MD Program

Program Level Objectives

 

The overarching objective of the MD program is the graduation of physicians who are competent, to the satisfaction of the faculty and the standards of the profession, in the following areas:

  1. Medical Expert
  2. Communicator
  3. Collaborator
  4. Manager
  5. Health Advocate
  6. Scholar
  7. Professional

Background:

The CanMEDS framework which outlines the essential competencies required to function well as a socially accountable physician was used as a scaffolding for the MD Program Objectives.

The MD Program Objectives were developed by faculty considering the general professional competencies required for successful transition to residency and to serve as a foundation for lifelong learning.

A faculty wide retreat was organized by the MD Program curriculum committee. During this consultative event draft program level objectives were developed by faculty members. To facilitate further faculty input, the draft objectives were made available for review and comment by stakeholder groups. Final revision and unanimous ratification was by the MD program Curriculum Committee


Medical Expert

  • The medical graduate will demonstrate clinical decision-making skills that integrate best evidence and acknowledge patient values.
  • The medical graduate will apply basic knowledge of the etiology, pathogenesis, clinical features, complications, principles of prevention and management with emphasis on common and life- threatening illnesses across the age spectrum.
  • The medical graduate will demonstrate knowledge on approaches to diagnosis and treatment with emphasis on common and urgent problems.
  • The medical graduate will perform both complete and organ system-specific examinations appropriate to the age of the patient and nature of the clinical problem(s).
  • The medical graduate will recognize and prioritize the urgency of a patient's clinical problems.
  • The medical graduate will list and prioritize a meaningful differential diagnosis with emphasis on common and urgent clinical presentations.
  • The medical graduate will demonstrate the ability to select and interpret commonly-employed investigations.
  • The medical graduate will demonstrate appropriate use of selected procedural skills (diagnostic and therapeutic).
  • The medical graduate will apply the principles of pharmacology and evaluate options for safe, rational, appropriate and optimally-beneficial drug therapy.
  • The medical graduate will understand the scientific principles underlying evidence-based approaches to health maintenance, preventive screening, therapeutic, rehabilitative, and palliative interventions.
  • The medical graduate will demonstrate a basic understanding of the psychological, interpersonal, family, cultural, societal, and environmental determinants of health and illness across a diverse population.
  • The medical graduate will recognize and cope with uncertainty and ambiguity in clinical decision-making and care.

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Communicator

  • The medical graduate will communicate in a manner that maintains compassionate, professional and ethical therapeutic relationships with patients, their families, and the community. This is achieved by developing rapport, understanding, trust, while maintaining respect, integrity, empathy, confidentiality and acknowledging uncertainty.
  • The medical graduate will communicate effectively and in a non-judgmental manner with patients, their families and the community through verbal, written and other non-verbal means of communication.
  • The medical graduate will demonstrate effective information-gathering and be proficient in communicating with patients in a variety of situations, including where communication challenges or sensitive topics may occur within the profession.
  • The medical graduate will deliver information to patients and their families in a compassionate manner such that it can be easily understood, encourages discussion,and promotes patient participation in the process of shared decision-making.
  • The medical graduate will cooperate and communicate effectively among health professionals involved in patient care to ensure patient safety and optimize outcomes.
  • The medical graduate will present and discuss "bad news” with patients or families in an empathic manner, including discussions of advance care planning and goals of care.
  • The medical graduate will be able to maintain clear, accurate and comprehensive records of patient care and disseminate appropriately in a timely manner.

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Collaborator

  • The medical graduate will compare and contrast the roles and responsibilities of all members of an interdisciplinary team that are required for optimal patient care, research and education.
  • The medical graduate will explain the benefits of teamwork in training and patient care.
  • The medical graduate will collaborate with patients, their families and all team members.
  • The medical graduate will be able to participate in negotiation and facilitation of conflict resolution in the context of the learning setting, patient care and/or team functioning.
  • The medical graduate will demonstrate an understanding of effective team processes and functions.
  • The medical graduate will function effectively both as a leader or a team member (switching between roles when appropriate).

