medportal CDB | Taxonomy | CanMEDS Roles / Communicator

Taxonomies

CanMEDS Roles

Communicator

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Develop rapport, trust and ethical therapeutic relationships with patients and families;

Accurately elicit and synthesize relevant information and perspectives of patients and families, colleagues and other professionals;

Accurately convey relevant information and explanations to patients and families, colleagues and other professionals;

Develop a common understanding on issues, problems and plans with patients and families, colleagues and other professionals to develop a shared plan of care;

Convey effective oral and written information about a medical encounter.

Activities

Tutorial Skills Tune-up MF1
Tutorial

Part 1 / Medical Foundation 1 / Respirology / Week 3

What is Pro Comp?
PC Session

Part 1 / Professional Competencies 1 / Week 1

Communication Skills 1
PC Session

Part 1 / Professional Competencies 1 / Week 5

Communication Skills With Improvisation and Drama
Active Large Group Session

Part 1 / Medical Foundation 1 / Introduction to Medicine / Week 1

Introduction to Effective Physician-Patient Communication
Clinical Skills Sessions

Part 1 / Medical Foundation 1 / Introduction to Medicine / Week 3

Patient Safety
PC Session

Part 2 / Professional Competencies 2 / Week 3

Narrative in Medicine
PC Session

Part 2 / Professional Competencies 2 / Week 5

Communication Skills 2
PC Session

Part 2 / Professional Competencies 2 / Week 6

Adolescent History Practice Case - Behaviour Concerns
Clinical Skills Sessions

Part 3 / Medical Foundation 3 / Reproduction and Pregnancy / Week 1

Communication Skills 3
PC Session

Part 3 / Professional Competencies 3 / Week 10

Culture and Health: Newcomers to Canada
PC Session

Part 3 / Professional Competencies 3 / Week 11

Communication Skills 4
PC Session

Part 4 / Professional Competencies 4 / Week 5

Serious Illness Conversations
PC Session

Part 5 / Professional Competencies IF / Week 5

Recognizing and Responding to Intimate Partner Violence (IPV)
PC Session

Part 5 / Professional Competencies IF / Week 7

Fever x 24 hours in a Patient Living in Long-Term Care
Clinical Skills Sessions

Transition to Clerkship / Week 3

Personal Interaction and Communication Skills
Simulations

Clerkship / Anesthesia Rotation

Anesthesia; Patient Safety and Team Communication
PC Session

Clerkship / Anesthesia Rotation

Communication Skills in the ER
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Emergency Medicine Debriefing Session
Large Group Session

Clerkship / Emergency Medicine Rotation

Emergency Medicine: Aids to Clinical Decision Making
e-Learning Module

Clerkship / Emergency Medicine Rotation

Family Medicine Clinical Placement
Preceptor

Clerkship / Family Medicine Rotation

Patient History
Large Group Session

Clerkship / Geriatrics Rotation

Functional Assessment
Large Group Session

Clerkship / Geriatrics Rotation

Examination
Large Group Session

Clerkship / Geriatrics Rotation

Patient History
Clinical Exposure

Clerkship / Geriatrics Rotation

Functional Assessment
Clinical Exposure

Clerkship / Geriatrics Rotation

Examination
Clinical Exposure

Clerkship / Geriatrics Rotation

Internal Medicine: End-of-Life Discussions
PC Session

Clerkship / Internal Medicine Rotation

Domestic Violence and Female Adult Sexual Assault
Large Group Session

Clerkship / Obstetrics and Gynecology Rotation

Psychiatric Clinical Skills
Clinical Exposure

Clerkship / Psychiatry Rotation

Participate in a discussion in which "bad news" is communicated to a patient or family.
Essential Clinical Experience

Emergency Medicine Rotation / Surgery Rotation

Communicate with a patient or family when there is a language or cultural barrier (not necessarily using an interpreter).
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Surgery Rotation

Participate in a discussion that involves issues pertaining to patient safety.
Essential Clinical Experience

Anesthesia Rotation / Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Assessments

Giving Bad News / Advocacy
Clerkship Reflection Paper

Clerkship / Emergency Medicine Rotation

Emergency Medicine: Aids to Clinical Decision Making
e-Learning Module Completion

