Residency Objectives

Statement of Overall Goals of Residency Program

The family medicine residency-training program at Western University aims to graduate patient-centred and comprehensive family physicians, and develop future leaders for the discipline of family medicine through a flexible training program that is able to meet personal goals of our trainees and accreditation standards. Our trainees are evaluated through a multi-method strategy that includes regular reviews of clinical performance and direct observations.

Entrustable Professional Activities (EPA)

Ambulatory

  • AM1. Diagnose and manage common acute (urgent & non-urgent) presentations and diseases across the life cycle  
  • AM2. Diagnose and manage common subacute and chronic presentations and diseases (including multimorbidity) across the life cycle 
  • AM3. Provide wellness and preventive care across the life cycle 
  • AM4. Diagnose and manage common mental health presentations and diseases across the life cycle 
  • AM5. Perform common office procedures 
  • AM6. Provide care for vulnerable and underserviced populations
  • AM7. Diagnose and manage pregnancy-related and post-partum conditions
  • AM8. Provide appropriate virtual care
  • AM9. Provide care for newborn infants
  • AM10. Diagnose and manage palliative and end of life conditions

Residential

  • RE1. Diagnose and manage palliative and end of life conditions
  • RE2. Provide appropriate care in the home/retirement home/LTC setting
  • RE3. Provide appropriate telephone triage and management within goals of care

Hospital – L&D

  • LD1. Diagnose and manage common presentations at triage
  • LD2. Assess and manage progress of labour (Stages 1, 2, and 3)
  • LD3. Perform common procedures related to labour and delivery
  • LD4. Provide hospital care and manage common postpartum presentations (to hospital discharge)
  • LD5. Assess newborn infant and recognize need to escalate care as needed

Hospital – ER

  • ER1. Diagnose and manage emergent presentations across the life cycle in the ED
  • ER2. Diagnose and manage non-emergent presentations across the life cycle in the ED 
  • ER3. Recognize illness severity and changes in patient status and take appropriate steps
  • ER4. Perform common ER procedures
  • ER5. Assess and arrange patient discharge and follow-up
  • ER6. Request consultations appropriately in the ED

Hospital – In-patients

  • IN1. Diagnose and manage common acute/urgent/emergent medical conditions across the life cycle
  • IN2. Determine appropriateness for and complete hospital admission across the life cycles
  • IN3. Establish goals of care
  • IN4. Diagnose and manage end-of-life/palliative medical conditions across the life cycle
  • IN5. Determine appropriateness for and complete hospital discharge

Leader Competencies

  • L1. Apply the science of quality improvement to contribute to improving systems of patient care
  • L2. Contribute to a culture that promotes patient safety
  • L3. Apply evidence and management processes to achieve cost-appropriate care
  • L4. Demonstrate leadership skills to enhance health care
  • L5. Set priorities and manage time to integrate practice and personal life

Scholar Competencies

  • S1. Develop, implement, monitor, and revise a personal learning plan to enhance professional practice
  • S2. Plan and deliver a learning activity
  • S3. Provide feedback to enhance learning and performance
  • S4. Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that address them
  • S5. Critically evaluate the integrity, reliability, and applicability of health-related research and literature