Dev Peds EPA Map

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S	T
1	STAGE	EPAs		RULES	# OF SUCCESSFUL EPAs REQUIRED	ROTATIONS
2	STAGE	EPAs		RULES	# OF SUCCESSFUL EPAs REQUIRED	INTRO BLOCKS (2)	PRESCHOOL JUNIOR	SCHOOL AGED JUNIOR	REHAB JUNIOR (2)	CHILD PSYCHIATRY	GENETICS	NEUROLOGY	PRESCHOOL SENIOR	SCHOOL AGE SENIOR	REHAB SENIOR	BRAIN INJURY	LEADER	CONTINUITY CLINIC	SELECTIVES	ELECTIVES

3	TRANSITION TO DISCIPLINE (2 months)	TTD1	Applying a comprehensive approach to the performance of developmental assessments	Direct observation and/or case review by supervisor Collect at least 3 observations of achievement - At least 2 direct observations - At least 1 preschool - At least 1 school-age - At least 1 developmental/behavioural presentation - At least 1 neuromotor presentation - At least 2 different assessors	3	3+
4	TRANSITION TO DISCIPLINE (2 months)	TTD2	Applying a development milestone approach based on history and observation	Direct observation and case discussion with supervisor or other health professional (e.g. occupational therapist, physiotherapist, or speech language pathologist) Collect at least 3 observations of achievement	3	3+
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6	FOUNDATIONS OF DISCIPLINE (6-8 MONTHS)	FOD1	Using developmentally appropriate communication and play in child/youth assessments	Direct observation by supervisor Collect at least 5 observations of achievement - At least 3 dif ferent age groups - At least 1 adolescent - At least 1 child with high activity - At least 1 child with inhibited/anxious behaviour - At least 1 child with dysregulated behaviour - At least 2 dif ferent observers	5		2+	2+	0-1+	0-1+								1+
7		FOD2	Gathering a developmental history	Direct observation and/or case presentation with supervisor or Core or TTP resident Collect at least 5 observations of achievement - At least 2 direct observations - At least 1 case presentation - At least 1 f rom each age group - A mixture of developmental/behavioural and neuromotor presentations - At least 2 children/youth with high complexity - At least 1 with an interpreter - At least 2 dif ferent assessors	5		1+	1+	2+	0-3+	0-3+	0-3+
8		FOD3	Performing physical exams	Direct observation by supervisor Collect at least 8 observations of achievement - At least 1 assessment of dysmorphology in a preschool child - At least 1 musculoskeletal examination - At least 1 standardized neurological exam in an infant - At least 1 assessment of dysmorphology for FASD - At least 1 assessment of gait - At least 1 assessment of muscle strength - At least 1 assessment of hypotonia - At least 1 assessment of hypertonia	8		2+	1+	4+		1+ (focus on dysmorpho- logy)	0-4+
9		FOD4	Assessing a child’s/youth’s development through observation and use of standardized tools	Direct observation and/or case review with supervisor, which may include input from other health professionals that were part of the interaction Collect at least 4 observations of achievement - At least 2 children/youth with a developmental/behavioural presentation - At least 2 children/youth with a neuromotor presentation - At least 2 observations in which a standardized developmental assessment tool was used	4		1-2+	0-2+	2+
10		FOD5	Identifying children/youth who would benefit from consultation with another member of the interprofessional team	Case discussion with supervisor, which may include input from other team members Collect at least 6 observations of achievement - At least 1 f rom each age group - At least 3 neuromotor - At least 3 developmental/behavioural - At least 2 referrals within own practice setting - At least 2 referrals to a community-based service	6		1-2+	1-2+	3+	0-3+	0-3+	0-3+
11		FOD6	Participating in interprofessional team meetings	Direct observation by supervisor, which may include input from other team members Collect at least 2 observations of achievement - At least 1 developmental/behavioural - At least 1 neuromotor	2		0-1+	0-1+	1+
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13	CORE OF DISCIPLINE (12-15 months)	COD1	Providing developmental pediatric consultations	Direct observation and/or case review with supervisor Collect at least 10 observations of achievement - At least 7 direct observations - At least 1 observation using a virtual care technology - At least 2 infants - At least 3 preschool children - At least 3 school-age children - At least 2 adolescents - At least 5 developmental/behavioural presentations - At least 5 neuromotor presentations - A variety of diagnoses - At least 5 cases with high complexity - At least 2 team-based consultations - At least 3 dif ferent assessors	10							0-3	3-5	33-5	3-5	3-5		0-5
