Competencies

Timon W. van Haeften, MD, PhDMaster-coordinator Utrecht

“Competence”

Knowledge

Skills

attitude experience

CanMEDS 2000 project

Royal College of Physicians and Surgeons of Canada

Skills for the new millennium: report of the societal needs working group

Medical expertise

Communication

Knowledge and Science

Professionalism

Collaboration

Organising

Societ y Public Health

schakeljaar CRU’99

AREA Role Doctor/Student

1. Medical expertise 1.

2. Communication 2. 3. Collaboration 3. 4. Knowledge/Science

4.

5. Society/Public Health 5. 6. Organising 6. 7. Professionalism 7.

Sixth year student

AREA Role Doctor/Student

1. Medical expertise 1. Medical expert, helper 2. Communication 2. Listen carefully, advisor 3. Collaboration 3. Team player, giving orders 4. Knowledge/Science

4. Schooler (academic),

teacher. Researcher

5. Society/Public Health 5. Functioning within the health care system

6. Organising 6. Manager 7. Professionalism 7. Attitude as professional

Sixth year student

Competencies COMMUNICATION - 1

• Effective doctor-patient relationship

• Structure communication

• Good listener (!)

• Inform patients (and relatives)

schakeljaar CRU’99

Competencies COMMUNICATION - 2

• Give clear instructions (nurses)

• Present patient data clearly (night shift)

• Written reports should be adequate and complete

Competencies COLLABORATION

Adequate relationships with nurses, personnel, colleagues

Ask information and advice from others in time

Be able to work in a team and with other disciplines

Competencies KNOWLEDGE AND SCIENCE

Critically work with knowledge and scientific information

Expand own knowledge (DO IT YOURSELF ATTITUDE!)

Look up knowledge in the scientific literature

Report research data

Competencies KNOWLEDGE AND SCIENCE EDUCATION

• EDUCATION:

• Educate and give feedback to younger students

• Lead group sessions of 2nd and 3rd year students (!)

Competencies SOCIETY / PUBLIC HEALTH

• Determinants of disease present in society (eg. Air pollution,

religion, beliefs of the people, dangerous non-sense-medicine of lay

people )

• Knowledge of medical legislation

• Be able to handle (near-)accidents /errors

Competencies ORGANISING

• Time management for daily work

• Time management for own education

• Effectively handle restraints of technique/ money

schakeljaar CRU’99

Competencies ORGANISING

• Time management for daily work

• Time management for own education

• Effectively handle restraints of technique/ money

Competencies PROFESSIONALISM , CONDUCT - 1

• Decency / respect

• Handle emotions of patients and others

• Insight in OWN EMOTIONS, own prejudices

• Own limits , preparedness for self-critic,

• Be able to handle feedback

schakeljaar CRU’99

Competencies PROFESSIONALISM , CONDUCT -2

• Handle conflicts

• Recognize ethical dilemmas

• ALWAYS ABIDE by ethical and medical rules of conduct

• Reflect on own functioning

schakeljaar CRU’99

Portfolio

student:

Teacher:

Use of the portfolio

student: Planning

Actively learn

Reflect