"Entry to Residency" "Transition to Discipline" "Foundations of Discipline" "Core of Discipline" "Transition to Practice" "Advanced Expertise" "Medical Expert" "5 Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety" "5.1 Recognize and respond to harm from health care delivery, including patient safety incidents" "Define the types of patient safety incidents" "Recognize the occurrence of a patient safety incident Differentiate outcomes of medical conditions and diseases from complications related to the inherent risks of treatments and from patient safety incidents" "Prioritize the initial medical response to harmful patient safety incident to mitigate further injury Incorporate, as appropriate, into a differential diagnoses, harm from health care delivery" "Participate in an analysis of patient safety incidents Report patient safety incidents to appropriate institutional representatives Recognize near-misses in real time and respond to correct them, preventing them from reaching the patient Identify potential improvement opportunities arising from harmful patient safety incidents and near misses" "Recognize and respond to harm from health care delivery, including patient safety incidents" "Teach how to respond to harm from health care and improve bedside care" "3 Plan and perform procedures and therapies for the purpose of assessment and/or management" "3.3 Prioritize a procedure or therapy, taking into account clinical urgency and available resources" "Triage and schedule procedures in complex situations, demonstrating a collaborative approach when competing for limited resources" "5 Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety" "5.2 Adopt strategies that promote patient safety and address human and system factors" "Describe the individual factors that can affect human performance, including sleep deprivation and stress Describe system factors that can affect patient safety, including resource availability and physical and environmental factors" "Describe common types of cognitive and affective bias Describe the principles of situational awareness and their implications for medical practice" "Use cognitive aids such as procedural checklists, structured communication tools, or care paths, to enhance patient safety Describe strategies to address human and system factors on clinical practice" "Apply the principles of situational awareness to clinical practice" "Adopt strategies that promote patient safety and address human and system factors" "Evaluate the impact of system changes on the provision of patient care Design safety initiatives, including those that incorporate needs and metrics identified by patients and their families" "4 Establish plans for ongoing care and, when appropriate, timely consultation" "4.1 Implement a patient-centred care plan that supports ongoing care, follow-up on investigations, response to treatment, and further consultation" "Determine the necessity and appropriate timing of consultation" "5 Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety" "5.1 Recognize and respond to harm from health care delivery, including patient safety incidents" "Describe the scope and burden of health-care–related harm" "3 Plan and perform procedures and therapies for the purpose of assessment and/or management" "3.3 Prioritize a procedure or therapy, taking into account clinical urgency and available resources" "Advocate for a patient’s procedure or therapy on the basis of urgency and available resources" "Prioritize a procedure or therapy, taking into account clinical urgency, potential for deterioration, and available resources " "3.4 Perform a procedure in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstances" "Perform a simple procedure under direct supervision" "Demonstrate effective procedural preparation, including the use of a pre-procedure time-out or safety checklist as appropriate Set up and position the patient for a procedure" "Perform common procedures in a skilful, fluid, and safe manner with minimal assistance Seek assistance as needed when unanticipated findings or changing clinical circumstances are encountered" "Competently perform discipline-specific procedures Document procedures accurately" "Perform procedures in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstances" "Perform specialized procedures that extend beyond routine practice in the discipline" "4 Establish plans for ongoing care and, when appropriate, timely consultation" "4.1 Implement a patient-centred care plan that supports ongoing care, follow-up on investigations, response to treatment, and further consultation" "Describe the importance of follow-up in patient care" "Ensure follow-up on results of investigation and response to treatment Coordinate investigation, treatment, and follow-up plans when multiple physicians and health care professionals are involved" "Establish plans for ongoing care, taking into consideration the patient’s clinical state, circumstances, preferences, and actions, as well as available resources, best practices, and research evidence" "Implement a patient-centred care plan that supports ongoing care, follow-up on investigations, response to treatment, and further consultation" "Develop a novel system of follow-up that is flexible and adaptable to patients, families, and community resources" "3 Plan and perform procedures and therapies for the purpose of assessment and/or management" "3.4 Perform a procedure in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstances" "Establish and implement a plan for post-procedure care" "Teach the procedures of the discipline to others" "2 Perform a patient-centred clinical assessment and establish a management plan" "2.2 Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion" "Conduct a clinical assessment when a second opinion is requested or when a high degree of diagnostic uncertainty has already been established" "2.4 Establish a patient-centred management plan" "Develop an initial management plan for common patient presentations" "Develop and implement initial management plans for common problems in their discipline" "2.3 Establish goals of care in collaboration with patients and their families, which may include slowing disease progression, treating symptoms. achieving cure, improving function, and palliation" "Initiate, under supervision, discussions with the patient and family about goals of care" "Address with the patient and family their ideas about the nature and cause of the health problem, fears and concerns, and expectations of health care professionals Work with the patient and family to understand relevant options for care" "Share concerns, in a constructive and respectful manner, with the patient and family about goals of care that are not felt to be achievable Address the impact of the medical condition on the patient’s ability to pursue life goals and purposes" "Establish goals of care in collaboration with the patient and family, which may include slowing disease progression, achieving cure, improving function, and palliation" "2.2 Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion" "Focus the clinical encounter, performing it in a time-effective manner, without excluding key elements" "2.4 Establish a patient-centred management plan" "Develop and implement management plans that consider all of the patient’s health problems and context in collaboration with the patient and family and, when appropriate, the interdisciplinary team" "2.2 Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion" "Develop a general differential diagnosis relevant to the patient’s presentation Elicit a history and perform a physical exam that informs the diagnosis" "Develop a specific differential diagnosis relevant to the patient’s presentation" "Synthesize patient information to determine a diagnosis Select and interpret appropriate investigations based on a differential diagnosis" "Elicit a history, perform a physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion" "Conduct a clinical assessment in challenging or unusual situations" "2.1 Prioritize issues to be addressed in a patient encounter" "Prioritize which issues need to be addressed during future visits or with other health care practitioners" "3 Plan and perform procedures and therapies for the purpose of assessment and/or management" "3.1 Determine the most appropriate procedures and therapies" "Develop a novel procedure or therapy while respecting ethical standards for experimentation" "3.3 Prioritize a procedure or therapy, taking into account clinical urgency and available resources" "Recognize and discuss the importance of the triaging and timing of a procedure or therapy" "Advocate for the timely execution of a patient procedure or therapy" "Triage a procedure or therapy, taking into account clinical urgency, potential for deterioration, and available resources" "3.2 Obtain and document informed consent, explaining the risks and benefits of, and the rationale for, a proposed procedure or therapy" "Describe the ethical principles and legal process of obtaining and documenting informed consent" "Obtain informed consent for commonly performed procedures and therapies, under supervision" "Use shared decision-making in the consent process, taking risk and uncertainty into consideration" "Obtain and document informed consent, explaining the risks and benefits of, and the rationale for, a proposed procedure or therapy" "3.1 Determine the most appropriate procedures and therapies" "Describe to patients common procedures or therapies for common conditions in their discipline" "Integrate planned procedures or therapies into global assessment and management plans" "2 Perform a patient-centred clinical assessment and establish a management plan" "2.1 Prioritize issues to be addressed in a patient encounter" "Consider clinical urgency, feasibility, availability of resources, and comorbidities in determining priorities to be addressed during the current encounter or during future visits or with other health care practitioners" "3 Plan and perform procedures and therapies for the purpose of assessment and/or management" "3.1 Determine the most appropriate procedures and therapies" "Describe the indications, contraindications, risks, and alternatives for a given procedure or therapy" "Integrate all sources of information to develop a procedural or