https://www.ualberta.ca/family-medicine
Skilled Clinician
basic science knowledge
clinical knowledge
physical exam - complete, accurate, organized
clinical decision making
recognition and management of emergencies
technical and procedural skills
Community Based
communicates effectively with other health professionals
recognizes roles of, and interacts effectively with other health professionals
consults and delegates effectively
identifies socioeconomic determinants of health of patients and communities
Resource to a Defined Practice Population
documentation timely, accurate
uses information technology effectively
allocates finite healthcare resources wisely
manages time effectively
applies quality improvement principles effectively
personal continuing education strategy
evidence based practice/critical appraisal
helps others learn
contributes to development of new knowledge
seeks and accepts advice, demonstrates awareness of personal limitations
meets deadlines/commitments made; is punctual
Effective Doctor/Patient Relationship
communicates effectively with patients, families
understands when and how to advocate appropriately on behalf of patients and communities
demonstrates integrity, honesty, compassion and respect for diversity
applies ethical principles appropriately
Typical topics cover in this rotation
Approach to frail, older persons, their family, and/or caregivers
Functional assessment
Delirium
Depression
Dementia
Urinary incontinence
Medication use in the elderly
Rehabilitation, continuing care, and home care services
Competency
Osteoporosis/fractures
Falls and immobility
Constipation
To enable you to fulfill your teaching role for medical students, their objectives are quoted below for information.
1. Comprehensive geriatric assessments including:
cognitive, functional, psychosocial
medication review
pertinent problem lists
care plans with interdisciplinary team
2. Assess and evaluate:
Delirium
Dementia
Falls and immobility
Urinary incontinence
3. Understand transitions of care
Core Internal Medicine Staff Evaluation of Residents Guidelines
Observer
Demonstrates reliability in keeping appointments and other behaviour appropriate for a clinical
shadowing experience, but neither independently nor consistently meets the performance level of the reporter.
Reporter
Consistently good in interpersonal skills and reliably obtains and communications clinical findings.
Efficiently and accurately collects patient date.
Recognizes normal from abnormal.
Identifies and labels new problems.
Communicates collected data orally and in writing.
Interpreter
Able to prioritize and analyze patient problems.
Prioritizes problems.
Follows up and interprets abnormal findings and tests.
Creates a differential diagnosis.
Prioritizes a differential diagnosis.
Leader
Consistently proposes reasonable options which incorporate patients' preferences.
Determines when action is necessary.
Chooses the most appropriate diagnostic tests.
Chooses the most appropriate management strategy.
Customizes a plan according to patient circumstances and preferences.
Educator
Consistent level of knowledge of current medical evidence & can critically apply knowledge to specific patients.
Identifies knowledge gaps and develops plans to address them.
Shares new knowledge with others.
Understands the use and limits of evidence in the care of patients.
Typical topics cover in this rotation:
Approach to frail, older persons, their family, and/or caregivers
Functional assessment
Delirium
Depression
Dementia
Urinary incontinence
Medication use in the elderly
Rehabilitation, continuing care, and home care services
Competency
Osteoporosis/fractures
Falls and immobility
Constipation
CanMEDS OBJECTIVES
Medical Expert
Able to complete an appropriate history
Able to complete an appropriate physical examination
Able to generate an appropriate differential diagnosis
Establishes an appropriate management plan
Applies best available evidence to clinical practice
Communicator
Demonstrates ability to communicate in a respectful, truthful, empathetic manner
Written records are legible, timely and problem based
Communicates effectively
Collaborator
Appropriate interaction with other health care professionals
Understands the interdependent nature of the multidisciplinary health care team.
Consults effectively by asking and/or answering appropriate questions
Leader
Manages time effectively; completes assigned tasks proficiently and on time.
Rational and cost effective use of investigative tests.
Demonstrates conflict resolution skills
Delegates work effectively where appropriate
Health Advocate
Is an advocate for his or her patient
Considers cost and impact to the patient and family with choice of investigations, drugs, and therapy
Maximizes opportunities to promote preventative medicine in patient encounters
Scholar
Demonstrates commitment to personal education
Understands the principles of critical appraisal. Demonstrates ability to critically appraise the medical literature.
Capitalizes on available teaching opportunities (teachable moments - includes attendance at rounds).
Professional
Shows integrity and honesty
Shows compassion
Respectful of patients and other health care professionals
Seeks advice and is aware of limitations
Respects patient confidentiality
Dresses in a respectful and professional manner.
Punctual and meets deadlines
To enable you to fulfill your teaching role for medical students, their objectives are quoted below for information.
1. Comprehensive geriatric assessments including:
cognitive, functional, psychosocial
medication review
pertinent problem lists
care plans with interdisciplinary team
2. Assess and evaluate:
Delirium
Dementia
Falls and immobility
Urinary incontinence
3. Understand transitions of care