EPA | Task (nested EPA, key referring to numbering in PROFILES) | Visualization of resultsa | Level of autonomy (in %, n in brackets) | |||
---|---|---|---|---|---|---|
Key | Description | Indirect, reactive supervision | Direct, proactive supervision | Observe only | ||
1 | 1 | Take a patient’s medical history (persons of all ages) | +++++ | 99% (150) | 1% (2) | 0% (0) |
2 | 2.1 | Perform a physical examination in persons of all ages | +++++ | 95% (145) | 5% (7) | 0% (0) |
2.2 | Assess the cognitive and mental state of the patient including memory, perception, understanding, expression and affect | +++++ | 80% (122) | 20% (30) | 0% (0) | |
2.5 | Use devices such as stethoscope, otoscope and ophthalmoscope | +++++ | 90% (137) | 9% (14) | 1% (1) | |
2.6 | Explain physical examination maneuvers and obtain consent | +++++ | 90% (136) | 9% (14) | 1% (2) | |
2a | Assessment of a patient’s general condition and vital signs | +++++ | 91% (138) | 8% (12) | 1% (2) | |
2b | Assessment of a patient‘s nutritional status | ++++ | 66% (100) | 31% (47) | 3% (5) | |
2c | Assessment of a patient’s attention, thought, perception, speech, affect and psychomotor skills | ++++ | 61% (92) | 38% (58) | 1% (2) | |
2e | Assessment of skin, hair and nails, description of lesions | ++++ | 61% (92) | 38% (58) | 1% (2) | |
2f | Palpation of lymph nodes | +++++ | 93% (141) | 6% (10) | 1% (1) | |
2j | Assessment of eye movements, recognition and description of nystagmus | ++++ | 65% (99) | 32% (49) | 3% (4) | |
2n | Inspection and palpation of thyroid, carotid arteries | +++++ | 81% (123) | 18% (28) | 1% (1) | |
2o | Inspection and palpation of skeleton and joints | +++++ | 88% (134) | 11% (16) | 1% (2) | |
2p | Functional testing of joint mobility: shoulders, elbows, wrists, fingers, hips, knees and ankles | +++++ | 83% (126) | 16% (25) | 1% (1) | |
2q | Inspection, palpation, percussion and mobility of the spine | +++++ | 85% (129) | 14% (21) | 1% (2) | |
2r | Inspection and palpation of chest, percussion and auscultation of lungs | +++++ | 98% (149) | 1% (2) | 1% (1) | |
2 s | Palpation (apex beat/fremitus) and auscultation of heart; description of normal/abnormal heartbeat and murmurs | +++++ | 86% (130) | 14% (22) | 0% (0) | |
2 t | Palpation of pulse, testing for arterial insufficiency or bruits | +++++ | 87% (133) | 12% (18) | 1% (1) | |
2v | Assessment of venous system | ++++ | 60% (91) | 36% (55) | 4% (6) | |
2w | Palpation, percussion and auscultation of abdomen, description of findings | +++++ | 97% (148) | 2% (3) | 1% (1) | |
2x | Inspection and palpation of groin/hernial orifices | +++ | 42% (64) | 55% (83) | 3% (5) | |
2dd | Perform a neurological examination | +++++ | 90% (137) | 10% (15) | 0% (0) | |
2ee | Assessment of coma (scale) | +++ | 56% (86) | 39% (59) | 5% (7) | |
3 | 3 | Prioritize a differential diagnosis following a clinical encounter | ++++ | 61% (93) | 38% (57) | 1% (2) |
4 | 4 | Recommend and interpret diagnostic and screening tests in common situations | ++++ | 65% (99) | 33% (50) | 2% (3) |
5 | 5a | Measuring and interpreting body temperature | +++++ | 97% (148) | 2% (3) | 1% (1) |
5b | Intravenous, subcutaneous and intramuscular injection | +++ | 56% (85) | 41% (62) | 3% (5) | |
5c | Insertion of a peripheral intravenous line | +++ | 58% (88) | 35% (54) | 7% (10) | |
5c | Planning and managing parenteral administration of drugs | ++ | 21% (32) | 55% (83) | 24% (37) | |
5f | Wound cleaning, application and removal of sutures | +++ | 43% (65) | 47% (72) | 10% (15) | |
5 g | Application of bandages and dressings | ++ | 36% (54) | 54% (82) | 10% (16) | |
5o | Performance and interpretation of a urine stick test | ++++ | 66% (101) | 30% (45) | 4% (6) | |
5q | Performance and interpretation of an ECG | +++ | 51% (78) | 46% (70) | 3% (4) | |
5r | Performance and interpretation of a pregnancy test | ++++ | 74% (113) | 21% (32) | 5% (7) | |
6b | 6a | Manage a patient with transient loss of consciousness, syncope, coma or seizures | + | 18% (27) | 66% (101) | 16% (24) |
6b | Manage a patient with severe hypotension or shock | + | 7% (11) | 57% (86) | 36% (55) | |
6c | Manage a patient with acute chest pain | ++ | 34% (52) | 63% (95) | 3% (5) | |
6d | Manage a patient with acute severe headache or meningism | ++ | 25% (38) | 65% (99) | 10% (15) | |
6e | Manage a patient with acute abdominal pain | +++ | 45% (69) | 52% (78) | 3% (5) | |
6 h | Manage a patient with severe hypertension | + | 17% (26) | 71% (108) | 12% (18) | |
6i | Manage a patient with uncomplicated trauma, such as a fall or minor traffic injury | ++++ | 62% (94) | 33% (51) | 5% (7) | |
6 k | Manage a patient with severe acute blood loss | + | 9% (13) | 54% (82) | 37% (57) | |
7 | 7 | Develop a management plan; discuss orders and prescriptions in common situations | +++ | 50% (76) | 45% (69) | 5% (7) |
8 | 8.1 | Document and record the patient’s chart | +++++ | 86% (130) | 13% (20) | 1% (2) |
8.3 | Provide and incorporate a discharge document | ++++ | 66% (100) | 31% (48) | 3% (4) | |
8.5 | Provide an oral presentation of a patient encounter and situation | +++++ | 84% (127) | 14% (22) | 2% (3) |