Clerkship / Emergency Medicine Rotation

Family Medicine Clinical Placement
Preceptor Evaluation

Clerkship / Family Medicine Rotation

Pediatrics Core Rotation
Final Rotation Assessment

Clerkship / Pediatrics Rotation

Objectives

The medical interview
General Objectives

Part 1 / Medical Foundation 1

Diagnostc strategies based on history taking
General Objectives

Part 1 / Medical Foundation 1

Demonstrate skills of negotiation and conflict resolution.
General Objectives

Professional Competencies 1

Establish rapport with patients
Framework Objectives

Medical Foundation 1 / Medical Foundation 2

Elicit the relevant history for renal disease
General Objectives

Part 2 / Medical Foundation 2 / Renal

Demonstrate how to develop with patients, families, and other professionals a common understanding on issues and a shared plan of care, as defined by the Kalamazoo Consensus Statements. (CanMEDS 2015).
General Objectives

Professional Competencies 4

Illustrate how being a good communicator is a core clinical skill for physicians, and how effective physician-patient communication can foster patient satisfaction, physician satisfaction, adherence and improved clinical outcomes (CanMEDS 2015).
General Objectives

Professional Competencies 1 / Professional Competencies 3 / Professional Competencies IF

Demonstrate how to perform the basic communication and interpersonal skills that are required to accomplish each of the specific and discrete tasks defined in the Kalamazoo Consensus Statements. (1999, 2002).
General Objectives

Professional Competencies 1 / Professional Competencies 3 / Professional Competencies IF

Demonstrate the specific skills for interacting with and responding to patients who present moderate communication challenges (anger; anxiety; values different from the students’ own).
General Objectives

Professional Competencies IF

Summarize the concepts, principles, and research evidence that support the importance and efficacy of developing communication and interpersonal skills in medicine.
General Objectives

Professional Competencies 1 / Professional Competencies 2 / Professional Competencies 3 / Professional Competencies IF

Demonstrate the acquisition of communications skills (defined by the Kalamazoo Consensus Statements as a set of conscious and behavioural norms) required to build a therapeutic relationship, to conduct an interview with a patient, to communicate about a patient, and to communicate about medicine and science.
General Objectives

Professional Competencies 3 / Professional Competencies IF

Students will be able to explain the significance of good team communication in promoting patient safety.
Activity Objectives

Part 5 / Professional Competencies IF

Assess a patient who has an ASA class 1 or 2 classification with regards to their readiness for anesthesia by taking an appropriate history and performing a relevant physical examination.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Describe common side effects of the commonly-used analgesic techniques.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Explain how epidurals and patient controlled analgesia is used in perioperative analgesia.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Provide compassionate and reassuring care to patients in the perioperative setting
Clerkship Objectives

Clerkship / Anesthesia Rotation

Demonstrate ability to work in the perioperative environment including appropriate communication and teamwork.
Clerkship Objectives

Clerkship / Anesthesia Rotation

Demonstrate the ability to present a patient case in a clear, concise, and complete manner.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Practice effective communication including the use of empathy, non-verbal communication and respectful counseling with patients and their families.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Provide clear discharge instructions for patients, including return to care instructions and ensure appropriate follow-up care.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate thorough, clear, and concise documentation and charting.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

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.
Clerkship Objectives

Clerkship / Family Medicine Rotation

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.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Describe how illness presents differently through the life cycle and in the family medicine setting compared to other settings.
Clerkship Objectives

Clerkship / Family Medicine Rotation

Take a history from a geriatric patient, with special emphasis on physical and mental functioning.
Clerkship Objectives

Geriatrics Rotation

Validate and obtain historical information from other relevant informants (e.g. partner, caregiver, community care access centre, family physician) when indicated.
Clerkship Objectives

Geriatrics Rotation

Communicate results of the direct and collateral history in well organized written and oral reports.
Clerkship Objectives

Geriatrics Rotation

Collect accurate information regarding function in basic and instrumental activities of daily living.
Clerkship Objectives

Geriatrics Rotation

Communicate results of the functional assessment in well organized written and oral reports.
Clerkship Objectives

Geriatrics Rotation

Perform a physical examination on an elderly patient, adapting it to possible conditions of frailty, immobility, hearing loss, memory loss and other impairments.
Clerkship Objectives

Geriatrics Rotation

Perform a mental status examination to evaluate confusion and/or memory loss in an elderly patient, including the use of appropriate tools (e.g. Mini Mental Status Examination)
Clerkship Objectives

Geriatrics Rotation

Communicate the relevant results of the physical and cognitive examination in well organized and written and oral reports.
Clerkship Objectives

Geriatrics Rotation

Demonstrate respect to older patients and make efforts to preserve their dignity
Clerkship Objectives

