What is CanMEDS?
This refers to the Royal College of Physicians and Surgeons of Canada's physician framework for medical education. This competency framework was designed to ensure that postgraduate specialty training programs are fully responsive to societal needs, and address all facets of specialist training and development. The seven key competencies of a competent physician are outlined, many of which overlap:
- Medical Expert
- Health Advocate
CanMEDS Roles - What do they mean for Radiology?
- Demonstrate diagnostic and therapeutic skills for ethical and effective patient care.
- Access and apply relevant information to clinical practice so as to have competence in clinical radiological skills.
- Demonstrate effective consultation services with respect to patient care, education and legal opinions.
- Knowledge of human anatomy at all ages, both conventional and multi-planar, with emphasis on radiological applications.
- Knowledge of all aspects of clinical radiology, including understanding of disease, appropriate application of imaging to patients, importance of informed consent, complications such as contrast media reactions, and factors affecting interpretation and differential diagnosis.
- Understand the fundamentals of quality assurance in radiology.
- Understand the fundamentals of epidemiology, biostatistics and decision analysis.
- Show competence in manual and procedural skills and in diagnostic and interpretive skills.
- Demonstrate the ability to manage the patient independently during a procedure, in close association with a specialist or other physician who has referred the patient. The radiologist should know when the patient's best interests are served by discontinuing a procedure, or referring the patient to another physician.
- Understand the acceptable and expected results of investigations and/or interventional therapy as well as unacceptable and unexpected results. This must include knowledge of and ability to manage radiological complications effectively.
- Understand the appropriate follow-up care of patients who have received investigations and/or interventional therapy.
- Show understanding of a sound and systematic style of reporting.
- Competence in effective consultation, conduct of clinico-radiological conferences, and the ability to present scholarly material and lead case discussions
- Establish appropriate therapeutic relationships with patients/families.
- Listen effectively.
- Obtain the appropriate information during consultation with referring physicians in order to be able to make recommendations regarding the most appropriate testing and/or management of patients.
- Discuss appropriate information with patients/families and the health care team, and be able to obtain informed consent for tests and procedures when this is needed.
- Have the ability to produce a radiology report describing the imaging findings, most likely differential diagnoses, and, when indicated, recommend further testing and/or management.
- Understand the importance of communication with referring physicians, including an understanding of when the results of an investigation or procedure should be urgently communicated.
- Communicate effectively with patients and their families and have a compassionate interest in them.
- Recognize the physical and psychological needs of the patient and their families undergoing radiological investigations and/or treatment, including the needs of culture, race and gender.
- Consult effectively with other physicians and health care professionals.
- Contribute effectively to other interdisciplinary team activities.
- Have the ability to function as a member of a multi-disciplinary health care team in the optimal practice of radiology.
- Utilize resources effectively to balance patient care, learning needs, and other activities.
- Allocate finite health care resources wisely.
- Work effectively and efficiently in a health care organization.
- Utilize information technology to optimize patient care, life-long learning and other activities.
- Be competent in conducting or supervising quality assurance including an understanding of safety issues and economic considerations.
- Be competent in computer science as it pertains to the practice of radiology.
- Identify the important determinants of health affecting patients.
- Contribute effectively to improve the health of patients and communities.
- Recognize and respond to those issues where advocacy is appropriate.
- Understand and communicate the benefits and risks of radiological investigation and treatment including population screening.
- Recognize when radiological investigation or treatment would be detrimental to the health of a patient.
- Educate and advise on the use and misuse of radiological imaging.
- Develop, implement and monitor a personal continuing education strategy.
- Critically appraise sources of medical information.
- Facilitate learning of patients, housestaff, students and other health professionals.
- Contribute to development of new knowledge.
- Competence in evaluation of the medical literature.
- The ability to be an effective teacher of radiology to medical students, residents, technologists and clinical colleagues.
- The ability to conduct a radiology research project, which may include quality assurance.
- Appreciation of the important role that basic and clinical research plays in the critical analysis of current scientific developments related to radiology.
- Deliver highest quality care with integrity, honesty and compassion.
- Exhibit appropriate personal and interpersonal professional behaviours.
- Practice medicine ethically consistent with the obligations of a physician respecting the needs of culture, race and gender.
- Be able to accurately assess one's own performance, strengths and weaknesses.
- Understand the ethical and medical-legal requirements of radiologists.