Clinical Competency in Anesthesiology Training:

Introduction to The CanMEDS 2005 Physician Competency Framework

Dr. Dalal AL-MatroukKBA

Farwaniya Hospital

What is the Ideal Physician?

“ The Practice of medicine is an art, based on science.”- Sir William Osler

Is it enough to“Pass a test”

Question

How can we best prepare physicians to be effective and truly meet the needs of their patients?

THE “TEA STEEPING” MODEL OF MEDICALEDUCATION

Outcomes-oriented Medical Education

“Beginning with the end in mind”

WHAT IS “COMPETENCE”?

WHAT IS “COMPETENCY”?

“An observable ability of a health professional, integrating multiple components such as knowledge, skills, values, and attitudes. Since competencies are observable, they can be measured and assessed to ensure their acquisition.”

Frank et al 2010 Medical Teacher

CompetentSafe to begin independent practice, life long ‐learnersRazack, Richardson, Snell

"Competencies" are important observable knowledge, skills and

attitudes.

MILLER’S PYRAMID OF COMPETENCE

Kuwait Institute for Medical Specialization (KIMS)

Royal College of Physician and Surgeon of Canada (RCPSC)

ACADEMIC COLLABORATION FOR POSTGRADUATE MEDICAL EDUCATION

The CanMEDS 2005 PHYSICIAN COMPETENCYFRAMEWORK

CanadianMedical

EducationDirections forSpecialists”…

WHAT IS THE CanMEDS FRAMEWORK?

• Competency Framework

• Expression of attitudes, skills and knowledge in practice, for safe and effective care

WHAT IS THE CanMEDS FRAMEWORK?

A “needs based‐ ” framework of “physician competencies”…

Better standards,Better physicians,

Better care

WHAT ARE THE CanMEDS ROLES?

LEARNING CanMEDS COMPETENCIES

• Medical Expert• Communicator• Collaborator• Health Advocate• Manager• Scholar• Professional

CanMEDS COMPETENCIES

The reality is that the Roles overlap…

MEDICAL EXPERT

Medical Expert:Definition

• As Medical Experts, physicians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient centered care.

• Medical Expert is the central physician Role in the CanMEDS framework.

Medical ExpertKey Elements

• Function effectively as consultants, integrating all of the CanMEDS Roles to provide optimal, ethical and patient-centered medical care

• Establish and maintain clinical knowledge, skills and attitudes

• Seek appropriate consultation from other health professionals, recognizing the limits of their expertise

COMMUNICATOR

Communicator:Definition

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

Communicator:Key Competencies

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

• Accurately convey relevant information to patients and families, colleagues and other professional.

COLLABORATOR

Collaborator:Definition

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

• This is increasingly important in a modern multiprofessional environment, where the goal of patient-centred care is widely shared.

CollaboratorKey Elements

• Participate effectively and appropriately in an interprofessional healthcare team

• Effectively work with other health professionals to prevent, negotiate, and resolve interprofessional conflict.

MANAGER

Manager:Definition

• 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.

Manager:Key Competencies

• Manage their practice and career effectively

• Allocate healthcare resources appropriately

• Serve in administration and leadership roles, as appropriate.

HEALTH ADVOCATE

Health Advocate:Definition

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

Health AdvocateKey Elements

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

• Promote the health of patients, communities and populations.

SCHOLAR

Scholar:Definition

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

Scholar:Key Elements

Life long learning‐Critical appraisal of informationTeaching skillsResearch skills

PROFESSIONAL

Professional:Definition

• 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.

ProfessionalKey Competencies

• Demonstrate a commitment to patients, profession, and society through ethical practice

• Demonstrate a commitment to patients, profession, and society through participation in profession-led regulation

• Demonstrate a commitment to physician health and sustainable practice.

COMING SOON…

Conclusion

• The CanMEDS Physician Competency Framework describes the knowledge, skills and abilities that specialist physicians need for better patient outcomes.

• The framework is based on the seven roles that all physicians need to have: Medical Expert, Communicator, Collaborator, Manager, Health Advocate, Scholar, and Professional.

THANK YOU