Table 1

CanMEDS role definitions and writing prompts used to encourage reflection

CanMEDS ROLESDESCRIPTION: PHYSICIANS ARE ABLE TO …WRITING PROMPT
Professional
  • Demonstrate a commitment to their patients, profession, and society through ethical practice

  • Demonstrate a commitment to their patients, profession, and society through participation in profession-led regulation

  • Demonstrate a commitment to physician health and sustainable practice

From what you have seen and heard, what makes a good doctor?
Expert
  • Function effectively as consultants, integrating all of the CanMEDS roles to provide optimal, ethical, and patient-centred medical care

  • Establish and maintain clinical knowledge, skills, and attitudes appropriate to their practice

  • Perform a complete and appropriate assessment of a patient

  • Use preventive and therapeutic interventions effectively

  • Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic

  • Seek appropriate consultation from other health professionals, recognizing the limits of their expertise

Write about a time when you did or didn’t know what to do or say
Advocate
  • Respond to individual patient health needs and issues as part of patient care

  • Respond to the health needs of the communities that they serve

  • Identify the determinants of health of the populations that they serve

  • Promote the health of individual patients, communities, and populations

Write about a time you did or didn’t stand up for a patient
Communicator
  • Develop rapport, trust, and ethical therapeutic relationships with patients and families

  • Accurately elicit and synthesize relevant information and perspectives of patients and families, colleagues, and other professionals

  • Accurately convey relevant information and explanations to patients and families, colleagues, and other professionals

  • Develop a common understanding on issues, problems, and plans with patients and families, colleagues, and other professionals to create a shared plan of care

  • Convey effective oral and written information about a medical encounter

Write about a misunderstanding
Collaborator
  • Participate effectively and appropriately in an interprofessional health care team

  • Effectively work with other health professionals to prevent, negotiate, and resolve interprofessional conflict

Write about being on a team
Manager
  • Participate in activities that contribute to the effectiveness of their health care organizations and systems

  • Manage their practice and career effectively

  • Allocate finite health care resources appropriately

  • Serve in administration and leadership roles, as appropriate

Write about a time when you were asked to find resources for a patient
Scholar
  • Maintain and enhance professional activities through ongoing learning

  • Critically evaluate information and its sources, and apply this appropriately to practice decisions

  • Facilitate the learning of patients, families, students, residents, other health professionals, the public, and others, as appropriate

  • Contribute to the creation, dissemination, application, and translation of medical knowledge

Write about a time when your learning was optimized or hampered
  • Data from Frank.1