Curriculum Map in General Pediatrics

The curriculum map is meant to be a guide for trainees and faculty to help identify which Entrustable Professional Activities (EPAs) should be focused on for a given clinical rotation and depending on the residents鈥� stage of training. Ultimately, the curriculum map will help trainees meet the EPA training requirements of the Royal College of Physicians and Surgeons of Canada (RCPSC).

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The full list of EPAs as well of the curriculum map for the 苹果淫院 General Pediatrics Program can be found below:

List of Entrustable Professional Activities (EPAs)

Stage of Training	Entrustable Professional Activities (EPA)
Transition to Discipline (TTD)
TTD 1	Performing and presenting a basic history and physical examination
TTD 2	Documenting orders for pediatric patients
Foundations of Discipline (FOD)
FOD 1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
FOD 2	Managing low risk deliveries and initiating resuscitation
FOD 3	Providing well newborn care
FOD 4	Assessing, diagnosing and initiating management for newborns with common problems
FOD 5	Assessing, diagnosing, and managing patients with common pediatric problems
FOD 6	Providing primary and secondary preventive health care
FOD 7	Performing basic pediatric procedures
FOD 8	Communicating assessment findings and management plans to patients and/or families
FOD 9	Documenting clinical encounters
FOD 10	Transferring clinical information between health care providers during handover
FOD 11	Coordinating transitions of care for non-complex pediatric patients
Core of Discipline (COD)
COD 1	Resuscitating and stabilizing neonates following delivery
COD 2	Resuscitating and stabilizing critically ill patients
COD 3	Assessing patients with medical and/or psychosocial complexity
COD 4	Diagnosing and managing pediatric patients
COD 5	Providing ongoing management for patients with chronic conditions
COD 6	Assessing and managing patients with mental health issues
COD 7	Assessing and managing patients with developmental, behavioural, and school issues
COD 8	Recognizing and managing suspected child maltreatment and/or neglect
COD 9	Performing core pediatric procedures
COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
COD 11	Coordinating transitions of care for patients with medical or psychosocial complexity
COD 12	Leading the inpatient team
COD 13	Advancing the discipline through scholarly activity
COD 14	Providing teaching and feedback
Transition to Practice (TTP)
TTP 1	Leading a general pediatric inpatient service
TTP 2	Managing the longitudinal aspects of patient care in a general pediatric outpatient setting
TTP 3	Leading discussions about goals of care
TTP 4	Leading family meetings and interprofessional team meetings
TTP 5	Analyzing patient safety events to improve quality of care

Curriculum Map by Rotation

Adolescent Medicine

Rotation	听	EPAs
Adolescent Medicine	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 6	Assessing and managing patients with mental health issues**
	COD 7	Assessing and managing patients with developmental, behavioural, and school issues**
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations

** In this rotation, please ensure to cover EPAs 6 and 7 as it pertains to the adolescent population.

Stage of Training Legend
TTD听-听Transition to Discipline
FOD -听Foundations of Discipline
COD -听Core of Discipline
TTP -听Transition to Practice

Ambulatory Pediatrics

Rotation	听	EPAs
Ambulatory Pediatrics	TTD 1	Performing and presenting a basic history and physical examination*
	FOD 5	Assessing, diagnosing, and managing patients with common pediatric problems
	FOD 6	Providing primary and or secondary preventive health care**
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 9	Documenting clinical encounters

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
** If possible, please emphasize covering this EPA.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Anesthesia

Rotation	听	EPAs
Anesthesia	FOD 7	Performing basic pediatric procedures
Anesthesia	FOD 10	Transferring clinical information between health care providers during handover

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Community Pediatrics

Rotation	听	EPAs
Community Pediatrics PGY-2 and PGY-3	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 6	Assessing and managing patients with mental health issues**
	COD 7	Assessing and managing patients with developmental, behavioural, and/or school issues**
	COD 8	Recognizing and managing suspected child maltreatment and/or neglect**

**If possible and clinical situation occurs, please emphasize on these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Complex Care Service

Rotation	听	EPAs
Complex Care Service PGY-1	FOD 1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management**
	FOD 7	Performing basic pediatric procedures**
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 9	Documenting clinical encounters
	COD 9	Performing core pediatric procedures**
Complex Care Service PGY-4	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 9	Performing core pediatric procedures**
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD 11	Coordinating transitions of care for patients with medical or psychosocial complexity**
	TTP 3	Leading discussion about goal of care
	TTP 4	Leading family meetings and interprofessional team meetings