therapeutic plan that is safe, patient-centred, and considers the risks and benefits of all approaches" "Determine the most appropriate procedures or therapies for the purpose of assessment and/or management " "2 Perform a patient-centred clinical assessment and establish a management plan" "2.4 Establish a patient-centred management plan" "Discuss with the patient and family the degree of uncertainty inherent in all clinical situations Ensure that the patient and family are informed about the risks and benefits of each treatment option in the context of best evidence and guidelines" "Develop, in collaboration with the patient and family, a plan to deal with clinical uncertainty" "Establish a patient-centred management plan" "Establish management plans in patient encounters when there are significant disagreements about what is achievable" "1 Practise medicine within their defined scope of practice and expertise" "1.3 Apply knowledge of the clinical and biomedical sciences relevant to their discipline" "Apply knowledge of biomedical and clinical sciences to identify, diagnose, and address common clinical problems" "1.4 Perform appropriately timed clinical assessments with recommendations that are presented in an organized manner" "Perform a patient assessment and provide an interpretation of the clinical situation to the supervising physician" "Perform focused clinical assessments with recommendations that are well-documented" "Perform clinical assessments that address the breadth of issues in each case" "Perform appropriately timed clinical assessments addressing the breadth of the discipline with recommendations that are well organized and properly documented in written and/or oral form" "Develop system-level processes to facilitate appropriately timed clinical assessments" "1.3 Apply knowledge of the clinical and biomedical sciences relevant to their discipline" "Apply clinical and biomedical sciences to manage core patient presentations in their discipline" "Apply a broad base and depth of knowledge in clinical and biomedical sciences to manage the breadth of patient presentations in their discipline" "Provide expert opinion to advise government or other organizations or to provide expert legal testimony Teach aspects of their discipline to other physicians and health care professionals" "1.4 Perform appropriately timed clinical assessments with recommendations that are presented in an organized manner" "Recognize urgent problems that may need the involvement of more experienced colleagues and seek their assistance immediately" "1.2 Integrate the CanMEDS Intrinsic Roles into their practice of medicine" "Describe the CanMEDS Roles and explain how they relate to the practice of medicine" "Explain how the Intrinsic Roles need to be integrated into the practice of their discipline to deliver optimal patient care" "Integrate the CanMEDS Intrinsic Roles into their practice of medicine" "Teach and assess the application of the CanMEDS Competency Framework to medical practice" "1.1 Demonstrate a commitment to high-quality care of their patients" "Demonstrate compassion for patients" "Under supervision, demonstrate commitment and accountability for patients in their care" "Demonstrate a commitment to high-quality care of their patients " "Role-model a commitment to high-quality patient care" "1.6 Recognize and respond to the complexity, uncertainty, and ambiguity inherent in medical practice" "Recognize that there is a degree of uncertainty in all clinical decision-making" "2 Perform a patient-centred clinical assessment and establish a management plan" "2.1 Prioritize issues to be addressed in a patient encounter" "Identify the concerns and goals of the patient and family* for the encounter" "Iteratively establish priorities, considering the perspective of the patient and family (including values and preferences) as the patient’s situation evolves" "1 Practise medicine within their defined scope of practice and expertise" "1.6 Recognize and respond to the complexity, uncertainty, and ambiguity inherent in medical practice" "Identify clinical situations in which complexity, uncertainty, and ambiguity may play a role in decision-making" "Develop a plan that considers the current complexity, uncertainty, and ambiguity in a clinical situation" "Seek assistance in situations that are complex or new Adapt care as the complexity, uncertainty, and ambiguity of the patient’s clinical situation evolves" "Recognize and respond to the complexity, uncertainty, and ambiguity inherent in medical practice" "Teach about complexity and clinical care" "1.1 Demonstrate a commitment to high-quality care of their patients" "As a learner in the clinical environment, demonstrate a duty of care toward patients" "1.5 Carry out professional duties in the face of multiple, competing demands" "Recognize competing demands in professional duties and seek assistance in determining priorities" "On the basis of patient-centred priorities, seek assistance to prioritize multiple competing tasks that need to be addressed" "Prioritize patients on the basis of clinical presentations Maintain a duty of care and patient safety while balancing multiple responsibilities" "Carry out professional duties in the face of multiple, competing demands" "Teach and role-model how to prioritize professional duties" "1.4 Perform appropriately timed clinical assessments with recommendations that are presented in an organized manner" "Use technology to facilitate consultation for patients who may have limited or delayed access to care Teach colleagues how to perform consultations" "Communicator" "1.4 Respond to a patient’s non-verbal behaviours to enhance communication" "Describe how to utilize non-verbal communication to build rapport" "Use appropriate non-verbal communication to demonstrate attentiveness, interest, and responsiveness to the patient and family" "1.5 Manage disagreements and emotionally charged conversations" "Describe physician, patient, and contextual factors that lead to strong emotions Describe how strong emotions may affect the patient–physician interaction Critically reflect upon emotional encounters and identify how different approaches may have affected the interaction" "Recognize when personal feelings in an encounter are valuable clues to the patient’s emotional state" "Recognize when strong emotions (such as, anger, fear, anxiety, or sadness) are affecting an interaction and respond appropriately Establish boundaries as needed in emotional situations" "Manage disagreements and emotionally charged conversations" "Teach others to anticipate, recognize, and manage emotions in routine clinical encounters" "1.6 Adapt to the unique needs and preferences of each patient and to his or her clinical condition and circumstances" "Describe models of decision-making along the spectrum from “paternalistic” to “shared” to “autonomous”" "Assess a patient’s decision-making capacity" "Tailor approaches to decision-making to patient capacity, values, and preferences" "Adapt to the unique needs and preferences of each patient and to his or her clinical condition and circumstances" "Teach others to tailor approaches to decision-making to patient capacity, values, and preferences" "1.4 Respond to a patient’s non-verbal behaviours to enhance communication" "Identify non-verbal communication from a patient and family and its impact on physician–patient communication" "Identify, verify, and validate non-verbal cues on the part of patients and their families" "Respond to patients’ non-verbal communication and use appropriate non-verbal behaviours to enhance communication with patients" "Demonstrate advanced non-verbal communication skills in difficult situations" "1.3 Recognize when the values, biases, or perspectives of patients, physicians, or other health care professionals may have an impact on the quality of care, and modify the approach to the patient accordingly" "Describe how patient and physician values, biases, and perspectives can affect clinical encounters" "Recognize when the values, biases, or perspectives of patients, physicians, or other health care professionals may have an impact on the quality of care, and modify the approach to the patient accordingly" "Teach learners to recognize situations in which patient and physician values, biases, or preferences may threaten the quality of care, and how to modify the approach to patient care" "1.2 Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety" "Describe elements of the physical environment that affect patient comfort, dignity, privacy, engagement, and safety" "Mitigate physical barriers to communication to optimize patient comfort, dignity, privacy, engagement, and safety" "Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety" "Participate in institutional/system initiatives to improve the physical environment for patients" "1.1 Communicate using a patient-centred approach that encourages patient trust and autonomy and is characterized by empathy, respect, and compassion" "Outline the evidence that effective physician–patient communication enhances patient and physician outcomes Describe the key components of a patient-centred approach to medical care" "Communicate using a patient-centred approach that facilitates patient trust and autonomy and is characterized by empathy, respect, and compassion" "Teach and assess the patient-centred approach to communication" "5 Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy" "5.3 Share information with patients and others in a manner that respects patient privacy and confidentiality and enhances understanding" "Describe the different levels of written and electronic health literacy of patients and their implications for patient care Describe the advantages, limitations and risks of using electronic communication directly with patients (including telehealth) and strategies to reduce these risks" "Share information with patients and others in a manner that respects patient privacy and confidentiality and enhances understanding" "Teach others, including patients, how to use electronic communication effectively and safely to protect confidentiality" "4 Engage patients and their families in developing plans that reflect the patient’s health care needs and goals" "4.3 Use communication skills and strategies that help patients and their families make informed