1.5 Recognize when strong emotions (such as anger, fear, anxiety, or sadness) are affecting an interaction and respond appropriately
• □COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware
• □COM 1.4 Respond to non-verbal communication and use appropriate non-verbal behaviours to enhance communication
• □COM 3.1 Share information and explanations that are clear and accurate
• □COM 3.1 Verify understanding of the information conveyed
• □COM 4.3 Answer questions in a respectful manner
• □COM 2.2 Manage the flow of a challenging clinical encounter
• □COM 1.5 Establish boundaries as needed in emotional situations
• □COM 5.1 Document the encounter to convey the discussion and outcome

Collaborator

• □COL 2.2 Listen to understand and find common ground
• □COL 2.2 Manage differences and attempt to resolve conflicts

Professional

• □P 3.1 Apply relevant mental health legislation

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

Document

1. ●consultation note
2. ●admission summary
3. ●discharge summary
4. ●progress notes

Communicator

• □COM 5.1 Document all relevant findings in an organized and concise manner
• □COM 5.1 Convey the risk assessment and any identified risks
• □COM 5.1 Convey clinical reasoning and the rationale for decisions
• □COM 5.1 Provide a clear plan for ongoing management
• □COM 5.1 Complete clinical documentation in a timely manner

Collaborator

• □COL 1.2 Identify the roles of the referring physician and the geriatric psychiatrist clearly in the ongoing management plan
• □COL 3.2 Provide anticipatory guidance for results of outstanding investigations and/or next steps for management

Scholar

• □S 3.4 Integrate best evidence and clinical expertise into decision-making
• □S 1.3 Provide teaching points to improve quality of care

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

Scholar

• □S 2.4 Identify the learning needs and desired learning outcomes of others
• □S 2.4 Develop learning objectives for a teaching activity
• □S 3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
• □S 3.4 Integrate best evidence and clinical expertise
• □S 2.4 Present the information in an organized manner to facilitate understanding
• □S 2.4 Use audiovisual aids effectively
• □S 2.4 Provide adequate time for questions and discussion
• □S 2.4 Respond effectively to questions

Professional

• □P 1.1 Demonstrate awareness of the limits of one’s own expertise

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. ●emergency
2. ●inpatient unit
3. ●consultation liaison
4. ●outpatient
5. ●community
6. ●on- call

Collaborator

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

Scholar

• □S 2.1 Use strategies for deliberate, positive role-modelling
• □S 2.2 Ensure a safe learning environment for all members of the team
• □S 2.3 Balance clinical supervision and graduated responsibility, ensuring the safety of patients and learners
• □S 2.4 Provide formal and informal teaching for junior learners
• □S 2.5 Provide useful, timely, constructive feedback using a coaching model

Professional

• □P 1.1 Demonstrate awareness of the limits of one’s own expertise

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/outreach

Medical Expert

• □ME 1.1 Demonstrate responsibility and accountability for decisions regarding patient care, acting in the role of junior attending
• □ME 1.5 Carry out professional duties in the face of multiple, competing demands
• □ME 1.5 Prioritize patients based on the urgency of clinical presentation
• □ME 2.4 Establish patient centred management plans
• □ME 4.1 Determine the need and timing of referral to another health care professional

Collaborator

• □COL 1.2 Work effectively with the geriatric mental health care team

Leader

• □L 2.1 Allocate health care resources for optimal patient care
• □L 4.2 Describe remuneration models as they pertain to Geriatric Psychiatry

Scholar

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

Professional

• □P 1.1 Exhibit appropriate professional behaviours
• □P 4.1 Exhibit self-awareness and effectively manage influences on personal well- being and professional performance

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

Leader

• □Part A: L 4.2 Examine personal interests and career goals

Scholar

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

Professional

• □Part A: P 2.1 Demonstrate a commitment to maintaining and enhancing competence
• □Part A: P 4.2 Develop a strategy to manage personal and professional demands for a sustainable independent 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

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 Summarize and communicate the findings of scholarly inquiry

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