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Entrustable Professional Activities for Subspecialties

EPAs That are Common to all Subspecialties

 

EPA 1

Provide consultation to other health care providers caring for children and adolescents and refer patients requiring further consultation to other subspecialty providers if necessary

EPA 2

Contribute to the fiscally sound, equitable, and collaborative management of a health care workplace

EPA 3

Apply public health principles and quality improvement methods to improve population health

EPA 4

Lead an interprofessional health care team

EPA 5

Facilitate handovers to another health care provider either within or across settings

EPA 6

Engage in scholarly activities through the discovery, application, and dissemination of new knowledge (broadly defined)

EPA 7

Lead within the subspecialty profession

 

Subspecialty-Specific EPAs

 

Adolescent Medicine

EPA 1

Provide care for adolescent and young adult patients with acute physical and mental health issues

EPA 2

Provide continuity of care for adolescent and young adult patients with chronic medical problems and complex health conditions

EPA 3

Provide preventive health care that includes the conditions specific to the adolescent and young adult population

EPA 4

Transition care of the adolescent and young adult patient to adult health care settings

Cardiology

EPA 1

Acquire the imaging skills required for all aspects of pediatric and cardiology care

EPA 2

Care for patients who require catheter-based interventions

EPA 3

Diagnosis and management of patients with arrhythmias and conduction abnormalities

EPA 4

Diagnose, initially manage, and refer children with advanced or end stage heart failure and/or pulmonary hypertension to experts for medical therapy, ECMO, ventricular assist devices, and/or cardiac transplantation

EPA 5

Diagnosis and management of congenital or acquired cardiac problems

EPA 6

Diagnosis and management of patients with acute congenital or acquired cardiac problems requiring intensive care

Child Abuse Pediatrics

EPA 1

Provide subspecialty medical evaluation for children and adolescents who are suspected victims of sexual abuse or assault

EPA 2

Engage in behaviors and use coping strategies that will mitigate the emotional stress of caring for patients that have been abused, neglected or maltreated

EPA 3

Provide subspecialty medical evaluation for cases of suspected child neglect and other forms of child maltreatment

EPA 4

Provide subspecialty medical evaluation in cases of suspected child physical abuse

Critical Care Medicine

EPA 1

Acute management of the critically ill patient, including those with underlying chronic disease

EPA 2

Manage and coordinate care in pediatric critical care units for optimal patient outcomes

EPA 3

Management of patients at the end of life

Developmental-Behavioral Pediatrics

EPA 1

Effectively advocate for children and families affected by developmental and behavioral disorders

EPA 2

Effectively communicate with families, schools, and community organizations to facilitate their understanding of children’s developmental-behavioral diagnoses and to promote their engagement in clinical decision-making and treatment

EPA 3

Perform comprehensive histories and physical and neurodevelopmental examinations to make accurate diagnoses for patients presenting with developmental-behavioral concerns from infancy through young adulthood

EPA 4

Recognize and longitudinally manage behavioral variations, problems, and disorders in typically developing children and children with developmental disorders

EPA 5

Recommend appropriate medical workup and evidence-based medical, therapeutic, educational, and behavioral interventions for children with developmental-behavioral disorders

Emergency Medicine

EPA 1

Recognize and provide care for acutely ill and/or injured pediatric patients presenting to the Emergency Department (ED)

EPA 2

Recognize and provide care for medically and technologically complex pediatric patients in the ED

EPA 3

Demonstrate competence in performing common procedures associated with the practice of pediatric emergency medicine

EPA 4

Provide patient triage, resuscitation, and stabilization; align care provided with severity of illness

EPA 5

Emergency Department Management: Manage the emergency department to optimize patient care

EPA 6

Provide supervision for emergency personnel to enhance patient care quality and assure patient safety

Endocrinology

EPA 1

Know the indications for performing the common procedures of the pediatric endocrinologist and be able to interpret the results

EPA 2

Facilitate the transition of patients with endocrine disorders from pediatric to adult health care

EPA 3

Manage patients with acute endocrine disorders in ambulatory, emergency, or inpatient settings

EPA 4

Manage patients with chronic endocrine disorders in ambulatory, emergency, or inpatient settings

