Transcript specialization training profession

Clinical Competency in
Anesthesiology Training:
Introduction to The CanMEDS 2005 Physician
Competency Framework
Dr. Dalal AL-Matrouk
KBA
Farwaniya Hospital
What is the Ideal
Physician?
“ The Practice of
medicine is an art,
based on science.”Sir William Osler
Is it enough to
“Pass a test”
Question
How can we best prepare
physicians to be effective
and truly meet the needs of
their patients?
THE “TEA STEEPING” MODEL OF MEDICAL
EDUCATION
Outcomes-oriented Medical
Education
“Beginning with
the end in mind”
WHAT IS “COMPETENCE”?
WHAT IS “COMPETENCY”?
“An observable ability of a health professional,
integrating multiple components such as
knowledge, skills, values, and attitudes. Since
competencies are observable, they can be
measured and assessed to ensure their
acquisition.”
Frank et al 2010 Medical Teacher
Competent
Safe to begin
independent
practice, life‐long
learners
Razack, Richardson, Snell
"Competencies" are important
observable knowledge, skills and
attitudes.
MILLER’S PYRAMID OF COMPETENCE
Kuwait Institute for Medical Specialization (KIMS)
Royal College of Physician and Surgeon of Canada
(RCPSC)
ACADEMIC COLLABORATION FOR
POSTGRADUATE MEDICAL EDUCATION
The CanMEDS 2005 PHYSICIAN
COMPETENCY
FRAMEWORK
Canadian
Medical
Education
Directions for
Specialists”…
WHAT IS THE CanMEDS
FRAMEWORK?
• Competency Framework
• Expression of attitudes,
skills and knowledge in
practice, for safe and
effective care
WHAT IS THE CanMEDS
FRAMEWORK?
A “needs‐based” framework of “physician
competencies”…
Better standards,
Better physicians,
Better care
WHAT ARE THE CanMEDS
ROLES?
LEARNING CanMEDS COMPETENCIES
•
•
•
•
•
•
•
Medical Expert
Communicator
Collaborator
Health Advocate
Manager
Scholar
Professional
CanMEDS COMPETENCIES
The reality is that
the Roles
overlap…
MEDICAL EXPERT
Medical Expert:
Definition
• As Medical Experts, physicians integrate all of
the CanMEDS Roles, applying medical
knowledge, clinical skills, and professional
attitudes in their provision of patient centered
care.
• Medical Expert is the central physician Role in
the CanMEDS framework.
Medical Expert
Key Elements
• Function effectively as consultants, integrating all of the
CanMEDS Roles to provide optimal, ethical and patientcentered medical care
• Establish and maintain clinical knowledge, skills and
attitudes
• Seek appropriate consultation from other health
professionals, recognizing the limits of their expertise
COMMUNICATOR
Communicator:
Definition
• As Communicators, physicians effectively
facilitate the doctor-patient relationship and
the dynamic exchanges that occur before,
during, and after the medical encounter.
Communicator:
Key Competencies
• Develop rapport, trust and ethical
therapeutic relationships with patients and
families
• Accurately convey relevant information to
patients and families, colleagues and other
professional.
COLLABORATOR
Collaborator:
Definition
• As Collaborators, physicians effectively work
within a healthcare team to achieve optimal
patient care.
• This is increasingly important in a modern
multiprofessional environment, where the
goal of patient-centred care is widely shared.
Collaborator
Key Elements
• Participate effectively and appropriately in an
interprofessional healthcare team
• Effectively work with other health
professionals to prevent, negotiate, and
resolve interprofessional conflict.
MANAGER
Manager:
Definition
• As Managers, physicians are integral
participants in healthcare organizations,
organizing sustainable practices, making
decisions about allocating resources, and
contributing to the effectiveness of the
healthcare system.
Manager:
Key Competencies
• Manage their practice and career effectively
• Allocate healthcare resources appropriately
• Serve in administration and leadership roles,
as appropriate.
HEALTH ADVOCATE
Health Advocate:
Definition
• As Health Advocates, physicians responsibly
use their expertise and influence to advance
the health and well-being of individual
patients, communities, and populations.
Health Advocate
Key Elements
• Respond to the health needs of the
communities that they serve
• Promote the health of patients, communities
and populations.
SCHOLAR
Scholar:
Definition
• As Scholars, physicians demonstrate a lifelong
commitment to reflective learning, as well as
the creation, dissemination, application and
translation of medical knowledge.
Scholar:
Key Elements
Life‐long learning
Critical appraisal of information
Teaching skills
Research skills
PROFESSIONAL
Professional:
Definition
• As Professionals, physicians are committed to
the health and well-being of individuals and
society through ethical practice, professionled regulation, and high personal standards of
behaviour.
Professional
Key Competencies
• Demonstrate a commitment to patients,
profession, and society through ethical practice
• Demonstrate a commitment to patients,
profession, and society through participation in
profession-led regulation
• Demonstrate a commitment to physician health
and sustainable practice.
COMING SOON…
Conclusion
• The CanMEDS Physician Competency Framework
describes the knowledge, skills and abilities that
specialist physicians need for better patient
outcomes.
• The framework is based on the seven roles that
all physicians need to have: Medical Expert,
Communicator, Collaborator, Manager, Health
Advocate, Scholar, and Professional.
THANK YOU