Geriatrics Rotation

Validate and obtain historical information from other relevant informants (eg. partner, caregiver, Community Care Access Centre, family physician) where indicated.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Document the patient interview in a concise, organized written and verbal report.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Collect accurate information regarding function in basic and instrumental activities of daily living.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Communicate results of the functional assessment in well-organized written & oral reports.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Document the findings of the physical exam in a concise, organized written or oral report.
Clerkship Objectives

Internal Medicine Rotation

Assess for risk of drug interactions (including an approach to polypharmacy in the elderly)
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Participate in a care plan discussion with a patient understanding the role of shared-decision making.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Assess a patient’s competence to make decisions regarding therapy.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Consider legal and/or ethical issues as well as psychosocial aspects in deciding on an appropriate treatment.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Perform patient interview in a patient centered manner, using verbal and non-verbal means to create an empathetic and respectful environment for a variety of patients (including the frail elderly).
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Describe modalities of analgesia used in labour and delivery
Clerkship Objectives

Clerkship / Anesthesia Rotation / Obstetrics and Gynecology Rotation

Perform an ob/gyn history as part of the general medical history, including: chief complaint, present illness, menstrual history, obstetrical history, gynecologic history, contraceptive history, sexual history, family history, and social history.
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Interact with patient in order to gain her confidence and cooperation to assure comfort and modesty, and to develop an understanding of age, race culture and SES on her health.
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Communicate results of the ob/gyn and general medical history in a well-organized written and oral report.
Framework Objectives

Obstetrics and Gynecology Rotation

Provide an explanation to the patient regarding the purpose of these tests (of Pap Smear and Culture)
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Medical Foundation 3 / Integration Foundation / Medical Foundation 4 / Obstetrics and Gynecology Rotation

Guideline results (of Pap Smear and Culture)
Framework Objectives

Obstetrics and Gynecology Rotation

Work cooperatively with patients, their social supports, and other members of the health care team
Framework Objectives

Medical Foundation 1 / Medical Foundation 2 / Obstetrics and Gynecology Rotation

Perform a physical exam to obstetrical patients
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Answer commonly asked questions regarding pregnancy, labour and delivery
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Appropriate postpartum patient counseling
Framework Objectives

Obstetrics and Gynecology Rotation

History, physical findings, and diagnostic method to confirm ROM
Framework Objectives

Obstetrics and Gynecology Rotation

Factors predisposing PROM
Framework Objectives

Obstetrics and Gynecology Rotation

Risk and benefit of expectant management versus immediate delivery
Framework Objectives

Obstetrics and Gynecology Rotation

Methods to monitor maternal and fetal status during expectant management
Framework Objectives

Obstetrics and Gynecology Rotation

Management of climacteric including:
Framework Objectives

Obstetrics and Gynecology Rotation

Hormone therapy (HRT) (Management of climacteric)
Framework Objectives

Obstetrics and Gynecology Rotation

Nutrition and exercise (Management of climacteric)
Framework Objectives

Obstetrics and Gynecology Rotation

Non-hormonal therapeutic options during climacteric
Framework Objectives

Obstetrics and Gynecology Rotation

Describe the risks and benefits of HRT
Framework Objectives

Obstetrics and Gynecology Rotation

Ethical considerations in infertility
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Cite prevalence and incidence of violence against women, elder abuse, and child abuse
Framework Objectives

Obstetrics and Gynecology Rotation

Assess the involvement of any patient in domestic violence situations
Framework Objectives

Obstetrics and Gynecology Rotation

Council patients for short term safety (in domestic violence situations).
Framework Objectives

Obstetrics and Gynecology Rotation

Council patients regarding local support agencies for long term management and resources (in domestic violence situations).
Framework Objectives

Obstetrics and Gynecology Rotation

Council patients requiring resources for batterers and perpetrators of domestic violence
Framework Objectives

Obstetrics and Gynecology Rotation

Including Depression
Framework Objectives

Obstetrics and Gynecology Rotation

To perform a comprehensive obstetrical and gynaecological history.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To develop the skills to perform an appropriate sexual health history procedures.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To communicate the results of history in a well-organized oral and written report.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To demonstrate communication skills appropriate to the sensitive and personal nature of the specialty.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To develop communication skills that encourages a positive experience during pregnancy and delivery for the patient and her family.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

To recognize the personal nature of the interactions with both obstetrical and gynaecologic patients.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

