Skip to main content

Applying CanMEDS to Academic Afternoons

  • Chapter
The Practice of Radiology Education

The CanMEDS framework of the Royal College of Physicians and Surgeons of Canada outlines comprehensive content which must be included in all residency training programs in Canada. (Frank 2005) In existence since 1996, this framework emphasizes the importance of training physicians to meet both the needs of individual patients as well as society as a whole, through the development of program curriculum specifically addressing seven physician roles. The CanMEDS Roles include: medical expert, communicator, collaborator, manager, health advocate, scholar, and professional. This competency framework mandates development of specialty-specific curriculum and inclusive resident evaluation, in order to adequately prepare residents for certification and independent practice. The roles define the essential components for physician competency and ongoing professional development, preparing learners for the demands of the specialty, societal expectations, and the challenges of future practice. The American Accreditation Council for Graduate Medical Education (ACGME) requires similar broad-based core competency training in residency education curriculum, including six general competencies: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-base practice (ACGME 2008). To address these training requirements, programs must include specialty-specific ethics topics in their radiology residency curriculum (Oljeski et al. 2004). The shift from an almost exclusive educational focus on medical expertise highlights the increasing recognition that physician training needs to specifically address more comprehensive skills and professional behaviors. Although the CanMEDS Roles are not new or particularly unique, the framework challenges programs to expand their focus and approach to formal educational training in residency, more so than has been conventionally emphasized in the past. Roles overlap, but the overall scheme and content to be included in program curriculum must include all seven roles.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

Suggested Reading CanMEDS

  • Frank JR (ed) (2005) The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. The Royal College of Physicians and Surgeons of Canada, Ottawa

    Google Scholar 

  • Oljeski SA, Homer MJ, Krackov WS (2004) Incorporating ethics education into the radiology residency curriculum: a model. AJR Am J Roentgenol 183:569–572

    PubMed  Google Scholar 

Communicator The Radiology Report

  • Berlin L (2000) Malpractice issues in radiology: pitfalls of the vague radiology report. AJR Am J Roentgenol 174(6):1511–1518

    PubMed  CAS  Google Scholar 

  • Hall FM (2000) Language of the radiology report: primer for residents and wayward radiologists. AJR Am J Roentgenol 175:1239–1242

    PubMed  CAS  Google Scholar 

  • Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL, Remy J (2008) Fleischner society: glossary of terms for thoracic radiology. Radiology 246(3):697–722

    Article  PubMed  Google Scholar 

  • Johnson AJ, Ying J, Swan JS, Williams LS, Applegate KE, Littenberg B (2004) Improving the quality of radiology reporting: a physician survey to defi ne the target. J Am Coll Radiol 1(7): 497–505

    Article  PubMed  Google Scholar 

  • Naik SS, Hanbidge A, Wilson SR (2001) Radiology reports: examining radiologist and clinician preferences regarding style and content. AJR Am J Roentgenol 176(3):591–598

    PubMed  CAS  Google Scholar 

  • Steele JL, Nyce JM, Williamson KB, Gunderman RB (2002) Learning to report. Acad Radiol 9:817–820

    Article  PubMed  Google Scholar 

  • Stolberg HO (2002) Radiology reporting handbook. Can Assoc Radiol J 53(2):63–72

    PubMed  Google Scholar 

  • Reiner BI, Knight N, Siegel EL (2007) Radiology reporting, past, present and future: the radiologist’s perspective. J Am Coll Radiol 4(5):313–319

    Article  PubMed  Google Scholar 

  • Ridley LJ (2002) Guide to the radiology report. Australas Radiol 46(4):366–369

    Article  PubMed  Google Scholar 

The Missed Diagnosis

  • Berbaum KS (1995) Diffi culty judging retrospectively whether a diagnosis has been “missed”. Radiology 194(2):582–583

    PubMed  CAS  Google Scholar 

  • Berlin L (1994) Reporting the “missed” radiologic diagnosis: medicolegal and ethical considerations. Radiology 192(1):183–187

    PubMed  CAS  Google Scholar 

  • Berlin L (2000) Hindsight bias. AJR Am J Roentgenol 175(3):597–601

    PubMed  CAS  Google Scholar 

  • Berlin L (2001) Defending the “missed” radiographic diagnosis. AJR Am J Roentgenol 176: 317–322

