Teaching the CanMEDS Roles Anna Oswald, MD, MMEd, FRCPC October 2012
I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. Anna Oswald October 2012
Introductions! Us You 3
Upon completion of this workshop, you will be able to: 1. Compare and contrast the different CanMEDS roles 2. Adopt educational tools for clinical teaching of each of the CanMEDS roles 3. Develop new ways of teaching CanMEDS to learners in clinical situations based on examples and exercises in the sessions 4. Use a change management framework to help encourage colleagues to adopt new tools and techniques for teaching CanMEDS Roles
Outline Introduction Why CanMEDS? Nitty Gritty on the Roles Teaching in the Clinical Context Formal Teaching Change Management
Ground rules Opportunity to learn from each other Interrupt when you have questions» chances are someone else has the same A dumb question is one that was not asked everyone participates» We tend to pick on the back row by the way
Do you currently EXPLICITLY teach CanMEDS on a daily basis? 7
Why should we bother? (isn t a lecture at AHD enough?) 8
What We Say Is Important All = Scholar Medical Expert Health Advocate Manager Professional Collaborator Communicator 9
What is Often Shown: Medical Expert Scholar Communicator Collaborator Professional Manager Health Advocate 10
This is how we create and/or contribute to The Hidden Curriculum 11
What we want is to create competent physicians and CanMEDS is a competency based framework But what is Competence? 12
What is Competence? An Evolving Concept Like me (apprenticeship) 13
What is Competence? An Evolving Concept Pass test (knowledge) 14
What is Competence? An Evolving Concept Demonstrate on an OSCE (performance, skills) 15
What is Competence? The habitual and judicious use of communication, knowledge, technical skills, reasoning, emotions, values and reflection in daily practice for the benefit of the individuals and communities being served. Epstein R, Hundert E. Defining and Assessing professional Competence. JAMA 2002 16
Some definitions What is Competence? The minimally expected standard for an individual ready to start independent practice Recognizes a continuum of skill Programs need to specify what level of competence is expected of graduates Yip and Smales 2000 17
What is Competence An observable capability / ability of a health professional Reflects a spectrum Integrates multiple components such as knowledge, skills, values, and attitudes. Multiple competencies can be combined Measureable with respect to a defined outcome 2009 Royal College and The International CBME Collaborators 18
One World 19
Why CanMEDS?» Based in societal needs» Familiar to trainees here and internationally» Part of national accreditation standards» Researched» Long experience 20
To get us started What does CanMEDS actually stand for? 21
CanMEDS Canadian Medical Education Directions for Specialists 22
CanMEDS What?» 7 roles competencies» Expression of attitudes, skills and knowledge in practice, for safe and effective care» Broad greater than just medical expertise Why?» Common elements for all physicians» Better defined objectives and assessment» Aligned with society s needs 23
Questions so far? 24
Then over to Deepak for»the Nitty Gritty on the Roles 25
Acknowledgements Drs Linda Snell, Lara Cooke, Sue Dojeiji, Farhan Bhanji for slides The RCPSC The Arthritis Society Canada 26
Help us improve. Your input matters. Aidons-nous à nous améliorer. Votre opinion compte. Download the ICRE App, Visit the evaluation area on Level 2 near registration, or Go to www.royalcollege.ca/icresurveys to complete the session evaluation. Téléchargez l application de la CIFR Visitez la zone d évaluation, au deuxième étage près du kiosque d inscription Visitez le www.collegeroyal.ca/icresurveys afin de remplir une évaluation de la séance. You could be entered to win 1 of 5 $100 gift cards. Vous courrez la chance de gagner l un des cinq chèques-cadeaux d une valeur de 100 $.