Family Medicine ProgramBy the end of this session, faculty will1. Understand what is meant by competence and the competence trajectory

expected during residency2. Know and understand the CanMedsFM roleses3. Recognize the importance of the expected outcomes (objectives), learning

opportunities (clinical and academic), and appropriate assessment

“THE ABILITY TO DO SOMETHING SUCCESSFULLY.”

Competence:

Competence Trajectory

Outcomes Learning Experiences Assessment

Benchmarking Document

1. Comprehensive Care

2. Continuing Care & Education

3. Centered in Family Medicine

TRIPLE “C” Competency-based CURRICULUM

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Comprehensive

• Curriculum supports the learner to achieve the full range of competencies required for a graduating physician

• Competencies - defined by CanMEDS-FM

The Triple-CCompetency

Based Curriculum

Continuity

• Continuity of care - fundamental to family medicine

• Continuity of education: – Learning environment– Supervision– Curriculum

The Triple-CCompetency

Based Curriculum

Centred in FM

• Family medicine controls/dictates the curriculum

• Learning context - family medicine focused, family medicine teachers

• Learning content - family medicine relevant

The Triple-CCompetency

Based Curriculum

Family Medicine Expert

Family physicians are skilled clinicians who provide comprehensive, continuing care to patients and their families within a relationship of trust. Family physicians apply and integrate medical knowledge, clinical skills and professional attitudes in their provision of care. Their expertise includes knowledge of their patients and families in the context of their communities, and their ability to use the patient-centred clinical method effectively. As Family Medicine Experts they integrate all the CanMEDS- Family Medicine (CanMEDS-FM) roles in their daily work.

Communicator

As Communicators, family physicians facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

Collaborator

As Collaborators, family physicians work with patients, families, healthcare teams, other health professionals, and communities to achieve optimal patient care.

Health Advocate

• As Health Advocates, family physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations.

Scholar

As Scholars, family physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application and translation of knowledge.

Professional

As Professionals, family physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behaviour.

Manager

As Managers, family physicians are central to the primary health care team and integral participants in healthcare organizations. They use resources wisely and organize practices which are a resource to their patient population to sustain and improve health, coordinating care within the other members of the health care system.

Comparison of FM-Centered and Traditional Curriculum

Characteristic Traditional Family Medicine centred

Teachers Experts in specialized area Family medicine experts; Experts in generalism

Type of Learning Promoted

Development of “mini-experts” in successive fields; Discontinuous

Integrated learning in longitudinal manner; application to FM

Impact onResidents

At times marginalized; Sense of inferior skills

Understanding of unique skills; sense of professional identity

Clinical Experiences

• Carefully selected Family medicine oriented specialty experiences– Explicitly family

medicine oriented– Discipline-specific

objectives– Site-specific (based

on local resources)

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Family Medicine-Centred LEARNING

OPPORTUNITIESClinical ExperiencesAcademic Program

Other Activitieswith

Specific Outcome Objectives

ASSE

SSM

ENT

INTEGRATED LEARNING STRATEGIES

RESOURCESClinical

Teaching Materials

CanMEDS-FM

Roles and Competencies

Curriculum Goals

Curriculum DesignIdentify and categorize outcomes

Create the curriculum

Measure progress

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Assessment

Competency-based evaluation system, using :– Field notes/video reviews– Procedure log– Portfolios– Self-assessment tool 22

Evaluation Objectives

• Clinical Skills• Patient Centred approach• Communication• Professionalism• Selectivity