decisions regarding their health" "Describe elements of informed consent" "5 Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy" "5.1 Document clinical encounters in an accurate, complete, timely, and accessible manner, in compliance with regulatory and legal requirements" "Describe the functions and principal components of a medical record" "Organize information in appropriate sections within an electronic or written medical record" "Document information about patients and their medical conditions in a manner that enhances intra-and interprofessinal care" "Adapt record keeping to the specific guidelines of their discipline and the clinical context" "Document clinical encounters in an accurate, complete, timely and accessible manner, and in compliance with legal and privacy requirements" "4 Engage patients and their families in developing plans that reflect the patient’s health care needs and goals" "4.3 Use communication skills and strategies that help patients and their families make informed decisions regarding their health" "Demonstrate steps to obtaining informed consent" "Answer questions from the patient and family about next steps" "Use communication skills and strategies that help the patient and family make informed decisions regarding their health" "5 Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy" "5.1 Document clinical encounters in an accurate, complete, timely, and accessible manner, in compliance with regulatory and legal requirements" "Teach or conduct peer review and practice assessment regarding record keeping practices" "4 Engage patients and their families in developing plans that reflect the patient’s health care needs and goals" "4.2 Assist patients and their families to identify, access, and make use of information and communication technologies to support their care and manage their health" "Describe the various technologies and information sources available to enhance patients’ understanding and management of their health care" "Assist the patient and family to identify, access, and make use of information and communication technologies to support care and manage health" "Contribute to the development of communication resources and technologies to enhance patient care and medical knowledge" "4.1 Facilitate discussions with patients and their families in a way that is respectful, non-judgmental, and culturally safe" "Describe steps for conducting an interview with a translator Conduct culturally safe interviews with close supervision Demonstrate interviewing techniques for encouraging discussion, questions, and interaction" "Communicate with cultural awareness and sensitivity" "Teach others and assess their ability to engage patients in a way that is respectful and non-judgmental and that provides cultural safety" "5 Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy" "5.1 Document clinical encounters in an accurate, complete, timely, and accessible manner, in compliance with regulatory and legal requirements" "Include as appropriate in the medical record the patient’s narrative* of the illness experience" "5.3 Share information with patients and others in a manner that respects patient privacy and confidentiality and enhances understanding" "Describe the principles and legal requirements for privacy and confidentiality of written and electronic communication" "Assess patients’ needs and preferences with respect to methods of information sharing" "Adapt written and electronic communication to the specificity of the discipline and to the expectations of patients" "5.2 Communicate effectively using a written health record, electronic medical record, or other digital technology" "Demonstrate reflective listening, open-ended inquiry, empathy, and effective eye contact while using a written or electronic medical record" "Adapt use of the health record to the patient’s health literacy and the clinical context" "Communicate effectively using a written health record, electronic medical record, or other digital technology" "Build reminders and clinical practice guidelines into the health record to enhance care Teach others how to effectively communicate with patients while using a medical record" "4 Engage patients and their families in developing plans that reflect the patient’s health care needs and goals" "4.1 Facilitate discussions with patients and their families in a way that is respectful, non-judgmental, and culturally safe" "Facilitate discussions with the patient and family in a way that is respectful, non-judgmental, and culturally safe" "5 Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy" "5.1 Document clinical encounters in an accurate, complete, timely, and accessible manner, in compliance with regulatory and legal requirements" "Document the essential elements of a clinical encounter using a structured approach Identify potential difficulties and errors in medical record keeping that have a negative impact on patient care or patient safety Describe the regulatory and legal requirements, including privacy legislation, for record keeping" "Maintain accurate and up-to-date problem lists and medication lists" "Document clinical encounters to adequately convey clinical reasoning and the rationale for decisions" "Identify and correct vague or ambiguous documentation" "Use medical record review to assess trainee clinical reasoning and their understanding of their patients as persons" "2 Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families" "2.1 Use patient-centred interviewing skills to effectively gather relevant biomedical and psychosocial information" "Integrate, summarize, and present the biopsychosocial information obtained from a patient-centred interview" "3 Share health care information and plans with patients and their families" "3.1 Share information and explanations that are clear, accurate, and timely, while checking for patient and family understanding" "Describe the ethical principles of truth-telling in the physician–patient relationship" "Communicate the diagnosis, prognosis and plan of care in a clear, compassionate, respectful, and accurate manner to the patient and family" "2 Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families" "2.3 Seek and synthesize relevant information from other sources, including the patient’s family, with the patient’s consent" "Describe potential sources of information that may assist in a given patient’s care" "Seek and synthesize relevant information from other sources, including the patient’s family, with the patient’s consent" "2.2 Provide a clear structure for and manage the flow of an entire patient encounter" "Conduct a patient encounter using an organizing framework" "Conduct a focused and efficient patient interview, managing the flow of the encounter while being attentive to the patient’s cues and responses" "Manage the flow of challenging patient encounters, including those with angry, distressed, or excessively talkative individuals" "Provide a clear structure for and manage the flow of an entire patient encounter" "3 Share health care information and plans with patients and their families" "3.1 Share information and explanations that are clear, accurate, and timely, while checking for patient and family understanding" "Use strategies to verify and validate the understanding of the patient and family with regard to the diagnosis, prognosis, and management plan" "2 Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families" "2.1 Use patient-centred interviewing skills to effectively gather relevant biomedical and psychosocial information" "Conduct a patient-centred interview under supervision, gathering relevant biomedical and psychosocial information in the context of an uncomplicated presentation of a common medical problem Describe the basic elements of the patient-centred interview" "Integrate and synthesize information about the patient’s beliefs, values, preferences, context and expectations with biomedical and psychosocial information Conduct a patient-centred interview, gathering all relevant biomedical and psychosocial information for any clinical presentation" "Actively listen and respond to patient cues" "Use patient-centred interviewing skills to effectively gather relevant biomedical and psychosocial information" "Intervene when, during the patient interview, a learner or health care professional ignores the patient’s beliefs, values, preferences, context, or expectations" "1 Establish professional therapeutic relationships with patients and their families" "1.6 Adapt to the unique needs and preferences of each patient and to his or her clinical condition and circumstances" "Assess and appropriately address the patient’s preferred involvement in decisions about care" "3 Share health care information and plans with patients and their families" "3.2 Disclose harmful patient safety incidents to patients and their families accurately and appropriately" "Disclose patient safety incidents to the patient and family accurately and appropriately" "4 Engage patients and their families in developing plans that reflect the patient’s health care needs and goals" "4.1 Facilitate discussions with patients and their families in a way that is respectful, non-judgmental, and culturally safe" "Describe the principles of cross-cultural interviewing" "Conduct an interview, demonstrating cultural awareness" "Explore the perspectives of the patient and others when developing care plans" "3 Share health care information and plans with patients and their families" "3.2 Disclose harmful patient safety incidents to patients and their families accurately and appropriately" "Apologize appropriately for a harmful patient safety incident" "Plan and document follow-up to harmful patient safety incident" "Contribute to the improvement of the system of disclosure for patient safety incidents Conduct peer review and practice assessments related to unexpected clinical outcomes and patient safety incidents Lead disclosure teams" "1 Establish professional therapeutic relationships with patients and their families" "1.6 Adapt to the unique needs and preferences of each patient and to his or her clinical condition and circumstances" "Describe the importance of capacity assessment" "3 Share health care information and plans with patients and their families" "3.2 Disclose harmful patient safety incidents to patients