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Table 4 Mean scores for each of the 44 tasks

From: Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey

 InternsSupervisors
 MeanSDMeanSD
1. ‘MEDICAL EXPERT’ ROLE
 Carry out basic ward procedures4.70*0.724.08*0.86
 Carry out a comprehensive physical examination4.26*0.863.920.76
 Draw up a comprehensive assessment of patients4.07*0.733.690.95
 Appropriate use of diagnostic procedures in adults3.890.703.560.88
 Apply basic science knowledge to clinical conditions3.781.013.460.88
 Appropriate use of diagnostic procedures in children3.780.853.380.92
 Justify drug use based on mechanisms of action3.670.963.500.80
 Carry out basic surgical procedures3.441.092.86†0.69
 Manage a woman in labour3.221.012.25†0.50
 Handle most clinical emergencies3.190.833.310.63
2. ‘COMMUNICATOR’ ROLE
 Treat each patient as an individual4.12*0.863.690.75
 Provide education to patients4.04*0.903.500.67
 Record clinical data systematically3.931.074.00*0.71
 Counsel a distressed patient3.670.733.310.63
 Tell patients they have a terminal illness3.520.982.91†0.70
 Manage ‘difficult’ (uncooperative) patients3.220.702.92†0.64
 Deal with dying patients3.151.203.250.45
 Deal with relatives in distressing situations3.150.823.000.85
3. ‘COLLABORATOR’ ROLE
Approach senior staff for help if uncertain4.41*0.844.00*0.71
Recognise own clinical limitations3.930.873.690.85
Coordinate patient management with allied professionals3.910.753.620.87
Appreciate group dynamics in a team environment3.850.953.460.88
Take responsibility for patients’ clinical care3.780.933.620.96
Sensitive to the needs of nursing staff3.631.043.460.52
4. ‘LEADER’ ROLE
Prioritise the day’s activities3.590.843.310.85
Serve in administration/leadership roles if needed3.481.092.82†0.98
Actions to enhance healthcare facility effectiveness3.380.943.620.51
Select drugs based cost, risks, benefits2.85†0.912.90†0.74
5. ‘HEALTH ADVOCATE’ ROLE
 Appreciate the importance of patient culture/ ethnicity3.810.683.750.75
 Understand the interaction of social factors with disease3.740.763.620.77
 Evaluate the impact of family factors on illness3.630.793.330.65
 Discuss preventive strategies with patients3.630.793.000.85
 Able to respond to local community health care needs3.330.783.001.07
6. ‘SCHOLAR’ ROLE
 Identify own learning needs4.26*0.863.620.77
 Continually self-evaluate own performance4.00*0.733.081.00
 Critically evaluate research related to practice3.440.803.000.82
 Invest time in developing own skills3.411.083.670.65
7. ‘PROFESSIONAL’ ROLE
 Maintain attitudes appropriate to professional practice4.150.953.621.04
 Behave in a calm manner in difficult situations3.561.013.380.65
 Deal with own emotions when a patient dies3.221.283.640.92
 Able to approach ethical dilemmas2.92†0.803.000.63
 Cope with stress caused by work2.78†1.013.080.90
 Able to deal with medico-legal documentation2.59†1.192.91†1.04
 Balance own work and personal life2.52†1.193.361.12
ALL ROLES AND TASKS
 Average for all tasks3.601.023.410.85