**If possible, please emphasize covering these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Developmental Pediatrics

Rotation	听	EPAs
Developmental Pediatrics	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 6	Assessing and managing patients with mental health issues**
	COD 7	Assessing and managing patients with developmental, behavioural and school issues**
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations

** In this rotation, please emphasize covering these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Electives

Rotation	听	EPAs
Electives PGY-1	FOD 5	Assessing, diagnosing, and managing patients with common pediatric problems (early in academic year)
	FOD 8	Communicating assessment findings and management plans to patients and/or families (early in academic year)
	FOD 9	Documenting clinical encounters (early in academic year)
	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 14	Providing teaching and feedback
Electives PGY-2	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 14	Providing teaching and feedback
Electives PGY-3	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD 14	Providing teaching and feedback
Electives PGY-4	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	TTP 3	Leading discussions about goal of care
	TTP 4	Leading family meetings and interprofessional team meetings

Please note that for elective rotations, EPAs to be covered can vary significantly depending on year of training, trainee鈥檚 previous experience with the discipline, cases/situations seen, and type of clinical exposure (inpatient vs outpatient setting).

The EPAs listed above are suggestions, but may well be adjusted depending on areas the trainees and faculty would like to focus on.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Emergency Medicine

Rotation	听	EPAs
Emergency Medicine PGY-1	TTD 1	Performing and presenting a basic history and physical examination*
	TTD 2	Documenting orders for pediatric patients*
	FOD 4	Assessing, diagnosing, and managing patients with common pediatric problems
	FOD 7	Performing basic pediatric procedures**
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 9	Documenting clinical encounters
Emergency Medicine PGY-2	COD 2	Resuscitating and stabilizing critically ill patients**
	COD 4	Diagnosis and managing patients with acute illness
	COD 9	Performing core pediatric procedures**
Emergency Medicine PGY-3	COD 2	Resuscitating and stabilizing critically ill patients**
	COD 4	Diagnosing and managing patients with acute illness
	COD 9	Performing core pediatric procedures**

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
**If possible, please make sure to cover these EPAs. Also note that mock codes/simulation are excellent ways to cover EPA COD 2.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Medical 苹果淫院 and Patient Flow Junior Attending

Rotation	听	EPAs
Medical 苹果淫院 and Patient Flow Junior Attending PGY-4	COD 11	Coordinating transitions of care for patients with medical or psychosocial complexity
	COD 14	Providing teaching and feedback
	TTP 1	Leading a general pediatric inpatient service
	TTP 5	Analyzing patient safety events to improve quality of care

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Medical Day Hospital

Rotation	听	EPAs
Medical Day Hospital PGY-1	TTD 1	Performing and presenting a basic history and physical examination*
	TTD 2	Documenting orders for pediatric patients*
	FOD 4	Assessing, diagnosing and initiating management for newborns with common pediatric problems
	FOD 5	Assessing, diagnosing, and managing patients with common problems
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 9	Documenting clinical encounters
Medical Day Hospital PGY-4	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 14	Providing teaching and feedback
	TTP 2	Managing the longitudinal aspects of patient care in a general pediatrics outpatient setting**

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritied.
**If possible, please empasize covering this EPA.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Newborn Nursery

Rotation	听	EPAs
Newborn Nursery	TTD 2	Documenting orders for pediatric patients*
	FOD 3	Providing well newborn care- initial or discharge assessment**
	FOD 4	Assessing, diagnosing and initiating management for newborns with common problems

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
**Please make sure to cover this EPA.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

NICU

Jr NICU rotation	听	EPAs
NICU PGY-1 Junior CTU	FOD1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
	FOD2	Managing low risk deliveries and initiating resuscitation**
	FOD4	Assessing, diagnosing and initiating management for newborns with common problems
	FOD7	Performing basic pediatric procedures**
	FOD8	Communicating assessment findings and management plans to patients and/or families
NICU Silver PGY2	FOD2	Managing low risk deliveries and initiating resuscitation**
	COD1	Resuscitating and stabilizing neonates following delivery**
	COD4	Diagnosing and managing pediatric patients
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD9	Performing core pediatric procedures**

