- Apply strategies to integrate and engage health care profession colleagues in respectful shared decision-making.
- Negotiate role overlap and responsibilities in longitudinal patient-centred care (including explanation of own role and responsibilities, active inquiry about others roles and responsibilities, confirmation of understanding).
- Demonstrate proficiency in active team-based care including determining when care should be transferred to another physician or health care provider, safe handover of care and structured approaches to both transitions in care and ongoing shared care.
- Manage transitions and transfers of care through clear communication (verbal and written) with all health care providers.
- Demonstrate strategies of collaborative leadership.
- Demonstrate constructive conflict resolution with patients and other medical professionals.
- Exhibit the ability to work collaboratively and effectively within a collegial, multidisciplinary framework of health care delivery, including working with colleagues and institutions from/in other cultures.
- Use referrals, support networks and community resources as part of a patient-centred management plan.
- Communicate and implement the key components of an appropriate transfer or discharge plan using interdisciplinary team resources (e.g. accurate documentation and confirmation of accountability).
- Demonstrate respect for patient’s choice through support of a patient’s desire to include other health care professionals in the care team.
- Demonstrate accountability to team.
- Describe the role of other health professionals in the management of acute and chronic illness.
- Coordinate community-based, shared-care management of illnesses.
- Participate effectively in interdisciplinary team meetings.
- Integrate an evidence-based practice model into the collaborative / interdisciplinary care of patients with chronic illness.
- Collaborate with patients, families, and other health care workers when ethical dilemmas arise.
- Empower patients to participate collaboratively in their treatment goals by establishing common ground in an atmosphere of safety and trust.
- Provide appropriate advice and reassurance regarding common illnesses which do not routinely require medical attention.
- Incorporate families and other caregivers in the care of patients, while abiding by the ethical standards of patient autonomy and consent.