Gersten Jonker

The ACTY: acute care transitional year   35 2 TABLE 1: Continued Title Recognition and initial treatment of patients with vital instability Defibrillates a shockable rhythm with (automatic) external defibrillator; Reports in medical record; Provides a structured handover of a patient with vital instability to colleague/supervisor/ward. Attitudes Discerns and acknowledges personal limits of knowledge, skill and capability and can adequately reflect on this; Situational awareness; Is set to short cycles of assessment, treatment, and re-assessment; Collaborates in a team in an emergency setting; Reveals professional role and level; Professional conduct towards patient and/or relatives; Uses Evidence Based Medicine. Information to assess progress Workplace assessment Mini-CEXs with regard to the evaluation of patients with or without vital instability, including indicating necessity for (acute) intervention and with regard to discernment of personal limits of capability; Multisource feedback: performance as a team member in urgent and non-urgent settings; Assessment of knowledge, skills and attitudes Knowledge examination (written, variety of formats); Clinical reasoning and know-how (case-based discussions); Demonstration of isolated skills in non-clinical setting (Objective Structured Examination of Clinical Skills); Reflection forms regarding performance, difficult moments, discernment of limitations. Assessment of clinical performance Simulation of acute care settings. Target level of supervision (entrustment) Indirect supervision (immediately available): evaluation and initial management, awaiting arrival of help/supervisor When is unsupervised practice expected? At completion of the ACTY