Perform a complete pediatric history including chief complaint, present illness, review of systems, pregnancy and delivery, neonatal course, developmental milestones, past m edical history and surgical operations, immunizations, medications, allergies, family history, social history
Clerkship Objectives

Pediatrics Rotation

Perform an age appropriate focused interview of the affected part(s) or system when appropriate.
Clerkship Objectives

Pediatrics Rotation

Interview an adolescent using the HEADDS method to ask questions about lifestyle choices that affect health and safety
Clerkship Objectives

Pediatrics Rotation

Communicate results of the pediatric history in a well organized written and oral report
Clerkship Objectives

Pediatrics Rotation

Communicate results of the pediatric physical examination in a well organized written and oral report
Clerkship Objectives

Pediatrics Rotation

Establish rapport with children and adolescents
Clerkship Objectives

Pediatrics Rotation

Demonstrate effective oral communication with the patient, family and all members of the health care team
Clerkship Objectives

Pediatrics Rotation

Describe unique features of the physician-patient relationship during adolescence, including confidentiality and consent
Clerkship Objectives

Pediatrics Rotation

Describe approaches for discussing suspected child abuse with the family
Clerkship Objectives

Pediatrics Rotation

consider ethical issues in Pediatrics
Clerkship Objectives

Pediatrics Rotation

Demonstrate communication skills that convey respect, integrity, flexibility, sensitivity, empathy, and compassion.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Communicate using open-ended inquiry, listening attentively and verifying for mutual understanding.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Acquire and synthesise relevant information from relevant sources including: family, caregivers, and other health professionals.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Demonstrate clear, legible, and accurate ‘doctors orders’ (such as investigations, medication orders and outpatient prescriptions).
Clerkship Objectives

Clerkship / Pediatrics Rotation

Respect patient confidentiality, privacy and autonomy.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Conduct a general interview: learn specific skills that convey empathy. Take a psychiatric history in an empathic manner that enables the assessment of relevant psychological, medical and social factors. Adapt their interview techniques to deal with common sorts of "special" situations/patients (e.g., children, the elderly, those who don't speak English, those with communication or cognitive problems, use of interpreters, family members for collateral, etc.). Adapt their interview techniques to deal with common sorts of "challenging" styles (e.g., silent, over-talkative, angry, seductive, suspicious, passive, dependent, defensive, evasive patients, or those who deny they need help).
Clerkship Objectives

Clerkship / Psychiatry Rotation

Perform a mental status examination of a patient with psychiatric illness.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess self-care.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess capacity.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Assess a sexual and trauma history.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Communicate with a patient or family when there is a language or cultural barrier (not necessarily using an interpreter).
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Family Medicine Rotation / Surgery Rotation

Participate in a discussion in which aspects or limits of confidentiality are explored.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Psychiatry Rotation / Surgery Rotation

Participate in a discussion that involves issues pertaining to patient safety.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Surgery Rotation

Participate in a discussion in which "bad news" is communicated to a patient or family.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Communicate information about diagnosis, prognosis or therapy using lay language.
Essential Clinical Experience

Clerkship / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Collaborate with the interprofessional team around the care of a patient.
Essential Clinical Experience

Clerkship / Anesthesia Rotation / Emergency Medicine Rotation / Pediatrics Rotation / Surgery Rotation / Orthopedic Surgery Rotation

Engagement and communication with a patient
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Communicate effectively with patients and families as appropriate, across a broad range of socioeconomic and cultural backgrounds.
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Demonstrate an approach to the diagnosis and management of undifferentiated patient problems that present to family physicians.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

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.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Demonstrate an approach to health promotion and disease prevention during patient encounters that reflect best evidence and patient preferences and values.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

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.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Identify and/or communicate with other health care providers and community programs to support and/or optimize patient care.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Discuss common ethical issues in family medicine through the life cycle including topics such as confidentiality, consent and capacity.
Clerkship Objectives

Family Medicine TTR / Clerkship / Family Medicine Rotation

Conduct an effective patient interview to elicit appropriate information in patients presenting with the required presentations/conditions listed in the priority topics below.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Perform an appropriate physical examination relevant to the patient’s presentation, the history obtained, and the acuity of the encounter (includes mental status examination).
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Develop a management plan including: Pharmacologic treatment and non-pharmacologic treatment.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Understand the roles of and collaborate with allied health professionals in a patient’s care.
Clerkship Objectives

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Undertake discharge planning including arranging and communicating follow-up plans.
Clerkship Objectives