and their families accurately and appropriately" "Describe the ethical, professional, and legal obligations, and policies for, disclosure and reporting of patient safety incidents" "Describe the steps in providing disclosure after a patient safety incident" "Communicate the reasons for unanticipated clinical outcomes to patients and disclose patient safety incidents" "3.1 Share information and explanations that are clear, accurate, and timely, while checking for patient and family understanding" "Recognize when to seek help in providing clear explanations to the patient and family" "Convey information related to the patient’s health status, care, and needs in a timely, honest, and transparent manner Provide information on diagnosis and prognosis in a clear, compassionate, respectful, and objective manner" "Communicate clearly with patients and others in the setting of ethical dilemmas" "Collaborator" "2 Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts" "2.2 Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture" "Listen to understand and find common ground with collaborators" "2.1 Show respect toward collaborators" "Convey information thoughtfully" "2.2 Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture" "Describe different approaches to promote understanding and manage differences List factors that contribute to misunderstandings, differences, and conflicts in the health care setting" "Identify communication barriers between health care professionals" "Analyze team dynamics Gather the information and resources needed to manage differences and resolve conflicts among collaborators" "Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture" "Teach conflict resolution in health care Act as a consultant to physicians and other health care professionals in the promotion of a culture of collaboration" "2.1 Show respect toward collaborators" "Respond to requests and feedback in a respectful and timely manner" "Actively listen to and engage in interactions with collaborators" "Delegate tasks and responsibilities in an appropriate and respectful manner" "Show respect toward collaborators" "2.2 Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture" "Communicate clearly and directly to promote understanding, manage differences, and resolve conflicts" "Gain consensus among colleagues in resolving conflicts" "3 Hand over the care of a patient to another health care professional to facilitate continuity of safe patient care" "3.1 Determine when care should be transferred to another physician or health care professional" "Describe how scope of practice can trigger transfer of care Describe common transitions in health care and the process of safe transfer of care" "Identify patients requiring handover to other physicians or health care professionals" "Determine when care should be transferred to another physician or health care professional" "3.2 Demonstrate safe handover of care, using both verbal and written communication, during a patient transition to a different health care professional, setting, or stage of care" "Describe a structured framework for transfer of care that ensures the patient, physicians, and other health care professionals understand and agree with all aspects of the care" "Describe specific information required for safe handover during transitions in care" "Communicate with the receiving physicians or health care professionals during transitions in care, clarifying issues after transfer as needed Communicate with the patient’s primary health care professional about the patient’s care Summarize the patient’s issues in the transfer summary, including plans to deal with the ongoing issues" "Organize the handover of care to the most appropriate physician or health care professional Analyze gaps in communication between health care professionals during transitions in care Recognize and act on patient safety issues in the transfer of care" "Demonstrate safe handover of care, both verbal and written, during patient transitions to a different health care professional, setting, or stage of care" "Teach effective handover, including structured frameworks for safe and effective transfer of care Analyze local handover practices and contribute to process improvements to enhance the safety and effectiveness of transfer of care" "1 Work effectively with physicians and other colleagues in the health care professions" "1.3 Engage in respectful shared decision-making with physicians and other colleagues in the health care professions" "Use technology to enhance collaboration in health care" "1.1 Establish and maintain positive relationships with physicians and other colleagues in the health care professions to support relationship-centred collaborative care" "Describe relationship-centred care Identify the stages of group development in health care settings Introduce themselves and their role to physicians and other health care professionals Identify opportunities for collaboration among health care professionals along the continuum of care" "Compare and contrast enablers of and barriers to collaboration in health care" "Respect established rules of their team Receive and appropriately respond to input from other health care professionals Differentiate between task and relationship issues among health care professionals" "Anticipate, identify, and respond to patient safety issues related to the function of a team" "Establish and maintain healthy relationships with physicians and other colleagues in the health care professions to support relationship-centred collaborative care" "Analyze interactions among health care professionals to provide feedback to optimize the performance of a team for the benefit of patients Advocate for organizational structures that support relationship-centred collaborative care Contribute to policy discussions related to collaborative care Teach, assess, or develop the relationship-centred model of collaborative care" "1.2 Negotiate overlapping and shared responsibilities with physicians and other colleagues in the health care professions in episodic and ongoing care" "Describe the importance of professional role diversity and integration in high-quality and safe patient care" "Discuss the role and responsibilities of a specialist in their discipline" "Describe the roles and scopes of practice of other health care professionals related to their discipline" "2 Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts" "2.1 Show respect toward collaborators" "Respect the diversity of perspectives and expertise among health care professionals" "1 Work effectively with physicians and other colleagues in the health care professions" "1.3 Engage in respectful shared decision-making with physicians and other colleagues in the health care professions" "Describe strategies to promote the engagement of physicians and other colleagues in the health care professions in shared decision-making" "Discuss with the patient and family any plan for involving other health care professionals, including other physicians, in the patient’s care" "Integrate the patient’s perspective and context into the collaborative care plan" "Provide timely and necessary written information to colleagues to enable effective relationship-centred care" "Use referral and consultation as opportunities to improve quality of care and patient safety by sharing expertise Engage in respectful shared decision-making with physicians and other colleagues in the health care professions" "Analyze, for the purposes of teaching others, shared decision-making processes in a given patient’s care Integrate feedback into shared decision-making processes as part of a quality improvement initiative" "1.2 Negotiate overlapping and shared responsibilities with physicians and other colleagues in the health care professions in episodic and ongoing care" "Consult as needed with other health care professionals, including other physicians" "Negotiate overlapping and shared care responsibilities with physicians and other colleagues in the health care professions in episodic and ongoing care" "Teach and assess the negotiation of role overlap and shared responsibilities with other health care professionals" "1.3 Engage in respectful shared decision-making with physicians and other colleagues in the health care professions" "Communicate effectively with physicians and other colleagues in the health care professions" "Leader" "1.1 Apply the science of quality improvement to contribute to improving systems of patient care" "Engage physicians and other health care professionals to collaborate in improving systems of patient care" "1.2 Contribute to a culture that promotes patient safety" "Describe the features of a “just culture” approach to patient safety" "Actively encourage all involved in health care, regardless of their role, to report and respond to unsafe situations Engage patients and their families in the continuous improvement of patient safety Model a just culture to promote openness and increased reporting" "Contribute to a culture that promotes patient safety" "Promote a health care culture that enhances safety and quality Evaluate the culture of an institution or group with respect to patient safety and health quality Champion a just culture to enhance patient safety" "1.3 Analyze safety incidents to enhance systems of care" "Describe the elements of the health care system that facilitate or protect against patient safety incidents" "Describe the available supports for patients and health care professionals when patient safety incidents occur" "Analyze harmful patient safety incidents and near misses to enhance systems of care" "Implement systems-level improvements in processes for identification of and response to patient safety hazards and patient safety incidents" "1.1 Apply the science of quality improvement to contribute to improving systems of patient care" "Describe the domains of health care quality Describe a patient’s longitudinal experience through the health care system Describe the relevance of system theories in health care" "Describe quality improvement methodologies" "Seek data to inform practice and engage in an iterative process of improvement Compare and contrast systems theory with traditional approaches to quality improvement Compare and contrast the traditional methods of research design with those of