EPA

EPA 1 - Obtain a medical history and conduct a relevant status examination
EPA 2 - Prioritize work diagnosis among relevant differential diagnoses
EPA 3 - Establish an initial investigation plan
EPA 4 - Formulate an initial action plan and implement treatment
EPA 5 - Identify needs and initiate preventive measures
EPA 6 - Conduct general medical procedures
EPA 7 - Identify patients in need of emergency care and carry out primary care
EPA 8 - Document and issue prescriptions and certificates
EPA 9 - Collaborate in health care and with professionals in other parts of society
EPA 10 - Contribute to safety culture in healthcare

EPA Descriptions

1.1 initiate an anamnesis with an open question and listen to the patient's own thoughts, any concerns, expectations and the questions that arise.
1.2 ask adequate targeted questions based on the symptom picture and background, taking into account the acute, serious and common
1.3 ensure the transfer of information and confirm the patient through appropriate summaries
1.4 look for signs of harmful use of substances or exposure to violence or neglect.
1.5 obtain a medical history from patients of different ages, patients with cognitive, affective or behavioral functioning and from relatives, and with the help of an interpreter.
1.6 explain and justify the specific questions asked, the research steps and any status findings that are made.
1.7 perform an adequately structured status examination in the light of current problems and risk factors, taking into account hygiene rules and patient integrity.
1.8 use common examination instruments of relevance, such as otoscopes, ophthalmoscopes, speculum for gynecological examination.
2.1 prioritize and discuss differential diagnoses, taking into account common, serious and acute treatment-requiring conditions.
2.2 choose a reasonable work diagnosis in patients of different ages, with different sexes, with comorbidity and / or atypical disease presentation
2.3 re-evaluate work diagnoses for new relevant information
3.1 based on relevant work diagnosis propose adequate initial investigation and / or referral to specialist / other health professional
3.2 in the light of the patient's pre-understanding and thoughts about their complaints, explain and counteract the purpose of the proposed investigation and describe the examination procedure / s and any risks to the patient.
3.3 if necessary, design an adequate and clear referral based on the issue.
4.1 reason about the reliability of the investigation results in relation to the method's properties and limitations
4.2 discuss the results of the investigation with the patient
4.3 convey difficult messages
4.4 in consultation with the patient formulate an action plan and follow-up
4.5 in consultation with the patient carry out pharmacological or non-pharmacological treatment
5.1 identify risk factors (behaviors, heredity) for future illness through anamnesis, status and medical record
5.2 conduct conversations about living habits that are important for health
5.3 establish an activity plan based on risk factors in collaboration with the patient
6.1 Perform intravenous, subcutaneous and intramuscular injection
6.2 insert venous entrance
6.3 perform arterial puncture
6.4 perform local anesthesia on the skin
6.5 inserting and removing skin sutures
6.6 perform pharyngeal and nasopharyngeal tests
6.7 make connections
6.8 apply plaster
6.9 connect ECG
6.10 Establish free airways
6.11 insert V-probe
6.12 perform lumbar puncture
6.13 perform procto / rectoscopy
6.14 inserting a urinary catheter
6.15 perform joint puncture
6.16 perform basic and advanced CPR
6.17 Finding deaths
7.1 obtain a medical history and carry out a status adapted to the emergency situation
7.2 identify failing vital functions and interpret the clinical situation
7.3 identify possible causes of the patient's condition
7.4 assess the severity of the disease condition and decide on the level of care for the patient
7.5 take a position on the conditions for any life-sustaining measures with regard to the patient's wishes.
7.6 establish an initial action plan and start acting on it
7.7 communicate relevant information about the situation, assessment and treatment plan to team members and "back office / consultant" via structured communication.
7.8 lead an interprofessional collaboration around an acutely seriously ill patient
7.9 communicate information about assessment, treatment plan and prognosis adapted to the needs of patients and / or relatives to enable participation in decisions
8.1 compile and document a patient meeting in writing
8.2 write prescriptions for medicines including dose-packed medicines and medicine cards
8.3 write a basis for sick leave
8.4 write death certificate and cause of death certificate
8.5 write a care certificate in accordance with the Act on Compulsory Psychiatric Care
8.6 document damages and issue a court certificate
8.7 write a report of concern in accordance with the Social Services Act and the Act on the Care of Addicts in Certain Cases
8.8 write a report of unsuitability as a driver or possession of a weapon.
9.1 give an oral structured report
9.2 work in teams as leaders and employees
9.3 collaborate in planning before discharge
9.4 based on the patient's needs, collaborate with and refer to other agencies / professions
10.1 identify care injury or risk of injury in care
10.2 analyze care injury or risk of injury and give suggestions for preventive measures
10.3 document and communicate deviations in the organization