Table 3 Description of the EPA “Conducting an internal medicine ward round” (short version) with competences, sub-competences and related CanMEDS roles
Discipline | Internal Medicine | |
|---|---|---|
Title | Conducting a ward round in internal medicine | |
Description | Conducting the daily ward round in an internal medicine department, starting with the preparation. | |
CanMEDS domains of competence | Communicator (Com), Medical Expert (ME), Manager (M), Collaborator (Coll), Professional (P), Scholar (S) | |
Competences and sub-competences | CanMEDS domains of competences | LoSa |
Diagnostic process and therapy planning (including adequate communication) | Com, ME, Coll, M | |
- Capability to gather information about the patient including different information such as medical records, communication with patient and team and focused physical examination. | ||
- Capability to analyse given information. | ||
- Capability to make decisions with the patient about his/her further treatment and discharge from hospital in a time efficient way. | ||
- Capability to exchange information with the ward round team before and after the ward round, including documentation in patient’s record. | ||
- Capability to inform the patient about further treatment and discharge from hospital. | ||
Empathy (including adequate communication) | Com | |
- Capability to recognize the necessity for empathy in physician-patient interaction. | ||
- Capability to be empathetic in physician-patient interaction, if necessary. | ||
Leadership skills (including adequate communication) | Com, Coll, M | |
- Capability to involve the team in the ward round process. | ||
- Capability to assign tasks to team members. | ||
- Capability to lead the patient especially via communication. | ||
Management of difficult situations and faults (including adequate communication) | Coll, M | |
- Capability to recognize, assess and react to interruptions of the ward round. | ||
- Capability to recognize, assess and react to ward round faults. | ||
- Capability to recognize and react to conflicts within the team in the course of the ward round. | ||
- Capability to recognize and react to conflicts with the patient in the course of the ward round. | ||
Organization competence (including adequate communication) | Com, Coll, M | |
- Capability to ensure a structured ward round process including preparation, consultation with the patient and the team. | ||
- Capability to ensure a sufficient time management by adapting the duration of the ward round to patient’s needs as well as on the occurrences of the day, focusing on relevant aspects in physician-patient communication and avoiding interruptions. | ||
Professionalism (including adequate communication) | Com, Coll, P | |
- Capability to ensure reliable behaviour towards the team and the patient. | ||
- Capability to ensure a respectful physician-patient relationship. | ||
- Capability to be aware of one’s own facial expression and gestures. | ||
- Capability to adapt one’s usage of language. | ||
Self-management | ME, Coll, S | |
- Capability to assess own personal and professional limits, and to react if necessary. | ||
- Capability to assess own actions in a self-critical way. | ||
- Capability to remain calm and professional in difficult situations. | ||
Teaching and learning abilities (including adequate communication) | S | |
- Capability to convey knowledge to students by involving them in the ward round process and discussing patient cases. | ||
- Capability to improve own knowledge through reflection of the ward round, in total or in specific cases. | ||
Assessment procedure | Conducting a ward round in a training environment with self- reflection and feedback. | |