Sr NICU Rotations	听	EPAs
NICU JGH PGY-2 听	COD1	Resuscitating and stabilizing neonates following delivery**
	COD9	Performing core pediatric procedures**
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD11	Coordinating transitions of care for patients with medical or psychosocial complexity
	TTP4	Leading family and interprofessional team meetings
Sr NICU CTU/JGH PGY3 听	COD1	Resuscitating and stabilizing neonates following delivery**
	COD9	Performing core pediatric procedures**
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD11	Coordinating transitions of care for patients with medical or psychosocial complexity
	COD12	Leading the inpatient team
	COD14	Providing teaching and feedback
	TTP3	Leading discussions about goals of care
	TTP4	Leading family and interprofessional team meetings

NICU Nightfloat Rotation	听	EPAs
NICU NF PGY-2	FOD1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
	FOD10	Transferring clinical information between health care provider at handover
	COD1	Resuscitating and stabilizing neonates following delivery**
	COD9	Performing core pediatric procedures**
NICU NF PGY-3	COD1	Resuscitating and stabilizing neonates following delivery**
	COD2	Resuscitating and stabilizing critically ill patients
	COD9	Performing core pediatric procedures**
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
NICU NF PGY-4	COD1	Resuscitating and stabilizing neonates following delivery**
	COD2	Resuscitating and stabilizing critically ill patients
	COD9	Performing core pediatric procedures**
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	TTP3	Leading discussions about goal of care**

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

PICU

PICU Rotation	听	EPAs
PICU PGY-1	FOD 1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management**
	FOD 7	Performing basic pediatric procedures
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 10	Transferring clinical information between health care providers at handover
	FOD 11	Coordinating transitions of care for non-complex pediatric patients
PICU PGY-2	FOD 10	Transferring clinical information between health care providers at handover
	COD 2	Resuscitating and stabilizing critically ill patients**
	COD 4	Diagnosing and managing pediatric patients
	COD 9	Performing core pediatric procedures
	COD 11	Coordinating transitions of care for patients with medical or psychosocial complexity
	COD 14	Providing teaching and feedback

PICU Night Float Rotation	听	EPAs
PICU Night Float PGY-3	COD 2	Resuscitating and stabilizing critically ill patients**
	COD 9	Performing core pediatric procedures
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
PICU Night Float PGY-4	COD 2	Resuscitating and stabilizing critically ill patients**
	COD 9	Performing core pediatric procedures
	COD 10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	TTP 3	Leading discussions about goal of care**

**If possible please make sure to cover these EPAs. Also please note that mock codes/simulation are excellent ways to cover EPAs FOD 1 and COD 2.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Resident Continuity Clinic (RCC)

Rotation	听	EPAs
RCC PGY-1	TTD 1	Performing and presenting a basic history and physical examination
	TTD 2	Documenting orders for pediatric patients
	FOD 5	Assessing, diagnosing, and managing patients with common pediatric problems
	FOD 6	Providing primary and or secondary preventive health care**
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 9	Documenting clinical encounters
RCC PGY-2	FOD 6	Providing primary and or secondary preventive health care**
	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 6	Assessing and managing patients with mental health issues**
	COD 7	Assessing and managing patients with developmental, behavioural, and/or school issues**
RCC PGY-3	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 6	Assessing and managing patients with mental health issues
	COD 7	Assessing and managing patients with developmental, behavioural, and/or school issues
	TTP 2	Managing the longitudinal aspects of patient care in a general pediatric outpatient setting**

**If possible, please emphasize these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Rural

Rotation	听	EPAs
Rural PGY-1	FOD 5	Assessing, diagnosing, and managing patients with common pediatric problems
	FOD 6	Providing primary and or secondary preventive health care**
	FOD 8	Communicating assessment findings and management plans to patients and/or families
	FOD 9	Documenting clinical encounters
	FOD 11	Coordinating transitions of care for non-complex pediatric patients** (transfer to other health care center)
Rural PGY-2 and PGY-3	COD 3	Assessing patients with medical and/or psychosocial complexity
	COD 4	Diagnosing and managing pediatric patients
	COD 5	Providing ongoing management for patients with chronic conditions
	COD 6	Assessing and managing patients with mental health issues**
	COD 7	Assessing and managing patients with developmental, behavioural and/or school issues**
	COD 8	Recognizing and managing suspected child maltreatment and/or neglect**
	COD 11	Coordinating transitions of care for patients with medical or psychosocial complexity** (transfer to other health care center)

