Program Directors’ Retreat

1. Program Directors’ Retreat Assessment of CanMEDS Roles 23rd May 2007 prepared by Dr Harish Amin Assistant Dean, PGME

2. Objectives: for University of Calgary Residency Programs • summarize how Collaborator, Manager, Health Advocate, and Professional are being taught • summarize how Collaborator, Manager, Health Advocate, and Professional are being assessed • share some of the innovative methods

3. Collaborator: Teaching • Large Groups: team-building retreats • Small Groups • Conflict workshops • Multidisciplinary team rounds • OR/Trauma resuscitation teams • Academic ½ day e.g. cultural issues • Apprenticeship Learning • CTUs multidisciplinary teams • Ambulatory clinics / Emergency room • Member of team ( code/trauma)

4. Manager: Teaching • Small Groups • PGME workshops: [financial management, billing] • CHR Patient Safety • CPC with Dept Pathology • Q&S committees • M&M rounds • Apprenticeship Learning • Daily management on CTUs & ERs, delegation of duties • Organizing resident retreats & call schedules • Chief resident role • Resident clinics – patient scheduling, clinic management … • Committee reps

5. Health Advocate: Teaching • Large Groups • Retreats: HIV, Fatigue & sleep, patient safety, healthy active living • Grand rounds, Core curriculum workshops/lectures • Small Groups • PGME workshops: Patient Safety • QI committees, SBAR Camps: diabetes, asthma, oncology • Apprenticeship Learning • Rotation specific objectives e.g. re: smoking cessation • Ambulatory clinics / ER: preventive measures, safe blood banking • Community targeted literature ( e.g. KIDS DOC - populations at risk)

6. Professional: Teaching • Large Groups • Retreats: wellness, maintaining motivation, physician health • Grand rounds • Small Groups • PGME: Resident Ethics and Medico-legal days • Faculty: Policies/guidelines on professionalism • Medical errors and impact on residents • Academic ½ day e.g. risk management, research ethics • Apprenticeship Learning • Ethics in daily clinical encounters • Role modeling by faculty

7. Collaborator: Assessment • Small Groups • OSCEs (e.g. team work during resuscitation) • Apprenticeship Learning • Concerns reviewed with patient care managers • Multidisciplinary teams: teaching done & teaching received • Ward/CTU ITERS • High fidelity human patient simulation

8. Manager: Assessment • Small Groups • Senior residents on management of junior residents & clinical team members • Apprenticeship Learning • Feedback from preceptors, 360° • Chief resident role • Ward/CTU/Rotation ITERS

9. Health Advocate: Assessment • Small Groups • Residents’ Research Day presentations • Apprenticeship Learning • Oral exams on prevention topics • Ward/ER ITERs • OSCE • Faculty review of resident-prepared literature on advocacy directed to community

10. Professional: Assessment • Small Groups • OSCEs (Bioethics/palliative care) • Apprenticeship Learning • Performance on rotation • Ward ITERs • Self-assessments • O&G, simulator, Medico-legal day

11. Examples of innovative teaching & assessment methods • OSCE • OG: PGY3/4 organize and run practices for PGY5 • Peds: Heath advocacy, preventive counseling, conflict management • Simulation • ER/Critical care/Peds: scenarios dealing with resuscitation, emergent care, palliative care, etc • Educational literature for community • Peds: KIDS DOC – includes heath advocacy issues & Dx and Mx of common conditions • Self-directed assessment • OG/IM: Books, websites,

12. Acknowledgements • Dr. Otto Rorstad – introduced format of large/small groups/apprentice learning/self-directed learning • Thank you to all PDs who responded to the PGME Survey on CanMEDS assessment methods used in their programs. Data analysis is under way. • Thank you to all of you in taking time to attend this workshop • Thank you and WELCOME to Jason Frank for what is to follow!