14		COD2	Documenting consultations	Review of document by supervisor, which may include Collect at least 5 observations of achievement - At least 2 of each presentation - At least 1 document that incorporates assessment(s) completed by other team member(s) - At least 1 document that incorporates a standardized assessment	5								1-3	1-3	1-3	0-1		0-1+
15		COD3	Providing ongoing management	Direct observation and/or case review with supervisor Collect at least 5 observations of achievement - At least 2 children with a developmental/behavioural presentation - At least 2 children with a neuromotor presentation - At least 2 with high complexity - At least 2 of the observations must be done in the resident longitudinal clinic	5							0-2+	0-1+	0-1+	2+	0-2+		2+
16		COD4	Providing pharmacologic therapy	Direct observation by supervisor Collect at least 6 observations of achievement - At least 2 for attention and hyperactivity/impulsivity - At least 2 for emotional regulation - At least 2 for tone management - At least 2 children/youth with combined/complex presentations - At least 2 observations of initiation - At least 2 observations of follow-up	6					0-4+		0-2+	0-4+	0-4+	1+	1+		2+
17		COD5	Conveying findings, results, diagnoses and management plans to children/youth and families	Direct observation by supervisor, which may include input from other members of the interprofessional team Collect at least 4 observations of achievement - At least 3 dif ferent age groups - At least 1 adolescent - At least 1 developmental/behavioural presentation - At least 1 neuromotor presentation - At least 1 challenging discussion - At least 1 with another interprofessional clinician in attendance - At least 2 dif ferent observers	4								1+	1+	1+
18		COD6	Working with community partners to facilitate care for children/youth and their families	Part A: Co-creation of care plan Direct and/or indirect observation by supervisor Collect at least 3 observations of achievement - A mix of developmental/behavioural and neuromotor presentations - At least 1 daycare or preschool services - At least 1 school-age services	3								1+	1+	1+
19		COD6		Part B: Advocacy letter Review of written documentation by supervisor Collect at least 1 observation of achievement	1								0-1	0-1	0-1	0-1
20		COD7	Leading interprofessional team meetings	Direct observation by supervisor, which may include input from other health professionals Collect at least 3 observations of achievement - At least 1 developmental/behavioural - At least 1 neuromotor - At least 1 meeting with dif ferences of opinion	3								1+	1+	1+
21		COD8	Planning and completing personalized training experiences related to administering standardized assessment tools	Part A: Learning plan Review of resident’s learning plan by supervisor Collect at least 1 observation of achievement	2														2+
22		COD8		Part B: Tool administration Direct observation of tool administration by supervisor or delegate Collect at least 1 observation of achievement	1														1+
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24	TRANSITION TO PRACTICE (2-3 months)	TTP1	Managing a developmental pediatrics practice	Direct and indirect observation by supervisor, with input f rom other health care professionals. Collect at least 2 observations of achievement	2												1	1
25		TTP2	Managing longitudinal aspects of care	Direct and indirect observation by supervisor(s), with input f rom other physicians and/or other health professionals Collect at least 1 observation of achievement, with at least 4 documented observations at 3-month intervals	1													1+
26		TTP3	Contributing to the improvement of health care delivery for children/youth with developmental concerns in teams, organizations, and systems	Direct and/or indirect observation by supervisor Collect at least 1 observation of achievement	1												1+
27		TTP4	Developing a personal learning plan for continuing professional development	Review of resident’s submitted learning plan by supervisor and/or mentor Collect at least 1 observation of achievement	1														0-1+	0-1+
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