improvement science" "Participate in a patient safety and/or quality improvement initiative Analyze and provide feedback on processes seen in one’s own practice, team, organization, or system" "Apply the science of quality improvement to contribute to improving systems of patient care" "Teach quality improvement science Apply the science of complexity to the improvement of health care Design processes to mitigate the impact of human and system factors on performance Lead quality improvement initiatives" "4 Manage their practice and career" "4.1 Set priorities and manage time to integrate practice and personal life" "Build relationships with mentors" "4.2 Manage career planning, finances, and health human resources in a practice" "Prioritize career path options on the basis of personal strengths and goals, the needs of society, and current and projected workforce needs" "Review opportunities for practice preparation, including choices available for further training" "4.1 Set priorities and manage time to integrate practice and personal life" "Demonstrate time management skills" "Organize work using strategies that address strengths and identify areas to improve in personal effectiveness" "Set priorities and manage time to integrate practice and personal life" "Mentor others Teach and assess time and personal management skills Adjust priorities to enable participation in clinical care, the profession, and institutional, provincial, national, or international activities" "4.2 Manage career planning, finances, and health human resources in a practice" "Examine personal interests and seek career mentorship and counselling" "4.1 Set priorities and manage time to integrate practice and personal life" "Reflect on and set personal, educational, and professional goals" "Align priorities with expectations for professional practice" "3 Demonstrate leadership in professional practice" "3.2 Facilitate change in health care to enhance services and outcomes" "Describe a recent local or national health system change and the basis for acceptance or resistance to this change Describe the key issues regarding the need to improve health care delivery and the role of physician leadership in this improvement" "Describe key health policy and organizational issues in their discipline" "Analyze ongoing changes occurring in health care delivery" "Provide consultative advice from a physician perspective to institutional managers and policy-makers Lead a multidisciplinary team to implement a change in health care delivery" "4 Manage their practice and career" "4.2 Manage career planning, finances, and health human resources in a practice" "Plan practice finances, considering short- and long-term goals" "4.3 Implement processes to ensure personal practice improvement" "Manage a personal schedule using tools and technologies" "Describe how practice standardization can improve quality of health care" "Improve personal practice by evaluating a problem, setting priorities, executing a plan, and analyzing the results" "Implement processes to ensure personal practice improvement" "Develop systems to optimize practice management, including the use of checklists, prompts, and standard operating procedures Solicit feedback and external practice audits to drive practice improvement Engage others to develop a culture of continuous practice improvement Engage regulatory bodies, medical associations, and specialty societies to improve standards of practice" "1 Contribute to the improvement of health care delivery in teams, organizations, and systems" "1.4 Use health informatics to improve the quality of patient care and optimize patient safety" "Map the flow of information in the care of their patients and suggest changes for quality improvement and patient safety" "4 Manage their practice and career" "4.2 Manage career planning, finances, and health human resources in a practice" "Maintain a portfolio and reflect professional development" "Describe remuneration models as they pertain to their discipline Adjust educational experiences to gain competencies necessary for future independent practice Reconcile expectations for practice with job opportunities and workforce needs" "Manage a career and a practice" "Align practice with career goals and opportunities Hire health care professionals according to defined capabilities Teach others about career and financial planning" "2 Engage in the stewardship of health care resources" "2.1 Allocate health care resources for optimal patient care" "Analyze how practice-related decisions affect service utilization and health-system sustainability Describe the ethical issues related to resource stewardship in health care" "Describe models for resource stewardship in health care used at the institutional level Consider costs when choosing care options" "Develop practice-based and system-based rules for resource allocation Use clinical judgment to minimize wasteful practices" "Allocate health care resources for optimal patient care" "Experiment with care delivery models that may improve care, value, or efficiency Assess performance of learners in providing high-value care" "3 Demonstrate leadership in professional practice" "3.2 Facilitate change in health care to enhance services and outcomes" "Develop a strategy for implementing change in health care with patients, physicians, and other health care professionals" "2 Engage in the stewardship of health care resources" "2.1 Allocate health care resources for optimal patient care" "Describe the differences between cost, efficacy, and value with respect to health care delivery" "Describe the costs of common diagnostic and therapeutic interventions relevant to their discipline" "1 Contribute to the improvement of health care delivery in teams, organizations, and systems" "1.4 Use health informatics to improve the quality of patient care and optimize patient safety" "Describe the data available from health information systems in their discipline to optimize patient care" "Use data on measures of clinical performance during team discussions and to support team decision-making" "Use health informatics to improve the quality of patient care and optimize patient safety" "Compare service delivery data to accepted targets or goals Engage others in the adoption and refinement of health information technology for quality improvement Participate in systems-based informatics development and improvement" "2 Engage in the stewardship of health care resources" "2.2 Apply evidence and management processes to achieve cost-appropriate care" "Apply evidence and guidelines with respect to resource utilization in common clinical scenarios" "3 Demonstrate leadership in professional practice" "3.2 Facilitate change in health care to enhance services and outcomes" "Compare and contrast the Canadian health care system with other models around the world" "Analyze patient feedback to help improve patient experiences and clinical outcomes" "Facilitate change in health care to enhance services and outcomes" "3.1 Demonstrate leadership skills to enhance health care" "Describe how self-awareness, self-reflection, and self-management are important to developing leadership skills" "Analyze their own leadership styles, including strengths, weaknesses, and biases" "Contribute to a health care change initiative" "Demonstrate leadership skills to enhance health care" "Provide mentorship and guidance to help others develop leadership skills" "2 Engage in the stewardship of health care resources" "2.2 Apply evidence and management processes to achieve cost-appropriate care" "Describe how evidence-informed medicine can be applied to optimize health care resource allocation Discuss strategies to overcome the personal, patient, and organizational factors that lead to waste of health care resources" "Optimize practice patterns for cost-effectiveness and cost control Determine cost discrepancies between best practice and their current practice" "Apply evidence and management processes to achieve cost-appropriate care" "Analyze a proposed practice innovation to determine its cost impact in the clinical microsystem Engage health care administration and leadership to reduce waste Compare utilization data within and outside their institution to revise processes that are inefficient or unnecessary" "3 Demonstrate leadership in professional practice" "3.1 Demonstrate leadership skills to enhance health care" "Describe leadership styles as they relate to health care" "Health Advocate" "1 Respond to an individual patient’s health needs by advocating with the patient within and beyond the clinical environment" "1.2 Work with patients and their families to increase opportunities to adopt healthy behaviours" "Describe the value and limitations of promoting healthy behaviours" "Identify resources or agencies that address the health needs of patients" "1.1 Work with patients to address determinants of health that affect them and their access to needed health services or resources" "Describe the health care system, identifying obstacles patients and families face in obtaining health care resources Define determinants of health and explain their implications Describe the role of physicians and other health care professionals in patient advocacy" "Analyze a given patient’s needs for health services or resources related to the scope of their discipline" "Demonstrate an approach to working with patients to advocate for health services or resources" "Facilitate timely patient access to health services and resources" "Work with patients to address the determinants of health that affect them and their access to needed health services or resources" "Champion the development, implementation, and promotion of health advocacy teaching Advocate to administrative or governing bodies on behalf of patients" "1.2 Work with patients and their families to increase opportunities to adopt healthy behaviours" "Apply the principles of behaviour change during conversations with patients about adopting healthy behaviours" "2 Respond to the needs of the communities or populations they serve by advocating with them for system-level change in a socially accountable manner" "2.3 Contribute to a process to improve health in the community or population they serve" "Partner with others to identify the health needs of a community or population they serve" "Distinguish