CanMEDS Competency Framework Developed by the Royal College of Physicians and Surgeons of Canada Detailed process of consensus building, piloting and evaluating since 1993 Current version released 2005 Frank 2005
CanMEDS Competency Framework Outcome oriented Organised around ‘physician-roles’ or metacompetencies Medical Expert is the central integrative role Other roles overlap and support medical expertise
Physician Roles or Meta competencies Medical Expert/Clinical decision-maker Communicator Collaborator Manager Health Advocate Scholar Professional Each role/meta-competency is divided into key competencies/roles underpinned by supporting competencies
How it would work Psychiatric expert: Is the distinctive/central role of a doctor/psychiatrist Provides the home for most specialty-specific competencies For example…
Psychiatric expert Key competencies 1.1 The psychiatrist is able to: conceptualise, understand and apply the diagnostic skills to investigate, elicit, describe and define psychopathological and other clinical findings. 1.2 … 1.3 … ….
Supporting competencies 1.1.1understand the history of psychiatry and how this has impacted upon contemporary psychiatry 1.1.2 … 1.1.3 … 1.1.4 … ..… 1.1.16 draw up a diagnostic formulation including risk assessment