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(click here to download pdf of canuc-paeds CanMEDS objectives, displayed below)

 

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canuc-paeds / Curriculum Objectives (within CanMEDS Framework*)

* The CanMEDS 2005 Physician Competency Framework of The Royal College of Physicians and Surgeons of Canada.

 

Medical Expert

The student is able to:

Demonstrate proficiency in acquiring a complete and accurate paediatric history with consideration of the child’s age, development, and the family’s cultural, socioeconomic and educational background.

 

Describe differences between the medical management of paediatric patients versus adult patients.

 

Recognize an acutely ill child.

 

Demonstrate an approach (the generation of a differential diagnoses, appropriate initial diagnostic investigations, and management plan) to the following core clinical paediatric presentations:           

Paediatric Health Supervision
Newborn
Neonatal Jaundice
Fever
Dehydration
Respiratory Distress/Cough
Developmental & Behavioural Problems
Growth Problems
Inadequately Explained Injury (child abuse)
Abdominal Pain
Vomiting
Diarrhea
Altered Level of Consciousness
Seizure/Paroxysmal Event
Headache
Murmur
Rash
Bruising & Bleeding
Pallor (anemia)
Lymphadenopathy
Limp/Extremity Pain
Urinary Complaints (polyuria/frequency/dysuria/hematuria)
Edema
Sore Ear
Sore Throat/Sore Mouth
Sore Eye/Red Eye

 

 

 

Demonstrate physical examination skills that reflect consideration of the clinical presentation as well as the comfort, age, development, and cultural context of the infant, child, or adolescent.

 

Demonstrate competence with the following paediatric physical examination skills in addition to general physical examination skills:

          Position and immobilize patient for certain physical exam skills     

          Measure and interpret height, weight, head circumference (incl. plotting on growth curve and calc. of BMI)

          Measure and interpret vital signs

          Palpate for fontanelles and suture lines

          Perform red reflex and cover-uncover test

          Perform otoscopy

          Inspect for dysmorphic features

          Elicit primitive reflexes

          Perform infant hip examination

          Assess the lumbosacral spine for abnormalities

          Assess for scoliosis

          Palpate femoral pulses

          Examine external genitalia

          Assess for sexual maturity rating (Tanner staging)

                               

Professional

The student is able to:

Demonstrate professional behaviours in practice including:  honesty, integrity, commitment, compassion, respect and altruism.

 

Demonstrate a commitment to perform to the highest standard of care through the acceptance and application of performance feedback.

 

Recognize and respond to ethical issues encountered in clinical practice.

 

Fulfill legal obligations as they pertain to paediatric practice (reporting child maltreatment).

 

Recognize the principles and limits of patient confidentiality as it pertains to paediatrics (age of consent, emancipated minors, disclosure of suicidal/homicidal intent, and disclosure of abuse).

 

Balance personal and professional responsibilities to ensure personal health, academic achievement, and the highest quality of patient care.

 

Recognize factors such as fatigue, stress, and competing demands/roles that impact on personal and professional performance.  Seek assistance when professional or personal performance is compromised.

 

Communicator

The student is able to:

Demonstrate communication skills that convey respect, integrity, flexibility, sensitivity, empathy, and compassion.

 

Communicate using open-ended inquiry, listening attentively and verifying for mutual understanding.

 

Demonstrate a patient-centered and family-centered approach to communication which requires involving the family and patient in shared decision making, and involves gathering information about the patients’ and families’ beliefs, concerns, expectations and illness experience. 

 

Acquire and synthesize relevant information from relevant sources including:  family, caregivers, and other health professionals.

 

Demonstrate organized, complete, informative, legible, and accurate written/electronic information related to clinical encounters (such as: admission histories, progress notes, and discharge summaries).

 

Demonstrate clear, legible, and accurate ‘doctors orders’ (such as investigations, medication orders and outpatient prescriptions).

 

Demonstrate organized, complete, informative and accurate information in verbal patient presentations.

 

Respect patient confidentiality, privacy and autonomy.

 

Acknowledge/demonstrate the principals of dealing with challenging communication issues including:  obtaining informed consent, delivering bad news, disclosing adverse medical events, and addressing anger, confusion, and misunderstanding.

 

Collaborator

The student is able to:

Work effectively, respectfully, and appropriately in an inter-professional healthcare team.

 

Demonstrate understanding of roles and responsibilities in an inter-professional health care team; recognizing his/her own responsibilities and limits.

 

Effectively collaborate/consult/participate with members of the inter- and intra-professional team to optimize the health of the patient/family. 

 

Effectively work with other health professional to prevent, negotiate, and resolve inter- and intra-professional conflict.

 

 

Manager

The student is able to:

Demonstrate priority setting, and time management skills that balance patient care, academic responsibilities, and personal well being.

 

Employ information technology to maximize patient care.

 

Demonstrate a rationale approach to finite resource allocation in patient management; apply evidence in cost-effective care.

 

Develop management plans that demonstrate due attention to discharge planning, and recognition of key community resources to support the family once out of hospital.

 

Health Advocate  

The student is able to:

Engage in advocacy, health promotion and disease prevention with patients and families including:   mental health, child maltreatment, healthy active living, safety, and early literacy support.

 

Identify emerging and ongoing issues for paediatric populations who are potentially vulnerable or marginalized including:  First Nations People, new immigrants, disabled children, children with mental health issues, and populations living in poverty. 

 

Identify determinates of health for paediatric populations and the physician’s role and points of influence in these issues.

 

Identify barriers that prevent children from accessing health care including:  financial, cultural, and geographic.             

 

Scholar

The student is able to:

Engage in self-directed lifelong learning strategies.

 

Engage in self assessment through reflective practice.

 

Apply the principals of critical appraisal of the literature to guide evidenced based patient care.

 

Demonstrate integration of new learning into practice.

 

Demonstrate effective teaching/learning strategies and content that facilitate the learning of others (peers, patients, families, allied health professionals).

 

 

 

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