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Manager

  • The medical graduate will recognize the different roles and responsibilities in healthcare organizations, ranging from individual clinical practices to academic health sciences centres.
  • The medical graduate will be able to describe the basic governing structures within health care organizations and how they influence patient care, research and educational activities at a local, provincial, regional, national and international level.
  • The medical graduate will demonstrate knowledge of how information technology can be used to impact patient care.
  • The medical graduate will demonstrate knowledge in principle of quality improvement/assurance in health care.
  • The medical graduate will describe how economic and cost perspectives impact decision-making.
  • The medical graduate will be able to compare and contrast the variety of practice options and settings within the practice of medicine and in order to make informed personal choices regarding career direction.
  • The medical graduate will demonstrate effective time management in personal and professional roles.
  • The medical graduate will be knowledgeable on the absolute and relative levels of resources in various components of the health care system and will be able to discuss the rationale for stewardship of available resources within the overall allocation framework.
  • The medical graduate will describe the need for planning, budgeting and evaluation of outcomes of a patient care program.
  • The medical graduate will describe principles of change management as they apply to innovations in clinical care.
  • The medical graduate will describe the principles of effective leadership.
  • The medical graduate will demonstrate knowledge of cost/benefit issues in the context of health care resource allocation and population health.

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Health Advocate

  • The medical graduate will respond to individual patient health needs and issues as part of patient care.
  • The medical graduate will respond to the health needs of the communities in which they serve.
  • The medical graduate will identify the determinants of health in the population they serve.
  • The medical graduate will promote health and well-being of individual patients, communities and populations.
  • The medical graduate will articulate and apply the determinants of health and disease.
  • The medical graduate will articulate and apply the principles of health promotion.
  • The medical graduate will articulate and apply the principles of disease prevention.
  • The medical graduate will articulate, synthesize and apply the diverse factors that influence health, disease and disability.
  • The medical graduate will synthesize and apply the factors that influence access to health services
  • The medical graduate will demonstrate the ability to advocate for patients and communities
  • The medical graduate will identify and access community resources related to health promotion, disease prevention and illness management.
  • The medical graduate will describe the ethical and professional issues inherent in health advocacy (altruism, social justice, autonomy, courage, integrity, idealism) and conflict.
  • The medical graduate will demonstrate an integration of advocacy into his/her understanding of professional duty to patients and communities.
  • The medical graduate will be able to discuss the possibility of conflict in their role as a health advocate for a patient or community.
  • The medical graduate will demonstrate the ability to advocate as a medical professional for health and patient safety.

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Scholar

  • The medical graduate will demonstrate critical reflection and inquiry to enable practices of life-long and self-directed learning.
  • The medical graduate will assist in teaching others and facilitate learning where appropriate.
  • The medical graduate will demonstrate knowledge of forms of rigorous inquiry in research methodologies and describe an appropriate methodology to a specific research question.
  • The medical graduate will demonstrate an understanding of ethics as it relates to medical research.
  • The medical graduate will demonstrate knowledge of the professional practices and scholarly activities required of the profession. Activities include, but are not limited to: participating in the development of practice guidelines and health policy development.
  • The medical graduate will receive, incorporate, and provide feedback in an appropriate and timely manner in their daily learning and practice.

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Professional

  • The medical graduate will demonstrate key values required in the profession including honesty, integrity, trustworthiness, compassion, respect, empathy, cultural awareness, altruism, maintaining confidentiality and a commitment to patient well-being.
  • The medical graduate will honour the privileges and responsibilities of the medical profession. This includes responding to the societal and community needs (social accountability), commitment to public service and carrying out the principles of social justice (access to care, free of discrimination, finite resource allocation).
  • The medical graduate will recognize and knowledgeably respond to ethical and legal challenges.
  • The medical graduate will demonstrate reflective practice with patients to achieve a sustainable and current practice while maintaining appropriate boundaries with patients.
  • The medical graduate will demonstrate self-awareness through reflection, and a commitment to balance professional and personal priorities.
  • The medical graduate will demonstrate that the self-regulation of the profession is a privilege and that each physician has a continuing responsibility to merit this privilege and to support its institutions including peer assessment and self-assessment as applicable.

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