1. The Medical Expert (CANMEDS)

Question 1

Who developed the CANMEDs Framework?

Answer 1

Royal College of Physicians and Surgeons of Canada. (2005)

Question 2

What are the six elements of the Canmeds framework?

Answer 2

1. Communicator
2. Collaborator
3. Manager
4. Health Advocates
5. Scholar
6. Professional

Question 3

Define the role of the medical expert as a communicator?

Answer 3

As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

Question 4

How do medical experts act as communicators?

Answer 4

• 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.

Question 5

Define the role of the medical expert as a collaborator?

Answer 5

As Collaborators, physicians effectively work within a healthcare team to achieve optimal patient care.

Question 6

How do medical experts act as collaborators?

Answer 6

• Participate effectively and appropriately in an inter-professional healthcare team;
• Effectively work with other health professionals to prevent, negotiate, and resolve inter- professional conflict.

Question 7

Define the role of the medical expert as a Manager?

Answer 7

As Managers, physicians are integral participants in healthcare organizations, organizing sustainable practices, making decisions about allocating resources, and contributing to the effectiveness of the healthcare system.

Question 8

How do medical experts act as Managers?

Answer 8

• Participate in activities that contribute to the effectiveness of their healthcare organizations and systems;
• Manage their practice and career effectively;  Allocate finite healthcare resources
• appropriately;
• Serve in administration and leadership roles, as appropriate

Question 9

Define the role of the medical expert as a Health Advocates?

Answer 9

As Health Advocates, physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations.

Question 10

How do medical experts act as Health Advocates?

Answer 10

• 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.

Question 11

Define the role of the medical expert as a Scholars?

Answer 11

As Scholars, physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application and translation of medical knowledge.

Question 12

How do medical experts act as Scholars?

Answer 12

• Maintain and enhance professional activities through ongoing learning;
• Critically evaluate information and its sources, and apply this appropriately to practice decisions;
• Facilitate the learning of patients, families, students, residents, other health professionals, the public, and others, as appropriate;
• Contribute to the creation, dissemination, application, and translation of new medical knowledge and practices.

Question 13

Define the role of the medical expert as a Professionals?

Answer 13

As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behaviour.

Question 14

How do medical experts act as Professionals?

Answer 14

• Demonstrate a commitment to their patients, profession, and society through ethical practice;
• Demonstrate a commitment to their patients, profession, and society through participation in profession-led regulation;
• Demonstrate a commitment to physician health and sustainable practice.

Question 15

How can doctors contribute to infection control?

Answer 15

• Doctors are on the ward on a day to day basis and have an important role in the day to day prevention
• Personal hygiene and attention to infection control policies
• IV catheter placement and removal
• Prescribing of antibiotics