medportal CDB | Taxonomy | CanMEDS Roles / Health Advocate

Taxonomies

CanMEDS Roles

Health Advocate

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Respond to individual patient health needs and issues as part of patient care;

Respond to the health needs of the communities that they serve;

Identify the determinants of health of the populations that they serve;

Promote the health of individual patients, communities and populations.

Activities

Ethics - Consent
PC Session

Part 1 / Professional Competencies 1 / Week 2

Introduction to Indigenous People's Health
PC Session

Part 2 / Professional Competencies 2 / Week 4

Introduction to Population Health
PC Session

Part 3 / Professional Competencies 3 / Week 5

Ethical Issues in Reproductive Health Care
PC Session

Part 3 / Professional Competencies 3 / Week 9

Culture and Health: Newcomers to Canada
PC Session

Part 3 / Professional Competencies 3 / Week 11

Autism and Attention Deficit Disorder
Active Large Group Session

Part 4 / Medical Foundation 4 / Brain and Behaviour / Week 4

Health Inequities: Early Childhood Development
PC Session

Part 4 / Professional Competencies 4 / Week 1

HEART
PC Session

Part 4 / Professional Competencies 4 / Week 3

Medical Colonialism and Access to Healthcare for Indigenous People
PC Session

Part 4 / Week 6

Global Health
PC Session

Part 4 / Professional Competencies 4 / Week 10

Occupational Medicine
Active Large Group Session

Part 5 / Integration Foundation / Host Defense and Neoplasia / Week 4

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

Part 5 / Professional Competencies IF / Week 7

Emergency Medicine Advocate
Clinical Exposure

Clerkship / Emergency Medicine Rotation

Accessing Community Resources
Clinical Exposure

Clerkship / Family Medicine Rotation

Family Medicine Clinical Placement
Preceptor

Clerkship / Family Medicine Rotation

Vulnerable Patients
Clerkship Teaching Session

Clerkship / Family Medicine Rotation

Domestic Violence and Female Adult Sexual Assault
Large Group Session

Clerkship / Obstetrics and Gynecology Rotation

Abortion
e-Learning Module

Clerkship / Obstetrics and Gynecology Rotation

Advocacy
Clinical Exposure

Clerkship / Psychiatry Rotation

Assessments

MF 3 Reflection
PC Reflective Physician Portfolio

Part 3 / Professional Competencies 3 / Week 9

Giving Bad News / Advocacy
Clerkship Reflection Paper

Clerkship / Emergency Medicine Rotation

Accessing Community Resources
Final Rotation Assessment

Clerkship / Family Medicine Rotation

Family Medicine Clinical Placement
Preceptor Evaluation

Clerkship / Family Medicine Rotation

Objectives

8. Demonstrate awareness and understanding of the unique ethical, legal, and advocacy issues inherent in the treatment of infants, children, adolescents, and families.
General Objectives

Medical Foundation 1

Discuss the historical and contemporary events and the systemic factors influencing current practices and issues regarding Indigenous Health and anti-Indigenous racism, all of which impact current and future practitioners, individuals, and communities.
General Objectives

Professional Competencies 1

Analyze the influence of gender on health concerns and health care provision.
General Objectives

Professional Competencies 2

Understand how public policy can influence community-wide patterns of behaviour and affect the health of a population.
General Objectives

Professional Competencies 2

Employ value constructs foundational to the practice of medicine and the delivery of health care, including constructs related to vulnerable and marginalized populations and to the recognition of cultural diversity (using a broad definition and understanding of culture).
General Objectives

Professional Competencies 1 / Professional Competencies 3

Describe the professional responsibility of the physician as Health Advocate in advancing the health and well-being of individuals, communities and populations.
General Objectives

Professional Competencies 3

Describe the role of diet in the pathophysiology of disease and the therapeutic benefits of specific nutrients and dietary practices.
General Objectives

Part 3 / Medical Foundation 3 / Gastroenterology and Nutrition

Describe the determinants of health and how the differential distribution of these determinants influences health status (health gradient) both within and between populations.
General Objectives

