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Table 3 Quantitative analysis process

From: An online Delphi study to investigate the completeness of the CanMEDS Roles and the relevance, formulation, and measurability of their key competencies within eight healthcare disciplines in Flanders

ROLES KEY COMPETENCIES (Backward-translation) RELEVANCE FORMULATION MEASURABILITY
EXPERT A healthcare professional… R1 R2 R3 R1 R2 R3 R1 R2 R3b
Operates within own occupational remit and ability. 97.6% 90.2% 82.9%
Carries out clinical assessment and implements a patient-centric care plan. 100% 95.1% 68.3% 100%
Plans and carries out investigations and “therapies” for the purpose of diagnosis and/or treatment. 95.1% 82.9% 63.4% 91.4%
Puts in place a care plan for continuation of treatment, and further consultation as necessary. 97.6% 78% 63.4% 100%
Actively contributes to the continued improvement of healthcare quality and patient safety, both as an individual, and as part of a team. 100% 95.1% 61% 82.2%
COMMUNICATOR Builds professional (therapeutic) relationships with clients/patients and their families. 94.7% 94.7% 78.9%
Accurately collects and synthesizes relevant information, taking into account the perspectives of clients/patients and their families. 100% 92.1% 84.2%
Shares information about health conditions and plans with clients/patients and their families. 100% 92.1% 71%
Involves clients/patients in the development of the care plan that reflect the needs and goals of the patient. 100% 86.8% 63.2% 94.3%
Documents and shares written and electronic contact information about the client / patient to optimize the clinical diagnosis, client/patient safety, confidence and privacy. 97.4% 78.9% 81.6%
COLLABORATOR Works purposefully with other care givers in both own and other disciplines. 94.7% 92.1% 70.3%
Works with colleagues from own and other disciplines to foster understanding, acknowledge differences and resolve conflict. 94.7% 91.1% 60.5% 85.2%
Transfers the care of client/patient to other physicians, facilitating continuity of care. 94.7% 100% 60.5% 97.1%
LEADER Contributes to the improvement of healthcare in teams, organizations and systems. 92.1% 84.2% 47.4% 83.3%
Engages in the management of healthcare resources.
Contributes actively to the efficient use of resourcesa.
73.7% 52.6% 86.1% 29% 75%
Demonstrate leadership in professional practice. 86.8% 86.8% 57.9% 83.3%
Manages career planning, finance, and human resources of the practice.
Manages his/her career planning, takes into account finances and manages human resources when appropriatea.
60.5% 57.6% 74.3% 60.5% 80.6% 18.4% 63.9% 62.9%
HEALTH ADVOCATE Addresses the individual needs of the client/patient by discussing his/her health inside and outside the clinical environment. 100% 86.8% 65.8% 85.5%
Addresses the health needs of communities or populations by lobbying for systemic changes in a socially responsible manner.
Promotes the health of communities and populations by contributing to system-level changes (lifestyle, social, financial) in a socially accountable waya.
68.4% 66.7% 74.4% 60.5% 58.3% 88.5% 13.2% 48.6% 71,4%
SCHOLAR Commits to the continuing improvement of professional activities through lifelong learning. 100% 100% 60.5% 94.5%
Educates students and teaching physicians, colleagues in other disciplines and the wider population. 92.1% 94.7% 44.7% 88.9%
Introduces best available evidence-based insights into practice. 97.4% 94.7% 68.4% 94.5%
Contributes to the creation and dissemination of knowledge and new practices applicable to health. 89.5% 84.2% 34.2% 91.7%
PROFESSIONAL Demonstrates commitment to clients/patients through the application of best practice and ethical standards. 100% 92.1% 86.8%
Demonstrates commitment to society through recognition of and answering to society’s expectations of healthcare. 92.1% 73.7% 31.6% 52.8% 68.6%
Demonstrates commitment to the profession through the adherence to professional standards and corresponding legal requirements (law). 97.4% 92.1% 78.9%
Demonstrates commitment to personal health and wellbeing in order to promote optimal care. 92.1% 76.3% 52.6% 69.5%
  1. Extra information
  2. aValidated context-specific formulations
  3. bIn round 3, enabling competencies were added to validate the measurability criterion