1. Competencies Timon W. van Haeften, MD, PhD Master-coordinator Utrecht

2. “Competence” Knowledge Skills attitude experience

3. CanMEDS 2000 project Royal College of Physicians and Surgeons of Canada Skills for the new millennium: report of the societal needs working group

4. Medical expertise Communication Knowledge and Science Professionalism Collaboration Organising Societ y Public Health

5. schakeljaar CRU’99 Sixth year student

7. schakeljaar CRU’99 Competencies – Physician MEDICAL EXPERTISE -1 1. Capable of making difference between important vs. not-so-important 2. Clinical Reasoning 3. Case Management

8. Competencies – Physician MEDICAL EXPERTISE -1 Medical knowledge acording to National Standards Ask information in adequate fashion Perform a good history (anamnesis) and physical examination Formulate patient problem(s) Capable of making difference important vs. not-so-important Clinical Reasoning

9. Competencies MEDICAL EXPERTISE -2 Clinical Reasoning Priorities (also in emergency) Be first in decision making (with supervision) Case management Assessment of prognosis and risks Therapeutic action Ask supervision and assistance in time Look for patient perspective

10. schakeljaar CRU’99 REPEAT

11. schakeljaar CRU’99 Look for patient perspective

12. Competencies COMMUNICATION - 1 Effective doctor-patient relationship Structure communication Good listener (!) Inform patients (and relatives)

13. schakeljaar CRU’99 Competencies COMMUNICATION - 2 Give clear instructions (nurses) Present patient data clearly (night shift) Written reports should be adequate and complete

14. Competencies COLLABORATION Adequate relationships with nurses, personnel, colleagues Ask information and advice from others in time Be able to work in a team and with other disciplines

15. Competencies KNOWLEDGE AND SCIENCE Critically work with knowledge and scientific information Expand own knowledge (DO IT YOURSELF ATTITUDE!) Look up knowledge in the scientific literature Report research data

16. Competencies KNOWLEDGE AND SCIENCE EDUCATION EDUCATION: Educate and give feedback to younger students Lead group sessions of 2nd and 3rd year students (!)

17. Competencies SOCIETY / PUBLIC HEALTH Determinants of disease present in society (eg. Air pollution, religion, beliefs of the people, dangerous non-sense-medicine of lay people ) Knowledge of medical legislation Be able to handle (near-)accidents /errors

18. Competencies ORGANISING Time management for daily work Time management for own education Effectively handle restraints of technique/ money

19. schakeljaar CRU’99 Competencies ORGANISING Time management for daily work Time management for own education Effectively handle restraints of technique/ money

20. Competencies PROFESSIONALISM, CONDUCT - 1 Decency / r espect Handle emotions of patients and others Insight in OWN EMOTIONS, own prejudices Own limits, preparedness for self-critic, Be able to handle feedback

21. schakeljaar CRU’99 Competencies PROFESSIONALISM, CONDUCT -2 Handle conflicts Recognize ethical dilemmas ALWAYS ABIDE by ethical and medical rules of conduct Reflect on own functioning

22. schakeljaar CRU’99 Portfolio student: Teacher:

23. Use of the portfolio student: Planning Actively learn Reflect