CanMEDS Objectives for PGY-1 Rotations
CanMEDS Role:
Medical Expert: Part I
– Knowledge and Understanding of Basic and Clinical Sciences:
1. Demonstrates an understanding of physiology, neuroanamtomy, genetics, neurochemistry, and general medical principles
2. Understands normal and abnormal development
3. Aware of phenomenology, symptom recognition, competent differential diagnosis construction, and shows facility with diagnostic nomenclature
4. Knowledge of the etiology, course, and prognosis of general medical conditions
5. Aware of culture, gender, and age-specific theoretical, clinical, and therapeutic issues
6. Demonstrates effective doctor-patient relationships and understands both the theoretical and practical aspects
7. Competence with prescribing medications and physical treatments
8. Understands health regulations, confidentiality, privilege, and other medicolegal issues
9. Facility with critical appraisal, scientific method, quality assurance (QA), and
epidemiology
Medical Expert, Part II
– Skills/Ability to recognize and treat a wide range of medical disorders in a variety of clinical contexts:
10. Establishes and maintains effective working relationships with patients
11. Conducts and organizes a coherent, appropriate interview
12. Arrives at a reasonable provisional/preferred diagnosis based on the information collected, and constructs a list of differential diagnoses
13. Develops and implements an integrated treatment plan
14. Maintains accurate and complete medical records
15. Overall proficiency with technical and procedural skills; minimizes the risks and
discomfort to the patient
Communicator
1. Listens effectively
2. Ability to convey to patients and families an accurate and coherent understanding of the diagnosis, treatment plan, and prognosis
3. Discusses appropriate information with the health care team
4. Document preparation is accurate and timely
Collaborator
1. Consults effectively with other physicians and health care professionals
2. Ability to teach colleagues, and willingness to learn from them
3. Ability to work collaboratively with other members of the health care team; recognizes their roles and responsibilities; contributes to team activities
4. Ability to facilitate the learning of patients, students, and other health care professionals
Health Advocate
1. Awareness of structures of governance in health care
2. Awareness of major regional, national, and international advocacy groups
3. Identifies and understands the determinants of health as it affects patients and communities; responds appropriately in advocacy situations
Leader
1. Makes effective use of information technology to optimize patient care, lifelong personal learning, and other activities
2. Evaluates the effective use of resources
3. Directs patients to appropriate community resources
4. Able to set realistic priorities and uses effective time management skills
5. Coordinates the efforts of the health care team
Scholar
1. Commitment to the need for lifelong learning; develops and implements an ongoing and effective personal learning strategy
2. Critically appraises the medical literature; successfully integrates information from a variety of sources
3. Helps others learn through guidance, teaching, and constructive feedback
4. Awareness of the clinical application of research principles
Professional
1. Demonstrates integrity, honesty, compassion, and respect for diversity
2. Fulfills medical, legal, and professional obligations of a physician
3. Responsibility, dependability, self-direction, and punctuality
4. Acceptance and constructive use of supervision and feedback
5. Awareness of the application of ethical principles
6. Awareness of personal limitations and appropriate action when confronted with these limitations