Gastroenterology

EPA 1

Care of infants, children, and adolescents with acute and chronic gastrointestinal disorders

EPA 2

Care of infants, children, and adolescents with acute and chronic liver diseases, biliary/cholestatic diseases, pancreatic disorders, and those requiring liver transplantation

EPA 3

Care for infants, children, and adolescents with common outpatient GI, liver/biliary, pancreatic, and nutritional issues

EPA 4

Care of infants, children, and adolescents with nutritional issues, deficiencies, and obesity

EPA 5

Perform medical procedures related to gastrointestinal and liver disease for screening, diagnosis, and intervention

Hematology-Oncology

EPA 1

Manage patients with hematology-oncology conditions, whether acute or chronic, simple or complex, in an ambulatory, emergency, or inpatient setting

EPA 2

Enroll and treat patients on clinical research trials

EPA 3

Provide a medical home for patients with hematologic, oncologic, or stem cell transplant needs

EPA 4

Introduce and facilitate the integration of palliative care for patients with advanced disease

EPA 5

Demonstrate competence in performing and interpreting common procedures of a pediatric hematologist/oncologist

EPA 6

Facilitate the transition of care

Hospital Medicine

EPA 1

Care for acutely ill patients in hospital settings

EPA 2

Direct and coordinate care for patients with unclear diagnoses and complex patients

EPA 3

Perform common procedures associated with the practice of pediatric hospital medicine

EPA 4

Anticipate, facilitate, and lead comprehensive, coordinated, and safe transitions of care

EPA 5

Apply science of safety concepts in advocating for pediatric patients within the hospital system

EPA 6

Teach, provide feedback, and assess learners across a competency-based medical education continuum and engage in interprofessional education

Infectious Diseases

EPA 1

Promoting antimicrobial stewardship based on microbiological principles

EPA 2

Management and prevention of infections associated with medical/surgical devices, surgery, and trauma

EPA 3

Management of healthy patients with pediatric infectious diseases

EPA 4

Management of pediatric patients with complex medical problems and a proven or suspected infectious disease

EPA 5

Prevention and containment of infection

Neonatal-Perinatal Medicine

EPA 1

Management patients with acute, common single system diseases in an inpatient setting

EPA 2

Manage patients with complex, multisystem diseases in the NICU

EPA 3

Provide care to patients in the NICU with surgical problems in collaboration with pediatric general and subspecialty surgeons

EPA 4

Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness

EPA 5

Management of neonatal care systems

Nephrology

EPA 1

Care of children with acute electrolyte and kidney disorders, including hypertension and disorders of the urinary tract

EPA 2

Care of children with chronic electrolyte and kidney disorders, including hypertension and disorders of the urinary tract

EPA 3

Care of the pediatric patient with ESKD and kidney transplant

EPA 4

Provision and supervision of kidney-related procedures including native and transplant kidney biopsy, peritoneal dialysis

Pulmonology

EPA 1

Manage patients with acute complex respiratory disease in an ambulatory, emergency, or inpatient setting

EPA 2

Manage patients with complex chronic respiratory disease through all settings and phases of life

EPA 3

Demonstrate competence in communicating a new diagnosis of a life-altering disease using a patient and family centered approach

EPA 4

Manage the use of supplemental respiratory equipment such as oxygen, ventilators, and airway clearance devices

EPA 5

Demonstrate competence in performing the common procedures of the pediatric pulmonary subspecialist

Rheumatology

EPA 1

Demonstrate competence in the utilization of immunomodulatory therapy for pediatric rheumatology patients

EPA 2

Manage patients with acute or chronic complex multi-system rheumatic disease in an ambulatory, emergency, or inpatient setting

EPA 3

Provide or coordinate a medical home for patients with complex and chronic rheumatic disease

Pediatric Transplant Hepatology

EPA 1

Care for infants, children, and adolescents who are pre-, peri-, and post- liver transplant

EPA 2

Care for infants, children, and adolescents who have been exposed to and/or are chronically infected with viral hepatitis

EPA 3

Care for infants, children, and adolescents with acute and chronic biliary/cholestatic diseases