Curriculum Block

Objectives

• Demonstrate effective communication skills in conducting a patient centered interview, including exploring the patient’s illness experience as well as the family and social context.
• Discuss common ethical issues in family medicine through the life cycle including topics such as confidentiality, consent and capacity.
• Understand the special needs of vulnerable groups related to disparities and inequities in seeking and receiving care. (e.g. Aboriginals, recent immigrants, same-sex relationships, transgendered, marginally housed, disabled, age extremes).
• Identify and/or communicate with other health care providers and community programs to support and/or optimize patient care.
• Discuss evidence-based approaches to patient care and the challenges of applying guidelines to individual patients.
• Demonstrate life long learning practices in providing care to patients.
• Demonstrate effective oral and written communication skills in documenting clinical encounters, making oral case presentations, prescription writing and making referrals to other care providers through clear, concise, efficient communication strategies.
• Conduct a sensitive, focused physical exam relevant to the patient’s presenting problem.
• Demonstrate an approach to health promotion and disease prevention during patient encounters that reflect best evidence and patient preferences and values.
• An understanding of the broad scope of family medicine
• Demonstrate an approach to the diagnosis and management of common patient problems that present to family physicians (see Essential Clinical Encounter presenting problems for Family Medicine).
• Demonstrate an approach to the diagnosis and management of undifferentiated patient problems that present to family physicians.
• Describe how illness presents differently through the life cycle and in the family medicine setting compared to other settings.
• Gain skills and experience in meeting patients’ needs for prevention, problem identification and management, and complex disease management through episodic care of patients and their families in the community practice setting.
• Appreciate the nature of some of the specific challenges in the provision of primary care to patients, such as addressing undifferentiated illness, chronic illnesses and preventive care issues.
• Appreciate the challenges in addressing complex, diverse patient care issues longitudinally.
• An understanding of how virtual or same-site interprofessional teams function in the context of the primary care environment.

Assessments

• Family Medicine Clinical Placement

Tags

Communication Skills and Medical Interviewing General Physical Examination Diagnosis Ethics Prevention and control Collaborator Communicator; Culturally Aware Health Advocate Manager Other Health Professionals Professional Scholar Accurately elicit and synthesize relevant information and perspectives of patients and families, colleagues and other professionals; Collaborator Communicator Critically evaluate information and its sources, and apply this appropriately to practice decisions; Demonstrate a commitment to their patients, profession, and society through ethical practice; Develop rapport, trust and ethical therapeutic relationships with patients and families; Health Advocate Identify the determinants of health of the populations that they serve; Medical Expert Participate effectively and appropriately in an interprofessional healthcare team; Perform a complete and appropriate assessment of a patient; Professional Promote the health of individual patients, communities and populations. Respond to individual patient health needs and issues as part of patient care; Scholar Use preventive and therapeutic interventions effectively; Clerkship Family Medicine Rotation Family medicine Communication Skills Health Promotion And Maintenance History Law And Ethics Management Skills Physical Examination Concepts of Health and Its Determinants Confidentiality Consent Providing anti-oppressive health care Effective Communication Moral Reasoning and Ethical Judgement Social, Cultural and Humanistic Dimensions of Health 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 1.7 Counsel and educate patients and their families to empower them to participate in their care and enable shared decision-making 2.2 Apply biomedical scientific principles fundamental to health care for patients and populations. 3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours 3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours 3.8 Obtain and use information about individual patients and their caregivers, populations of patients, or communities with which patients identify to improve care 3.9 Continually identify, analyze, and implement new knowledge, guidelines, standards, technologies, products, or services that have been demonstrated to improve outcomes 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.2 Participate in the education of patients, families, students, trainees, peers and other health professionals 4.3 Demonstrate sensitivity, honesty, and compassion in difficult conversations, including those about death, end of life, adverse events, bad news, disclosure of errors, and other sensitive topics 4.4 Demonstrate insight and understanding about emotions and human responses to emotions that allow one to develop and manage interpersonal interactions, including the ability to manage one’s own interpersonal responses 4.5 Maintain comprehensive, timely, and legible medical records 5.1 Demonstrate accountability to patients, society, and the profession 5.11 Demonstrate trustworthiness and reliability that makes colleagues feel secure when one is responsible for the care of patients 5.12 Present oneself professionally to patients, families, and members of the health care team 5.2 Demonstrate compassion, integrity, and respect for others 5.4 Demonstrate respect for patient confidentiality, privacy and autonomy 5.5 Demonstrate sensitivity and responsiveness to a diverse patient population, including all dimensions of diversity such as those that are included in human rights legislation and federal and provincial law. 5.7 Demonstrate the application of ethical principles to commonly encountered ethical issues such as the provision or withholding of care, confidentiality, informed consent, and including compliance with relevant laws, policies, and regulations 5.9 Maintain appropriate boundaries with patients and other professionals 6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable 6.6 Coordinate patient care within the health care system relevant to a variety of clinical specialties 6.9 Perform administrative and practice management responsibilities commensurate with one’s role, abilities, and qualifications 7.1 Work with other health professionals to establish and maintain a climate of mutual respect, dignity, inclusion, ethical integrity, and trust 7.2 Use the knowledge of one’s own role and the roles of other health professionals to appropriately assess and address the health care needs of the patients and populations served 7.3 Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the provision of healthcare in individual patients and populations 7.4 Demonstrate the ability to consult with and to other health professionals 7.6 Participate in different team roles and appropriately apply leadership skills to establish, develop, and continuously enhance team function. 8.1 Demonstrate healthy coping mechanisms to respond to stress 8.5 Recognize that ambiguity is part of clinical health care and respond by utilizing appropriate resources in dealing with uncertainty Community Health Services [N02.421.143] Confidentiality [I01.880.604.583.080] Disease Management [N04.590.607] Ethics [N05.350] Ethics, Medical [K01.752.566.479.171.132.750] Ethics, Professional [N05.350.340] Evidence-Based Medicine [H02.249.750] Family Practice [H02.403.280] Health Status Disparities [N06.850.505.400.425.675] Informed Consent [N03.706.535.489] Interprofessional Relations [F01.829.401.205] Medical History Taking [E01.370.510] Patient Care Management [N04.590] Physical Examination [E01.370.600] Practice Guideline [V02.515.500] Preventive Health Services [N02.421.726] Primary Health Care [N04.590.233.727]