Gersten Jonker

168   Chapter 8 APPENDIX 1. AN EXAMPLE OF AN EPA IN ANESTHESIOLOGY TABLE 1. Trauma life support EPA Title EPA Resuscitation of the multiple trauma patient in the Emergency Room Detailed description (including limitation of the EPA to specific patient groups and/or context) Resuscitation of trauma patients, of all age groups, in the Emergency Room. Active participation in the trauma team. Assessment and control of vital organ systems. Pain management in trauma patients. Which specific knowledge, skills and attitudes are necessary to perform the EPA at an adequate level? 1. Trauma mechanisms & pathophysiology 2. Organization of trauma care 3. Collaboration in the trauma team 4. Trauma diagnoses & treatment 5. Primary & secondary survey 6. Trauma airway management 7. Emergency IV & IO access 8. Emergency thoracostomy 9. Hemorrhage / massive transfusion 10. Emergency Room registration procedures Which CanMEDs competency domains are mostly addressed in this EPA? Ø Medical expert Ø Communicator Ø Collaborator Ο Manager Ο Scholar Ο Health advocate Ø Professional How can progression of the resident in this EPA be assessed ? 1. Trauma Mini-CEX 2. OSATS on trauma airway management 3. OSATS on emergency IV & IO access 4. OSATS on emergency thoracostomy 5. Multi-source feedback 6. Trauma case-based discussions 7. Participation in trauma Simulator Sessions Which criteria must be met by the resident to fulfil the EPA satisfactory with proficiency level IV (resident may act with postponed or backstage supervision) 1. Completion of two-month rotation Anesthesia in the Emergency Room 2. ATLS certification 3. APLS certification 4. Positive result (pass) on (at least) five trauma Mini-CEX, on different days, by different assessors in different contexts 5. Positive result (pass) on (at least) two case-based discussions on trauma, on different days, by different assessors in different contexts 6. Positive result (pass) on OSATS on trauma airway management, emergency IV & IO access and emergency thoracostomy 7. Positive result (pass) on two trauma Simulator Sessions, in different contexts 8. Positive result (pass) on the judgment of the EPA by (at least) 3 different assessors IV = Intra Venous, IO = Intra Osseous, Mini-CEX = Mini Clinical Evaluation Exercise, OSATS = Objective Structured Assessment of Technical Skills, ATLS = Advanced Trauma Life Support ®, APLS = Advanced Pediatric Life Support ®