Professional Competencies IF

Illustrate how diverse factors (sociocultural, psychological, economic, occupational, environmental, legal, political, spiritual, and technological) interact to influence the health of an individual and the population.
General Objectives

Professional Competencies 1 / Professional Competencies 2 / Professional Competencies 3 / Professional Competencies IF / Professional Competencies 4

Plan and advocate for an appropriate course of action at both the individual- and population-level that responds to the diverse factors influencing their health.
General Objectives

Professional Competencies 1 / Professional Competencies 3 / Professional Competencies IF / Professional Competencies 4

Identify the diverse factors (ie. sociocultural, psychological, institutional, economic, occupational, environmental, technological, legal, political and spiritual) that contribute to the systemic marginalization of vulnerable populations and impact health and health care delivery.
General Objectives

Professional Competencies 2 / Professional Competencies IF

Demonstrate an awareness of key health challenges faced by immigrants and refugees.
General Objectives

Professional Competencies IF

Demonstrate effective advocacy for patient comfort (including pain management, basic needs).
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Demonstrate an awareness of the underlying psychosocial and socioeconomic problems that may precipitate an ED visit.
Clerkship Objectives

Clerkship / Emergency Medicine Rotation

Lifestyle counseling (exercise, dietary, etc.)
Clerkship Objectives

Clerkship / Family Medicine Rotation

Preventative health care male
Clerkship Objectives

Clerkship / Family Medicine Rotation

Preventative health care female
Clerkship Objectives

Clerkship / Family Medicine Rotation

Well baby / Well child
Clerkship Objectives

Clerkship / Family Medicine Rotation

Chronic pain
Clerkship Objectives

Clerkship / Family Medicine Rotation

End of Life Management
Clerkship Objectives

Clerkship / Integration Foundation / Family Medicine Rotation

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).
Clerkship Objectives

Clerkship / Family Medicine Rotation

Appreciate the role of team members such as family physician, occupational therapist, physiotherapist, recreation therapist, social worker, pharmacist, nurse and family members.
Clerkship Objectives

Geriatrics Rotation

Participate in an interdisciplinary approach to assessment, management and rehabilitation of elderly patients.
Clerkship Objectives

Geriatrics 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

Identify resources to help determine appropriate treatment options for common and uncommon medical problems.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Understand responsibility associated with treatment strategies: cost, ensuring the patient understands and is able to adhere to the treatment plan.
Clerkship Objectives

Clerkship / Internal Medicine Rotation

Council patients on the various methods of contraception:
Framework Objectives

Obstetrics and Gynecology Rotation

Physiologic or pharmacologic basis of action of various methods of contraception
Framework Objectives

Obstetrics and Gynecology Rotation

Effectiveness of various methods of contraception
Framework Objectives

Obstetrics and Gynecology Rotation

Benefits and Risks of various methods of contraception
Framework Objectives

Obstetrics and Gynecology Rotation

Methods of male and female surgical sterilization
Framework Objectives

Obstetrics and Gynecology Rotation

Risks and benefits of procedures (surgical sterilization)
Framework Objectives

Obstetrics and Gynecology Rotation

Factors needed to help the patient make informed decisions (surgical sterilization), including:
Framework Objectives

Obstetrics and Gynecology Rotation

Potential surgical complications (of surgical sterilization)
Framework Objectives

Obstetrics and Gynecology Rotation

Failure rates (of surgical sterilization)
Framework Objectives

Obstetrics and Gynecology Rotation

Reversibility (of surgical sterilization)
Framework Objectives

Obstetrics and Gynecology Rotation

Financial considerations of various methods of contraception
Framework Objectives

Obstetrics and Gynecology Rotation

Sterilization
Framework Objectives

Obstetrics and Gynecology Rotation

Surgical and non-surgical pregnancy termination methods
Framework Objectives

Obstetrics and Gynecology Rotation

Potential complications of abortion:
Framework Objectives

Obstetrics and Gynecology Rotation

Psychosocial considerations of abortion
Framework Objectives

Obstetrics and Gynecology Rotation

Ethical issues raised concerning abortion
Framework Objectives

Obstetrics and Gynecology Rotation

Ethical considerations in infertility
Framework Objectives

Medical Foundation 3 / Obstetrics and Gynecology Rotation

Hemorrhage
Framework Objectives

Obstetrics and Gynecology Rotation

Infection
Framework Objectives

Obstetrics and Gynecology Rotation

To recognize how age, race, culture and socioeconomic status impact on obstetric and Gynaecologic health.
Clerkship Objectives

