Quick Reference Guide ‘How to complete ‘Clinic Cards*’ for the Phase 4/Clerkship rotation in Surgery * ‘Clinic Cards’ are formally known as: Student Clinical Assessment Cards Version 1.0: August 2015

Elements of Clinic Cards Specific to Surgery 2-sided Requires written narrative feedback Requires comment on at least one, but not more than four Entrustable Professional Activities (EPAs)* Requires acknowledgement of direct observation of Hx/Px Requires preceptor/supervisor completion and signature More on EPAs can be found at:

Completion of Clinic Cards Students are encouraged to complete the information outlined by the red oval. Jill Student St. Clares X Jean Resident 15/09/24 Each student, at a minimum will have one Clinic Card completed per week (e.g., a student assigned to wards). Each student, requires a Clinic Card for each separate clinic to which he/she is assigned. For a given Clinic Card, a supervisor/preceptor is required to comment on at least one EPA, but no more than 4 EPAs. Clinic Cards covering a week long period would likely cover more EPAs than a Clinic Card reporting on a half-day clinic.

Adding to the Card Select 1, 2, 3 or 4 EPAs for which meaningful narrative coaching- style comments will be provided on the other side of the card X X Jill Student St. Clares X Jean Resident 15/09/24 Step 1: Note: A student may request/suggest that the supervisor provide assessment on a particular EPA. The student will be monitoring his/her assessments to ensure that all required EPAs are being assessed adequately.

Include coaching-style comments to cover areas of strength and areas for improvement. For a given Clinic Card, a supervisor/preceptor is required to comment on at least one EPA, but no more than 4 EPAs. Complete other information regarding witnessed Hx/Px If applicable, acknowledge procedures (including casting) that were directly observed by the supervisor. Sign card acknowledging whether supervisor is a resident or faculty member. X X Jill Student St. Clares X Jean Resident 15/09/24 X X Arterial blood gas, Casting Dr. J. Resident EPA-1: Appropriately requested and used an interpreter for non-English speaking pt. Used pt centred approach. EPA-5: Critical information missing from notes, such that clinical reasoning not apparent. Suggest team-mate review notes with student. Step 2: X

Available Resources For more detailed information on EPAs, go to: Use the QR code with your enabled mobile device to connect directly to a pdf describing Surgery specific EPAs. Contact the UGME office: When completed, the student is to submit the Clinic Card to the Academic Program Assistant (APA) for Surgery. QR code