Table 5 Consensus ratings on consistency of the CanMEDS competencies per Delphi round
CanMEDS Roles | CanMEDS competencies | Level of consensus: Is this CanMEDS competence consistent for assessment in the workplace? | ||
|---|---|---|---|---|
Round 1 | Round 2 | Round 3 | ||
MEDICAL EXPERT The GP trainee is able to: | 1. Practice medicine within their defined scope of practice and expertise | 65.7% | 84% | |
2. Perform a patient-centred clinical assessment and establish a management plan | 71.4% | |||
3. Plan and perform procedures and therapies for the purpose of assessment and/or management | 77.2% | |||
4. Establish plans for ongoing care and, when appropriate, timely consultation | 54.3% | 88% | ||
5. Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety | 48.5% | 60% | 55.6% | |
COMMUNICATOR The GP trainee is able to: | 1. Establish professional therapeutic relationships with patients and their families | 51.5% | 75% | |
2. Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families | 57.6% | 50% | 66.7% | |
3. Share health care information and plans with patients and their families | 52.9% | 79.2% | ||
4. Engage patients and their families in developing plans that reflect the patient’s health care needs and goals | 41.2% | 39.1% | 44.4% | |
5. Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy | 54.2% | 79.2% | ||
COLLABORATOR The GP trainee is able to: | 1. Work effectively with physicians and other colleagues in the health care professions | 51.4% | 87.5% | |
2. Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts | 40% | 54.1% | 66.7% | |
3. Hand over the care of a patient to another health care professional to facilitate continuity of safe patient care | 54.3% | 62.5% | 83.3% | |
LEADER The GP trainee is able to: | 1. Contribute to the improvement of health care delivery in teams, organizations, and systems | 42.8% | 37.5% | 55.6% |
2. Engage in the stewardship of health care resources | 37.2% | 45.8% | 66.6% | |
3. Demonstrate leadership in professional practice | 45.7% | 54.2% | 54.2% | |
4. Manage career planning, finances, and health human resources in a practice | 48.6% | 20.9% | 50% | |
HEALTH ADVOCATE The GP trainee is able to: | 1. Respond to an individual patient’s health needs by advocating with the patient within and beyond the clinical environment | 42.9% | 58.3% | 77.8% |
2. Respond to the needs of the communities or populations they serve by advocating with them for system-level change in a socially accountable manner | 13.9% | 25% | 38.9% | |
SCHOLAR The GP trainee is able to: | 1. Engage in the continuous enhancement of their professional activities through ongoing learning | 77.7% | ||
2. Teach students, residents, the public, and other health care professionals | 36.1% | 50% | 72.2% | |
3. Integrate best available evidence into practice | 83.4% | |||
4. Contribute to the creation and dissemination of knowledge and practices applicable to health | 47.2% | 54.1% | 61.1% | |
PROFESSIONAL The GP trainee is able to: | 1. Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards | 72.2% | ||
2. Demonstrate a commitment to society by recognizing and responding to societal expectations in health care | 28.6% | 30.4% | 44.5% | |
3. Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation | 52.8% | 78.2% | ||
4. Demonstrate a commitment to physician health and well-being to foster optimal patient care | 38.8% | 43.5% | 83.4% | |