Clerkship / Obstetrics and Gynecology Rotation

Assess major developmental milestones (gross motor, fine motor, social, language)
Clerkship Objectives

Pediatrics Rotation

Identify growth that deviates from expected patterns based on the family growth history and the child’s previous growth
Clerkship Objectives

Pediatrics Rotation

Demonstrate the use of standard growth charts to track weight, height, head circumference, body mass index
Clerkship Objectives

Pediatrics Rotation

Consider economic and psychosocial issues in the management plan for pediatric illness
Clerkship Objectives

Pediatrics Rotation

Demonstrate an understanding of the health care provider’s role in patient advocacy
Clerkship Objectives

Pediatrics Rotation

Describe strategies for health maintenance during well child visits from birth to adolescence
Clerkship Objectives

Pediatrics Rotation

injury prevention
Clerkship Objectives

Pediatrics Rotation

anticipatory guidance
Clerkship Objectives

Pediatrics Rotation

List features of the history and physical exam that should trigger concern for possible child maltreatment.
Clerkship Objectives

Pediatrics Rotation

Understand preventative and management strategies to address childhood obesity.
Clerkship Objectives

Pediatrics Rotation

Be familiar with the expanded Ontario newborn screening program and the rationale for screening
Clerkship Objectives

Pediatrics Rotation

Recognize social determinants of the health of Canadian children.
Clerkship Objectives

Pediatrics Rotation

Understand Canadian laws for mandatory reporting of suspected child abuse and procedures for reporting
Clerkship Objectives

Pediatrics Rotation

Develop an initial approach to the assessment of the child with school difficulties.
Clerkship Objectives

Pediatrics Rotation

Discuss how chronic illness can influence a child’s growth, development, educational achievement, and psychosocial functioning.
Clerkship Objectives

Pediatrics Rotation

Discuss the impact of chronic illness on family dynamics, economics, and psychosocial functioning.
Clerkship Objectives

Pediatrics Rotation

Engage in advocacy, health promotion and disease prevention with patients and families including: mental health, child maltreatment, healthy active living, safety, and early literacy support.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Identify emerging and ongoing issues for paediatric patients who are potentially vulnerable or marginalised including: First Nations Peoples, new immigrants, disabled children, children living in poverty, and children with mental health, sexual orientation, or gender identity concerns.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Identify determinants of health for paediatric populations and the physician’s role and points of influence in these issues.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Identify barriers that prevent children from accessing health care including: financial, cultural, and geographic.
Clerkship Objectives

Clerkship / Pediatrics Rotation

Knowledge of indications for referral to psychiatry.
Clerkship Objectives

Clerkship / Psychiatry Rotation

Learn how to apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resources, and disease prevention/health promotion efforts for patients and populations.
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

Advocate for quality patient care and optimal patient care systems.
Clerkship Objectives

Clerkship / Medical Subspecialty Selective

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

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

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

Internal Medicine TTR / Clerkship / Internal Medicine Rotation

Practice non-stigmatizing attitude and advocacy towards those experiencing mental illness in demonstrating:
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Knowledge of legal issues, the Mental Health Act and when to invoke it: risk to self and others, obligatory reporting; Use of Legal Certification Forms under the Mental Health Act; duty to warn, exceptions to requirement for consent; role of Community Treatment Orders (CTO); capacity and informed consent, right to refuse treatment, exceptions to requirement for consent.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Knowledge of the determinants of health and outcomes in mental illness (e.g. poverty, immigration, cultural factors).
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Knowledge of social interventions and resources: Demonstrate understanding of the health care provider's role in patient advocacy; Finding and working with social agencies (CAS, food banks, CFS, Good Shepherd, AY, etc.); Understanding indications for OW and ODSP.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Knowledge of the impact of stigma of mental illness upon patients, and society, and the role of advocacy.
Clerkship Objectives