between the potentially competing health interests of the individuals, communities, and populations they serve Appraise available resources to support the health needs of communities or populations they serve" "Contribute to a process to improve health in the communities or populations they serve" "Partner with others to support, plan, or lead the implementation of a program to improve the health of the communities or populations they serve" "2.2 Improve clinical practice by applying a process of continuous quality improvement to disease prevention, health promotion, and health surveillance activities" "Participate in health promotion and disease prevention programs relevant to their practice" "Identify patients or populations that are not being optimally served in their clinical practice" "Report epidemics or clusters of unusual cases seen in practice, balancing patient confidentiality with duty to protect the public's health" "Improve clinical practice by applying a process of continuous quality improvement to disease prevention, health promotion, and health surveillance activities" "Collaborate with organizations and surveillance programs to identify populations in need" "2.1 Work with a community or population to identify the determinants of health that affect them" "Identify communities or populations they serve who are experiencing health inequities" "Analyze current policy or policy developments that affect the communities or populations they serve" "Work with a community or population to identify the determinants of health that affect them" "Engage the communities or populations they serve about ways to improve health Contribute to policy discussions relevant to the determinants of health" "1 Respond to an individual patient’s health needs by advocating with the patient within and beyond the clinical environment" "1.2 Work with patients and their families to increase opportunities to adopt healthy behaviours" "Describe the principles of behaviour change" "Select patient education resources related to their discipline Educate the patient and family about information and communication technologies to improve health" "Work with the patient and family to increase opportunities to adopt healthy behaviours" "Create health promotion and education resources" "1.3 Incorporate disease prevention, health promotion, and health surveillance into interactions with individual patients" "Describe the processes of disease prevention, health promotion, and health surveillance" "Work with the patient and family to identify opportunities for disease prevention, health promotion, and health protection" "Evaluate with the patient the potential benefits and harms of health screening" "Incorporate disease prevention, health promotion, and health surveillance activities into interactions with individual patients" "Champion education programs for disease prevention, health promotion, and health surveillance" "2 Respond to the needs of the communities or populations they serve by advocating with them for system-level change in a socially accountable manner" "2.1 Work with a community or population to identify the determinants of health that affect them" "Describe the health care system, identifying communities or populations facing health inequities" "Scholar" "1 Engage in the continuous enhancement of their professional activities through ongoing learning" "1.2 Identify opportunities for learning and improvement by regularly reflecting on and assessing their performance using various internal and external data sources" "Define reflective learning as it relates to medicine Identify and prioritize, with guidance, personal learning needs based on formal curriculum learning objectives" "Identify, record, prioritize and answer learning needs that arise in daily work, scanning the literature or attending formal or informal education sessions" "Seek and interpret multiple sources of performance data and feedback, with guidance, to continuously improve performance" "Identify opportunities for learning and improvement by regularly reflecting on and assessing their performance using various internal and external data sources" "Use practice performance data in dialogue with a peer or mentor to inform a personal performance improvement plan for ongoing learning Access and summarize sources of performance data applicable to a scope of practice" "1.1 Develop, implement, monitor, and revise a personal learning plan to enhance professional practice" "Describe learning opportunities, learning resources, and assessment and feedback opportunities relevant to the clinical setting Describe the principles of effective learning relevant to medical education" "Describe physicians’ obligations for lifelong learning and ongoing enhancement of competence" "Demonstrate a structured approach to monitoring progress of learning in the clinical setting Use technology to develop, record, monitor, revise, and report on learning in medicine Create a learning plan in collaboration with a designated supervisor identifying learning needs related to their discipline and career goals" "Review and update earlier learning plan(s) with input from others, identifying learning needs related to all CanMEDS Roles to generate immediate and longer-term career goals" "Develop, implement, monitor, and revise a personal learning plan to enhance professional practice" "Coach others to enhance their own learning plans for practice Develop a plan to enhance competence across all CanMEDS Roles and update it regularly" "2 Teach students, residents, the public, and other health care professionals" "2.6 Assess and evaluate learners, teachers, and programs in an educationally appropriate manner" "Appropriately assess junior learners" "2.4 Plan and deliver a learning activity" "Describe sources of information used to assess learning needs Define specific learning objectives for a teaching activity Describe clinical teaching strategies relevant to their discipline" "Integrate formal and informal methods of needs assessment to guide the development and/or modification of learning activities Teach the public and other health care stakeholders Use relevant learning theories to enhance the learning of others Coach others to enhance their teaching" "2.5 Provide feedback to enhance learning and performance" "Describe the features of effective feedback and its importance for teaching and learning" "Provide written or verbal feedback to other learners, faculty, and other members of the team" "Provide feedback to enhance learning and performance Role-model regular self-assessment and feedback-seeking behaviour" "Help learners and teachers manage the emotional impact of giving and receiving feedback Work with recipients of feedback to develop plans for improvement" "2.6 Assess and evaluate learners, teachers, and programs in an educationally appropriate manner" "Assess teachers in an honest, fair, and constructive manner" "2.4 Plan and deliver a learning activity" "Plan and deliver a learning activity" "2.6 Assess and evaluate learners, teachers, and programs in an educationally appropriate manner" "Evaluate programs in an honest, fair, and constructive manner Contribute to the assessment of other learners" "Assess and evaluate learners, teachers, and programs in an educationally appropriate manner" "Plan systematic approaches to the assessment of learners or evaluation of programs Develop a new assessment tool or process" "3 Integrate best available evidence into practice" "3.1 Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that can address them" "Describe the different kinds of evidence and their roles in clinical decision-making" "Recognize uncertainty and knowledge gaps in clinical and other professional encounters relevant to their discipline" "Generate focused questions that address practice uncertainty and knowledge gaps" "3.2 Identify, select, and navigate pre-appraised resource" "Describe the advantages and limitations of pre-appraised resources Select appropriate sources of knowledge as they relate to addressing focused questions" "Contrast the various study designs used in medicine and the quality of various pre-appraised resources" "Identify, select, and navigate pre-appraised resources" "Coach others to find and select sources of evidence for a given practice-related question" "3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature" "For a given practice scenario, formulate a well-structured question using a specific framework" "2 Teach students, residents, the public, and other health care professionals" "2.2 Promote a safe learning environment" "Explain how power differentials between learners and teachers can affect the learning environment" "1 Engage in the continuous enhancement of their professional activities through ongoing learning" "1.2 Identify opportunities for learning and improvement by regularly reflecting on and assessing their performance using various internal and external data sources" "Compare, with guidance, self-assessment with external assessments" "Revise and monitor a performance improvement plan on the basis of changes to scope of practice" "1.3 Engage in collaborative learning to continuously improve personal practice and contribute to collective improvements in practice" "Contribute to collaborative group learning Define a community of practice as it relates to medicine" "Identify the learning needs of a health care team" "Engage in collaborative learning to continuously improve personal practice and contribute to collective improvements in practice" "Lead learning activities of a team" "2 Teach students, residents, the public, and other health care professionals" "2.1 Recognize the influence of role-modelling and the impact of the formal, informal, and hidden curriculum on learners" "Describe the link between role-modelling and the hidden curriculum" "Identify behaviours associated with positive and negative role-modelling" "Use strategies for deliberate, positive role-modelling" "Recognize the influence of role-modelling and the impact of the formal, informal, and hidden curriculum on learners" "Address systemic issues that contribute to the hidden curriculum Apply strategies to mitigate the tensions between formal, informal, and hidden curricula" "2.2 Promote a safe learning environment" "Describe factors that can positively or negatively