As Collaborators, physicians work in partnership with others to achieve optimal patient care.*
Physicians work in partnership with others who are involved in the care of individual patients or specific groups of patients. This is increasingly important in a modern multi-professional environment where patient-centered care is a widely shared goal. Modern health care teams include not only a group of professionals working closely together at one site, such as a ward team, but also extended teams with a variety of perspectives and skills in multiple locations. It is therefore essential for physicians to be able to collaborate effectively with patients, families, and an inter-professional team of expert health professionals for education, scholarship, and the provision of optimal patient care.
- 1 Collaborate effectively within the health care system
- 1.1 Work effectively within the health care system, both in an institutional environment and in the community
- 1.2 Explain how the organization, policies, and financing of the health care system impact collaborative patient care
- 1.3 Discuss the role of, and work collaboratively with, community and social service agencies (e.g., schools, municipalities and non-governmental organizations) and local, provincial and national agencies/governments as appropriate to address the concerns at a population level.
- 1.4 Participate effectively in and with health organizations, ranging from individual clinical practices to provincial organizations, exerting a positive influence on clinical practice and policy-making.
- 1.5 Discuss the roles and services provided by government, social agencies, or community organizations in providing services to special populations.
- 2 Consult effectively with physicians and other health care professionals to provide care for individuals, communities, and populations
- 2.1 Explain how personal values, biases, and professional limitations impact the consultation process
- 2.2 Recognize that the clinical situation requires expertise beyond one's own, and determine the urgency
- 2.3 Identify an individual or service with the required skill or expertise
- 2.4 Communicate well in writing and/or orally with the consultant
- 2.5 Ensure that the consultation takes place at an appropriate time and place
- 2.6 Ensure that the consultant's oral or written report is received
- 2.7 Carry out recommendations as appropriate and/or ensure that transfer of care takes place
- 2.8 Act responsibly and expeditiously when other health professionals request assistance
- 3 Participate effectively on health care teams
- 3.1 Explain the scope of practice and demonstrate respect for the expertise of each member of the team
- 3.2 Describe and adapt to differences in team organization and function
- 3.2.1 Agree on and implement team members' responsibilities and roles, including leadership
- 3.2.2 Implement protocols to ensure effective communication and accountabilities among team members, especially at times of patient care transition
- 3.3 Demonstrate respect for team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role)
- 3.4 Include the patient and family as part of the care team with the goal of appropriate degrees of shared decision-making
- 3.5 Share patient information appropriately, while respecting confidentiality
- 3.6 Contribute to intra- and inter-disciplinary teams related to institutional or other activities (e.g., quality assurance, educational committees)
- 4 Manage conflict effectively
- 4.1 Recognize and prevent tensions that may lead to conflict
- 4.2 Use strategies to deal with conflict through negotiation and collaboration, while respecting the views and positions of others
- 4.3 Seek help and advice when necessary, recognizing personal limitations in conflict resolution
* The Royal College of Physicians and Surgeons of Canada.CanMEDS.