Adult Gastroenterology Training Program

Medical Expert

CANMEDs Physician Competency Framework

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.

Description
Physicians possess a defined body of knowledge, clinical skills, procedural skills and professional attitudes, which are directed to effective patient-centered care. They apply these competencies to collect and interpret information, make appropriate clinical decisions, and carry out diagnostic and therapeutic interventions. They do so within the boundaries of their discipline, personal expertise, the healthcare setting and the patient’s preferences and context. Their care is characterized by up-to-date, ethical, and resource-efficient clinical practice as well as with effective communication in partnership with patients, other health care providers and the community. The Role of Medical Expert is central to the function of physicians and draws on the competencies included in the Roles of Communicator, Collaborator, Manager, Health Advocate, Scholar and Professional.

Key Competencies   Physicians are able to…

  1. Function effectively as consultants, integrating all of the CanMEDS Roles to provide optimal, ethical and patient-centered medical care;
  2. Establish and maintain clinical knowledge, skills and attitudes appropriate to their practice;
  3. Perform a complete and appropriate assessment of a patient;
  4. Use preventive and therapeutic interventions effectively;
  5. Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic;
  6. Seek appropriate consultation from other health professionals, recognizing the limits of their expertise.

Enabling Competencies    Physicians are able to...

  1. Function effectively as consultants, integrating all of the CanMEDS Roles to provide optimal, ethical and patient-centered medical care
    1. Effectively perform a consultation, including the presentation of well-documented assessments and recommendations in written and/or verbal form in response to a request from another health care professional
    2. Demonstrate effective use of all CanMEDS competencies relevant to their practice
    3. Identify and appropriately respond to relevant ethical issues arising in patient care
    4. Effectively and appropriately prioritize professional duties when faced with multiple patients and problems
    5. Demonstrate compassionate and patient-centered care
    6. Recognize and respond to the ethical dimensions in medical decision-making
    7. Demonstrate medical expertise in situations other than patient care, such as providing expert legal testimony or advising governments, as needed
  2. Establish and maintain clinical knowledge, skills and attitudes appropriate to their practice
    1. Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to the physician’s specialty
    2. Describe the RCPSC framework of competencies relevant to the physician’s specialty
    3. Apply lifelong learning skills of the Scholar Role to implement a personal program to keep up-to-date, and enhance areas of professional competence
    4. Contribute to the enhancement of quality care and patient safety in their practice, integrating the available best evidence and best practices
  3. Perform a complete and appropriate assessment of a patient
    1. Effectively identify and explore issues to be addressed in a patient encounter, including the patient’s context and preferences
    2. For the purposes of prevention and health promotion, diagnosis and or management, elicit a history that is relevant, concise and accurate to context and preferences
    3. For the purposes of prevention and health promotion, diagnosis and/or management, perform a focused physical examination that is relevant and accurate
    4. Select medically appropriate investigative methods in a resource-effective and ethical manner
    5. Demonstrate effective clinical problem solving and judgment to address patient problems, including interpreting available data and integrating information to generate differential diagnoses and management plans
  4. Use preventive and therapeutic interventions effectively
    1. Implement an effective management plan in collaboration with a patient and their family
    2. Demonstrate effective, appropriate, and timely application of preventive and therapeutic interventions relevant to the physician’s practice
    3. Ensure appropriate informed consent is obtained for therapies
    4. Ensure patients receive appropriate end-of-life care
  5. Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic
    1. Demonstrate effective, appropriate, and timely performance of diagnostic procedures relevant to their practice
    2. Demonstrate effective, appropriate, and timely performance of therapeutic procedures relevant to their practice
    3. Ensure appropriate informed consent is obtained for procedures
    4. Appropriately document and disseminate information related to procedures performed and their outcomes
    5. Ensure adequate follow-up is arranged for procedures performed
  6. Seek appropriate consultation from other health professionals, recognizing the limits of their expertise
    1. Demonstrate insight into their own limitations of expertise via self-assessment
    2. Demonstrate effective, appropriate, and timely consultation of another health professional as needed for optimal patient care
    3. Arrange appropriate follow-up care services for a patient and their family