Psychiatry TTR / Clerkship / Psychiatry Rotation

Preventive health care strategies for the elderly and the importance of this
Clerkship Objectives

The learner will be able to take a history that includes the non-biological determinants of health. These include the following: housing, socioeconomic status, social network, education, work, culture, environment.
Framework Objectives

The learner will demonstrate application of an ethical framework in the clinical decision-making process:
Framework Objectives

“Four principles” approach: beneficence, non-maleficence, autonomy, justice.
Framework Objectives

Special features of ethical decision making in family medicine.
Framework Objectives

The learner will demonstrate an understanding of the key components of a professional relationship:
Framework Objectives

Respect for patients and patient diversity (i.e., thought, belief, culture), including patients who make decisions at variance with the learner’s.
Framework Objectives

Respect for other health care providers, teachers, and learners.
Framework Objectives

Boundary issues that arise with patients.
Framework Objectives

Confidentiality.
Framework Objectives

Advocacy.
Framework Objectives

Consent.
Framework Objectives

Punctuality.
Framework Objectives

Fidelity/reliability.
Framework Objectives

Life-long learning.
Framework Objectives

Threats to professionalism (conflicts of interest, personal/ system limitations, etc.).
Framework Objectives

The learner will be able to describe a population and identify how he or she could work with that population to improve its health:
Framework Objectives

Ability to describe population determinants of health.
Framework Objectives

Ability to describe an approach to disease prevention and health promotion.
Framework Objectives

Participation in population-based disease-prevention/health-promotion activities.
Framework Objectives

Recognition that individual-based approaches may be at variance with population-based approaches to disease prevention/health promotion (resources, ethical frameworks, etc.).
Framework Objectives

The learner will be able to identify what health-promotion and disease-prevention activities are appropriate to particular populations, using the Canadian Task Force A and B recommendations. (The learner should know the A and B recommendations with a high burden of illness and the important/controversial C and I recommendations. See the Canadian Task Force Web site for the listing http://www.ctfphc.org/.)
Framework Objectives

The learner will be able to describe some of the methodological and ethical issues related to screening healthy and at-risk populations:
Framework Objectives

Potential conflicts between practice guidelines and patient autonomy and preference.
Framework Objectives

The learner will understand the team approach in the care of ambulatory patients: (Note: The team is a group of individuals who work toward the resolution of a patient problem.)
Framework Objectives

Benefits of an interdisciplinary approach.
Framework Objectives

Challenges of an interdisciplinary approach.
Framework Objectives

Contributions of all health care team members.
Framework Objectives

Working with other health care providers within the team.
Framework Objectives

Seeking and applying appropriate resources within the hospital, the patient’s family, and the community to aid treatment and rehabilitation.
Framework Objectives

The learner will understand the special needs of children and other vulnerable groups with respect to community resources:
Framework Objectives

Child protection legislation.
Framework Objectives

Community supports.
Framework Objectives

Community living.
Framework Objectives

The learner will demonstrate the ability to liaise with appropriate community resources in the care of a patient:
Framework Objectives

Securing appropriate community resources available to aid a patient.
Framework Objectives

Transferral of care (hospital, community, long-term-care with a community organisation).
Framework Objectives

Sharing of care (hospital, community, long-term-care with a community organisation).
Framework Objectives

The learner will demonstrate an understanding of a range of activities and organisations that will promote the well-being of his or her patients (e.g., community agencies, self-help groups, advocacy):
Framework Objectives

Valuing their importance.
Framework Objectives

Volunteering or participating in activities that promote well-being.
Framework Objectives

Support of patients or others participating in these activities.
Framework Objectives

Identify the ways in which health systems (federal, provincial, municipal, private, non-governmental) can address structural barriers to reduce inequities in health status between population groups.
General Objectives

Know how to access and collect health information to describe the health status of a population.
General Objectives

Describe the types of data and common components (both quantitative and qualitative) used in creating a community needs assessment.
General Objectives

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