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all aspects of soft tissue injury, tumours, wound healing, cranio-maxillofacial injury, hand and thermal injury, cosmetic (esthetic) deformities and liabilities as well as congenital anomalies. In the development of clinical skills there shall be emphasis for both adult and pediatric patients. Technical Skills This is defined as competence in all technical aspects of plastic surgery procedures, competence in pre- and post-operative care, and the ability to select the appropriate procedure to fit the clinical situation and to recognize his/her limitations. In particular, competence: 1. All techniques for the covering of skin 2. Management of soft tissue injuries 3. Cranioaxillofacial surgery including congenital and acquired deformities 4. Hand surgery including nerves, vessels, tendons, bones, ligaments and soft tissues 5. Thermal and chemical injury including reconstruction 6. Reconstructive surgery on the chest, abdomen, buttocks and extremities 7. Cosmetic surgery including face, eyelids, nose, ears, hair repositioning, body contouring, breast reduction, augmentation and post-mastectomy reconstruction 8. Pediatric plastic surgery including cleft lip and palate, pharyngoplasty, hypospadias, vaginal reconstruction, congenital hand and foot deformities, meningomyelocele and special concepts of wound care, tumour management, congenital deficiencies and excesses 9. Microneuro-vascular surgery with reference to repairs, replantation as well as free, simple and/or composite flap reconstruction, head and neck ablative and reconstructive surgery including 10. Ambulatory care surgery of a minor and major nature under both local and general anesthesia. All aspects of technical skill development relate equally to the child and the adult. Overview Revised February 2016 CanMeds As a communicator, he/she must establish a therapeutic relationship with patients and their families; obtain and synthesize relevant history from patients, families, and communities and listen effectively.