affect the learning environment" "1 Engage in the continuous enhancement of their professional activities through ongoing learning" "1.2 Identify opportunities for learning and improvement by regularly reflecting on and assessing their performance using various internal and external data sources" "Use exam results and feedback from teachers and peers to enhance self-assessment and improve learning" "2 Teach students, residents, the public, and other health care professionals" "2.2 Promote a safe learning environment" "Describe strategies for reporting and managing witnessed or experienced mistreatment" "Ensure a safe learning environment for all members of the team" "Address systemic or institutional processes that may compromise the safety of the learning environment Coach others about optimizing learning environments" "2.3 Ensure patient safety is maintained when learners are involved" "Speak up in situations in the clinical training environment where patient safety may be at risk because of learner involvement" "Identify unsafe clinical situations involving learners and manage them appropriately" "Supervise learners to ensure they work within limitations, seeking guidance and supervision when needed Balance clinical supervision and graduated responsibility, ensuring the safety of patients and learners" "Ensure patient safety is maintained when learners are involved" "Contribute to guidelines on the supervision of learners with regard to patient safety and quality improvement" "2.4 Plan and deliver a learning activity" "Describe the characteristics of effective teachers in medicine" "Demonstrate basic skills in teaching others, including peers" "Describe how to formally plan a medical education session" "4 Contribute to the creation and dissemination of knowledge and practices applicable to health" "4.4 Pose questions amenable to scholarly inquiry and select appropriate methods to address them" "Describe and compare the common methodologies used for scholarly inquiry in their discipline" "4.2 Identify ethical principles for research and incorporate them into obtaining informed consent, considering potential harms and benefits, and considering vulnerable populations" "Discuss and provide examples of the ethical principles applicable to research and scholarly inquiry relevant to their discipline" "Identify ethical principles for research and incorporate them into obtaining informed consent, considering harm and benefits, and considering vulnerable populations" "Serve as a member on a research ethics board" "4.3 Contribute to the work of a research program" "Compare and contrast the roles and responsibilities of members of a research team and describe how they differ from clinical and other practice roles and responsibilities" "Actively participate as a research team member, balancing the roles and responsibilities of a researcher with the clinical roles and responsibilities of a physician" "Contribute to the work of a research program" "Create and lead research teams Serve as a research mentor" "4.4 Pose questions amenable to scholarly inquiry and select appropriate methods to address them" "Describe the characteristics of a well-constructed research question" "3 Integrate best available evidence into practice" "3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature" "Evaluate the applicability (external validity or generalizability) of evidence from a resource" "4 Contribute to the creation and dissemination of knowledge and practices applicable to health" "4.4 Pose questions amenable to scholarly inquiry and select appropriate methods to address them" "Discuss and critique the possible methods of addressing a given scholarly question" "Select appropriate methods of addressing a given scholarly question" "Pose medically and scientifically relevant and appropriately constructed questions amenable to scholarly inquiry" "Coach others to pose relevant, appropriately constructed questions that are amenable to scholarly inquiry" "4.5 Summarize and communicate to professional and lay audiences, including patients and their families, the findings of relevant research and scholarly inquiry" "Summarize and communicate to peers the findings of applicable research and scholarship" "Summarize and communicate to professional and lay audiences, including patients and their families, the findings of relevant research and scholarly inquiry Prepare a manuscript suitable for publication in a peer-reviewed journal" "Formally present research and scholarly inquiry findings, including presentations at meetings, and in print and digital media" "4.1 Demonstrate an understanding of the scientific principles of research and scholarly inquiry and the role of research evidence in health care" "Teach the principles of research and scholarly inquiry to others" "4.2 Identify ethical principles for research and incorporate them into obtaining informed consent, considering potential harms and benefits, and considering vulnerable populations" "Describe the ethical principles applicable to research and scholarly inquiry" "3 Integrate best available evidence into practice" "3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature" "Identify appropriate sources that answer a practice question" "Interpret study findings, including a critique of their relevance to their practice Determine the validity and risk of bias in a source of evidence" "Describe study results in both quantitative and qualitative terms" "Critically evaluate the integrity, reliability, and applicability of health-related research and literature" "3.4 Integrate evidence into decision-making in their practice" "Use evidence, as appropriate, during decision-making Describe the principles of knowledge translation and the knowledge-to-action framework" "Discuss the barriers to and facilitators of applying evidence into practice Describe how various sources of information, including studies, expert opinion, and practice audits, contribute to the evidence base of medical practice" "Identify new evidence appropriate to their scope of professional practice through quality-appraised evidence-alerting services" "Teach physicians and other health care professionals to effectively integrate evidence into decision-making in their practice" "4 Contribute to the creation and dissemination of knowledge and practices applicable to health" "4.1 Demonstrate an understanding of the scientific principles of research and scholarly inquiry and the role of research evidence in health care" "Describe the basic scientific principles of research and scholarly inquiry Describe the role of research and scholarly inquiry in health care" "Contribute to a scholarly investigation or the dissemination of research findings in their discipline" "Demonstrate an understanding of the scientific principles of research and scholarly inquiry and the role of research evidence in health care" "Supervise a research project or scholarly inquiry" "3 Integrate best available evidence into practice" "3.4 Integrate evidence into decision-making in their practice" "Integrate best evidence and clinical expertise into decision-making in their practice" "Professional" "1 Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards" "1.1 Exhibit appropriate professional behaviours and relationships in all aspects of practice, demonstrating honesty, integrity, humility, commitment, compassion, respect, altruism, respect for diversity, and maintenance of confidentiality" "Demonstrate sensitivity to issues concerning diversity with respect to peers, colleagues, and patients Consistently maintain confidentiality in the clinical setting, while recognizing the special limitations on confidentiality" "Demonstrate special expertise in issues of confidentiality and serve as a resource for others" "1.2 Demonstrate a commitment to excellence in all aspects of practice" "Reflect on experiences in the clinical setting to identify personal deficiencies and modify behaviour accordingly" "Analyze how the system of care supports or jeopardizes excellence" "Demonstrate a commitment to excellence in all aspects of practice" "Systematically address barriers to excellence in clinical care" "1.3 Recognize and respond to ethical issues encountered in practice" "Describe principles and theories of core ethical concepts Identify appropriate ethical concepts to address ethical issues encountered during clinical and academic activities" "Manage ethical issues encountered in the clinical and academic setting" "Recognize and respond to ethical issues encountered in independent practice" "Advise on complex ethical issues in practice" "1.1 Exhibit appropriate professional behaviours and relationships in all aspects of practice, demonstrating honesty, integrity, humility, commitment, compassion, respect, altruism, respect for diversity, and maintenance of confidentiality" "Recognize and respect boundaries Demonstrate caring and compassion Exhibit honesty and integrity with patients, peers, physicians, and other health care professionals" "Complete assigned responsibilities Demonstrate punctuality Consistently prioritize the needs of patients and others to ensure a patient’s legitimate needs are met" "Independently manage specialty-specific issues of confidentiality, intervening when confidentiality is breached" "Intervene when behaviours toward colleagues and learners undermine a respectful environment Manage complex issues while preserving confidentiality" "Exhibit appropriate professional behaviours and relationships in all aspects of practice, reflecting honesty, integrity, humility, commitment, compassion, respect, altruism, respect for diversity, and maintenance of confidentiality" "Lead initiatives that promote respectful work environments Lead and advise on professionalism and professional behaviour" "4 Demonstrate a commitment to physician health and well-being to foster optimal patient care" "4.3 Promote a culture that recognizes, supports, and responds effectively to colleagues in need" "Describe the importance of early intervention for colleagues in need of assistance, identify available resources, and describe professional and ethical obligations and options for intervention" "Provide mentorship to colleagues" "Establish a mentorship program Teach and positively influence the behaviour of others to promote a culture of wellness" "4.1 Exhibit