Internal Medicine TTR / Internal Medicine Rotation

Demonstrate a patient-centred and family-centred approach to communication which requires involving the family and patient in shared decision making, and involves gathering information about the patients’ and families’ beliefs, concerns, expectations and illness experience.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Demonstrate organised, complete, informative, legible, and accurate written/electronic information related to clinical encounters (such as: admission histories, progress notes, and discharge summaries).
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Demonstrate organised, complete, informative and accurate information in verbal patient presentations.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Acknowledge/demonstrate the principals of dealing with challenging communication issues including: obtaining informed consent, delivering bad news, disclosing adverse medical events, and addressing anger, confusion, and misunderstanding.
Clerkship Objectives

Pediatrics TTR / Clerkship / Pediatrics Rotation

Conduct a suicide risk assessment and management.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Propose a preliminary understanding of a patient in a biopsychosocial model including being able to: Reach reasonable hypotheses about a patient's pre-morbid personality, coping styles, and their link to the present predicament. Specify relevant medical considerations, including substance and medication misuse. Recognize relevant environmental and social stresses. Describe the level of everyday functioning and realistic goals for improvement.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Demonstrate psychoeducation skills with respect to diagnoses, medications, prognosis, family education.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Demonstrate proficiency in documentation and communication in psychiatry.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Interact with patient in order to gain his & her confidence and cooperation, to assure comfort and modesty, and to develop an understanding of age, race, culture & SES on the patient's health.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation

Communicate results of the history in well organized written and oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Communicate the relevant results of the examination in well organized written & oral reports
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Share results of the physical examination.
Clerkship Objectives

Surgery TTR / Clerkship / Surgery Rotation / Transition to Residency

Understand the importance and impact of interpersonal interactions in both professional and personal settings.
General Objectives

Integrate and apply performance and interpersonal feedback as part of training and practice.
General Objectives

The learner will be able to carry out a patient-centred interview that will include the following:
Framework Objectives

Recognition of the difference between illness and disease and application of this distinction in assessment and management of patient problems.
Framework Objectives

Routine exploration of patients’ experiences of illness—their feelings, their ideas, effects of the illness on function, and expectations for care. (The acronym FIFE is often used as an aide-mémoire for these issues.)
Framework Objectives

Exploration of patients’ personal history and context (family, job, school, geography, environment, etc.).
Framework Objectives

Shared decision-making/finding common ground—supporting patients to have as active a role in all decisions affecting their health care as they desire.
Framework Objectives

Patient education.
Framework Objectives

Recognition of a range of approaches to collaborating with patients, and of when each approach (deliberative, interpretive, informative, and paternalistic) is most appropriate.
Framework Objectives

The learner will demonstrate effective communication skills in data gathering. The learner will be able to do the following:
Framework Objectives

Use appropriate open-ended questions.
Framework Objectives

Use appropriate closed-ended questions.
Framework Objectives

Demonstrate active listening.
Framework Objectives

Paraphrase.
Framework Objectives

Use non-verbal indicators of engagement with the patient.
Framework Objectives

Use appropriate time management.
Framework Objectives

The learner will demonstrate sensitivity when asking intimate questions of patients. The following are examples of intimate issues: Drug use, alcohol use, sexual practices, abuse history.
Framework Objectives

The learner will understand the issues around consent to treatment and substitute decision making:
Framework Objectives

Informing patients about options for management and consequences of each choice.
Framework Objectives

Advance directives.
Framework Objectives

Power of attorney.
Framework Objectives

Competency assessment.
Framework Objectives

Working with substitute decision makers.
Framework Objectives

Demonstrate how to communicate orally, in written form, and via information databases when collaborating as a member of a multidisciplinary healthcare team on the health of a patient.
General Objectives

Demonstrate how to communicate about medicine and science in a variety of contexts and appropriately for the given audience, setting, and information being presented.
General Objectives

The learner will recognise that the patient-physician relationship is central to the practice of family medicine:
Framework Objectives

Communication with patients, family, communities, and colleagues (see skilled clinician).
Framework Objectives

Respect for differences in beliefs and backgrounds.
Framework Objectives

Establishment of professional relationships with patients, families, communities, and colleagues.
Framework Objectives

The learner will be able to demonstrate how to introduce health-promotion and disease-prevention activities into the clinical encounter:
Framework Objectives

Awareness of stages of change theory.
Framework Objectives

Awareness of systems for health-promotion and prevention activities in the office.
Framework Objectives

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