We requested and gratefully received feedback on this list of EPAs, including two rounds of feedback from APPD membership. On each occasion we revised the list to arrive at what you see here. Some of the feedback provided competing suggestions for edits. We weighed and discussed all comments before “finalizing” the EPAs noted below. The word finalizing was intentionally put into quotation marks as this list represents a final FIRST iteration. As with Milestones, we will need to begin to work with and study these in order to know what improvements we will need to make to this list in the future.
These curricular elements build on the prior work of Drs. Carol Carraccio, Robert Englander, and Joe Gilhooly. Our General Pediatrics EPA Curricular Elements Workgroup is indebted to their vision and hard work which led to the identification and description of the 17 General Pediatrics EPA’s.
The goals of our Curricular Elements Workgroup were to:
The phrase “curricular elements” was used in place of "curriculum" intentionally. The latter typically entails a broad body of work that includes goals, knowledge, skill and attitude objectives, teaching/learning strategies, and assessment methods. The term curricular elements was chosen to limit the breadth of work to include the scope of practice, and types of patients targeted in the EPA’s that address direct patient care, as well as the knowledge, skills, and attitudes needed to support the functions of the given EPA.
Download all General Pediatrics EPAs; individual EPAs are below.
1. Provide consultation to other health care providers caring for children
2. Provide recommended pediatric health screening
3. Care for the well newborn
4. Manage patients with acute, common diagnoses in an ambulatory, emergency, or inpatient setting
5. Provide a medical home for well children of all ages. (Entrustment decisions for this EPA may require stratification by age group)
6. Provide a medical home for patients with complex, chronic, or special health care needs. (Entrustment decisions for this EPA may require stratification by age group)
7. Recognize, provide initial management and refer patients presenting with surgical problems
8. Facilitate the transition from pediatric to adult health care
9. Assess and manage patients with common behavior/mental health problems
10. Resuscitate, initiate stabilization of the patient and then triage to align care with severity of illness (Entrustment decisions for this EPA may require stratification by two age groups: neonate and non-neonate)
11. Manage information from a variety of sources for both learning and application to patient care
12. Refer patients who require consultation
13. Contribute to the fiscally sound, equitable and collaborative management of a healthcare workplace.
14. Apply public health principles and quality improvement methods to improve population health.
15. Lead an interprofessional health care team
16. Facilitate handovers to another healthcare provider either within or across settings
17. Demonstrate competence in performing the common procedures of the general pediatrician