**If possible and clinical situation occurs, please emphasize these EPAs.

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Social Pediatrics

Rotation	听	EPAs
Social Pediatrics	FOD 6	Providing primary and secondary preventative health care
	COD 6	Assessing and managing patients with mental health issues
	COD 7	Assessing and managing patients with developmental, behavioural, and school issues
	COD 8	Recognizing and managing suspected child maltreatment and/or neglect

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

Wards

Wards Jr Rotation	听	Entrustable Professional Activity (EPA)
Wards Jr - Block 1	TTD1	Performing and presenting a basic history and physical examination*
	TTD2	Documenting orders for pediatric patients*
	FOD4	Assessing, diagnosing and initiating management for newborns with common problems
	FOD5	Assessing, diagnosing, and managing patients with common pediatric problems
	FOD8	Communicating assessment findings and management plans to patients and/or families
	FOD9	Documenting clinical encounters
Wards Jr - Block 2	FOD1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
	FOD5	Assessing, diagnosing, and managing patients with common pediatric problems
	FOD8	Communicating assessment findings and management plans to patients and/or families
	FOD9	Documenting clinical encounters
	FOD11	Coordinating transitions of care for non-complex pediatric patients
Wards Jr - Block 3	FOD1	Recognizing deteriorating and/or critically ill patients and initiating stabilization and management
	FOD10	Transferring clinical information between health care providers during handover
	FOD11	Coordinating transitions of care for non-complex pediatric patients
	COD3	Assessing patients with medical and/or psychosocial complexity
	COD5	Providing ongoing management for patients with chronic conditions

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.

Wards Sr Rotation	听	EPAs
Wards Sr - Block 1	COD3	Assessing patients with medical and/or psychosocial complexity
	COD4	Diagnosing and managing patients with acute illness
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD12	Leading the inpatient team**
	COD14	Providing teaching and feedback
	TTP5	Analyzing patient safety events to improve quality of care***
Wards Sr - Block 2	COD3	Assessing patients with medical and/or psychosocial complexity
	COD5	Providing ongoing management for patients with chronic conditions
	COD10	Leading discussions with patients, families and/or other health care professionals in emotionally charged situations
	COD11 听	Coordinating transitions of care for patients with medical or psychosocial complexity
	COD12	Leading the inpatient team**
	COD14	Providing teaching and feedback
	TTP4	Leading family and interprofessional team meetings**
	TTP5	Analyzing patient safety events to improve quality of care***
Wards Sr - Block 3	TTP1	Leading a general pediatric inpatient service 鈥� A) Patient Care and听B) Interprofessional care/supervision**
	TTP4	Leading family and interprofessional team meetings**
	TTP5	Analyzing patient safety events to improve quality of care***

**If possible, please emphasize these EPAs.
***The TTP 5 EPA should be assessed at least once over the trainee's three blocks of wards.

Wards Night Float Rotation	听	EPAs
Wards Night Float Jr Block 1 and 2	TTD 2	Documenting orders for pediatric patients*
	FOD 9	Documenting clinical encounters
	FOD 10	Transferring clinical information between health care providers during handover**
Wards Night Float Sr Block 1 and 2	FOD 10	Transferring clinical information between health care providers during handover**
	COD 3	Assessing patients with medical and/or psychosocial complexity***
	COD 4	Diagnosing and managing patients with acute illness***
	COD 14	Providing teaching and feedback

*Early in the academic year, i.e. first 3 blocks, TTD EPAs should be prioritized.
**If possible, please emphasize these EPAs.
***Could be done via infirect observation (i.e. verbal discussion of the assessment and management of a patient overnight).

Stage of Training Legend
TTD - Transition to Discipline
FOD - Foundations of Discipline
COD - Core of Discipline
TTP - Transition to Practice

How will this change what you need to do as a clinical supervisor or resident in our program?

At the start of each shift or clinic or service week with a pediatrics resident, identify together 1-2 EPAs that you would like to target.
Consult this website to become familiar with those EPAs.
Remind the resident/faculty to generate the appropriate direct observation assessment tool for that EPA (Narrative form for clinical skills; O-Score for technical skills).
Observe the EPA(s) and provide/receive timely feedback while completing the form.

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