self-awareness and manage influences on personal well-being and professional performance" "Manage the impact of physical and environmental factors on performance" "4.2 Manage personal and professional demands for a sustainable practice throughout the physician life cycle" "Identify strategies to support personal well-being, a healthy lifestyle and appropriate self-care, with the help of friends, family and a primary health professional." "4.1 Exhibit self-awareness and manage influences on personal well-being and professional performance" "Describe the connection between self-care and patient safety Use strategies to improve self-awareness to enhance performance" "Demonstrate an ability to regulate attention, emotions, thoughts, and behaviours while maintaining capacity to perform professional tasks" "Integrate skills that support adaptation and recovery in challenging situations" "Exhibit self-awareness and effectively manage influences on personal well-being and professional performance" "Role-model and coach others in resilience Advise on strategies to mitigate the negative effects of physical and environmental factors on physician wellness and practice performance Role-model and teach self-regulation" "4.2 Manage personal and professional demands for a sustainable practice throughout the physician life cycle" "Recognize evolving professional identity transitions and manage inherent stresses" "4.1 Exhibit self-awareness and manage influences on personal well-being and professional performance" "Describe how physicians are vulnerable to physical, emotional, and spiritual illness" "3 Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation" "3.3 Participate in peer assessment and standard-setting" "Describe the principles of peer assessment" "Prepare a morbidity and mortality report or chart review Participate in the assessment of junior learners Participate in the review of practice, standard setting and quality improvement activities" "Participate in peer assessment and standard-setting" "Lead a debrief of a difficult clinical interaction Participate in the regulatory procedures that govern the profession" "4 Demonstrate a commitment to physician health and well-being to foster optimal patient care" "4.2 Manage personal and professional demands for a sustainable practice throughout the physician life cycle" "Use strategies to mitigate stressors during transitions and enhance professional development" "4.3 Promote a culture that recognizes, supports, and responds effectively to colleagues in need" "Describe the multiple ways in which poor physician health can present, including disruptive behaviour, and offer support to peers when needed" "Use strategies to mitigate the impact of patient safety incidents" "Support others in their professional transitions" "Promote a culture that recognizes, supports, and responds effectively to colleagues in need" "Role-model and teach learners and colleagues about personal and professional choices to effectively manage their practice" "4.2 Manage personal and professional demands for a sustainable practice throughout the physician life cycle" "Seek mentorship to address professional development needs Incorporate self-care into personal and professional routines" "Coach physicians in the transition out of professional practice (retirement)" "3 Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation" "3.2 Recognize and respond to unprofessional and unethical behaviours in physicians and other colleagues in the health care professions" "Lead systematic initiatives to minimize unprofessional and unethical behaviours in colleagues" "4 Demonstrate a commitment to physician health and well-being to foster optimal patient care" "4.2 Manage personal and professional demands for a sustainable practice throughout the physician life cycle" "Seek appropriate health care for their own needs, which could include consultation with a therapist and/or spiritual advisor Describe the transitions through a physician’s life cycle, including periods of vulnerability" "Describe the influence of personal and environmental factors on the development of a career plan" "Manage competing personal and professional priorities" "Manage personal and professional demands for a sustainable practice throughout the physician life cycle" "Advocate for learning and work environments that provide opportunities for a healthy lifestyle Eliminate system barriers to physicians seeking care Role-model and teach the management of competing personal and professional priorities" "1 Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards" "1.5 Exhibit professional behaviours in the use of technology-enabled communication" "Develop standards and/or policies incorporating the principles of professionalism related to the use of technology-enabled communication" "2 Demonstrate a commitment to society by recognizing and responding to societal expectations in health care" "2.1 Demonstrate accountability to patients, society, and the profession by responding to societal expectations of physicians" "Explain physician roles and duties in the promotion of the public good Describe the social contract between the profession of medicine and society" "Manage tensions between societal and physicians’ expectations" "Demonstrate a commitment to the promotion of the public good in health care, including stewardship of resources" "Demonstrate accountability to patients, society, and the profession by recognizing and responding to societal expectations of the profession" "Influence the profession’s response to issues of societal accountability" "1 Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards" "1.5 Exhibit professional behaviours in the use of technology-enabled communication" "Follow relevant policies regarding the appropriate use of electronic medical records Use technology-enabled communication, including their online profile, in a professional, ethical, and respectful manner Describe policies related to technology-enabled communication" "2 Demonstrate a commitment to society by recognizing and responding to societal expectations in health care" "2.1 Demonstrate accountability to patients, society, and the profession by responding to societal expectations of physicians" "Describe the tension between the physician’s role as advocate for individual patients and the need to manage scarce resources" "1 Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards" "1.5 Exhibit professional behaviours in the use of technology-enabled communication" "Explain the potential abuses of technology-enabled communication and their relation to professionalism" "Intervene when aware of breaches of professionalism involving technology-enabled communication" "Exhibit professional behaviours in the use of technology-enabled communication" "1.4 Recognize and manage conflicts of interest" "Recognize personal conflicts of interest and demonstrate an approach to managing them Describe the implications of potential personal, financial, and institutional conflicts of interest, including conflicts of interest with industry" "Proactively resolve real, potential, or perceived conflicts of interest transparently and in accordance with ethical, legal, and moral obligations" "Recognize and manage conflicts of interest in independent practice" "Advise on conflicts of interest in practice and in institutions" "3 Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation" "3.1 Fulfill and adhere to the professional and ethical codes, standards of practice, and laws governing practice" "Describe how to respond to, cope with, and constructively learn from a complaint or legal action" "3.2 Recognize and respond to unprofessional and unethical behaviours in physicians and other colleagues in the health care professions" "Describe and recognize key behaviours that are unprofessional or unethical" "Respond to peer-group lapses in professional conduct" "Describe and identify regulatory codes and procedures relevant to involving a regulatory body in a case of serious unprofessional behaviour or practice" "Recognize and respond to unprofessional and unethical behaviours in physicians and other colleagues in the health care professions" "3.1 Fulfill and adhere to the professional and ethical codes, standards of practice, and laws governing practice" "Describe the relevant codes, policies, standards, and laws governing physicians and the profession including standard-setting and disciplinary and credentialing procedures Demonstrate accountability to the profession and society with regard to the impact of decisions that are made" "Fulfill and adhere to the professional and ethical codes, standards of practice, and laws governing practice" "Contribute to the development of professional and ethical codes, standards, or laws governing practice" "1 Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards" "1.3 Recognize and respond to ethical issues encountered in practice" "Teach and assess the management of ethical issues in clinical practice" "3 Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation" "3.1 Fulfill and adhere to the professional and ethical codes, standards of practice, and laws governing practice" "Describe the regulatory structures governing physicians and the profession" "2 Demonstrate a commitment to society by recognizing and responding to societal expectations in health care" "2.2 Demonstrate a commitment to patient safety and quality improvement" "Describe the link between professionalism and a commitment to patient safety and quality improvement" "Monitor institutional and clinical environments and respond to issues that can harm patients or the delivery of health care Demonstrate a commitment to patient safety and quality improvement through adherence to institutional policies and procedures" "Demonstrate a commitment to patient safety and quality improvement initiatives within their own practice environment" "2.1 Demonstrate accountability to patients, society, and the profession by responding to societal expectations of physicians" "Describe the levels of reciprocal accountability of medical students, physicians, and the medical profession in relation to individual patients, society, and the profession" "Demonstrate a commitment to maintaining and enhancing competence" "Advise institutions on social accountability and the profession"