    PubMed  CAS  Google Scholar 

  • Berlin L (2007) Radiologic errors and malpractice: a blurry distinction. AJR Am J Roentgenol 189(3):517–522

    Article  PubMed  Google Scholar 

  • Hall FM (2001) Defending the “missed” radiographic diagnosis (letter to editor). AJR Am J Roentgenol 177(2):471–473

    PubMed  CAS  Google Scholar 

  • Hébert PC, Levin AV, Robertson G (2001) Bioethics for clinicians: 23 Disclosure of medical error. CMAJ 164(4):509–513

    PubMed  Google Scholar 

Communication

  • Baerlocher MO (2009) The overnight smackdown: avoiding on-call arguments. CMAJ 180(2):252

    PubMed  Google Scholar 

  • Goske MJ, Reid JR, Yaldoo-Poltorak D, Hewson M (2005) RADPED: an approach to teaching communication skills to radiology residents. Pediatr Radiol 35(4):381–386

    Article  PubMed  Google Scholar 

  • Gunderman RB (2001) Patient communication: what to teach radiology residents. AJR Am J Roentgenol 177(1):41–43

    PubMed  CAS  Google Scholar 

Informed Consent

  • Berlin L (1997) Informed consent. AJR Am J Roentgenol 169:15–18

    PubMed  CAS  Google Scholar 

  • Etchells E, Sharpe G, Walsh P, Williams JR, Singer PA (1996) Bioethics for clinicians: 1. Consent.CMAJ 155(2):177–180

    PubMed  CAS  Google Scholar 

  • Reuter STR (1987) An overview of informed consent for radiologists. AJR Am J Roentgenol 148:219–277

    PubMed  CAS  Google Scholar 

  • Schachter D, Kleinman I, Harvey W (2005) Informed consent and adolescents. Can J Psychiatry 50(9):534–540

    PubMed  Google Scholar 

Collaborator Conflict Resolution

  • Antai-Otong D (1997) Team building in a health care setting. Am J Nurs 97(7):48–51

    CAS  Google Scholar 

  • Harolds J, Wood BP (2006) Conflict management and resolution. J Am Coll Radiol 3(3):200–206

    Article  PubMed  Google Scholar 

  • Jordan PJ, Troth AC (2004) Managing emotions during team problem solving. Hum Perform 17(2):195–218

    Article  Google Scholar 

  • Mayer BS (2000) The nature of conflict. In: The dynamics of conflict resolution: a practitioner's guide. Jossey-Bass, San Francisco

    Google Scholar 

  • Marco CA, Smith CA (2002) Conflict resolution in emergency medicine. Ann Emerg Med 40(3):347–349

    Article  PubMed  Google Scholar 

  • O’Mara K (1999) Communication and conflict resolution in emergency medicine. Emerg Med Clin North Am 17(2):451–459

    Article  PubMed  Google Scholar 

Manager Physician Well-Being: Stress in the Workplace

  • Cohen JS, Patten S (2005) Well-being in residency training: a survey examining resident satisfaction both within and outside of residency training and mental health in Alberta. BMC Med Educ 5:21

    Article  PubMed  Google Scholar 

  • Firth-Cozens J (2003) Doctors, their wellbeing, and their stress. BMJ 326(7391):670–671

    Article  Google Scholar 

  • Kaufmann M (2006) The BASICS: Part I – “B” is for body. Ont Med Rev 73(9):91–96

    Google Scholar 

  • Kaufman M (2007) The BASICS: Part II – “A” is for affect. Ont Med Rev 74(1):45–48

    Google Scholar 

  • Kaufman M (2007) The BASICS: Part III. “S” is for social. Ont Med Rev 74(3):54

    Google Scholar 

  • Kaufman M (2007) The BASICS: Part IV – “I” is for intellect. Applying the powers of intellect to relieve stress and improve work-life balance. Ont Med Rev 74(5):54–56

    Google Scholar 

  • Kaufman M (2007) The BASICS: Part V – “C” is for community. Forging healthy, “genuine” communities among physicians. Ont Med Rev 74(7):55–57

    Google Scholar 

  • Kaufman M (2008) The BASICS: Part VI – “S” is for spirituality. Ont Med Rev 75(10):40–43

    Google Scholar 

  • Levey RE (2001) Sources of stress for residents and recommendations for programs to assist them. Acad Med 76(2):142–150

    Article  PubMed  CAS  Google Scholar 

  • Shanafelt TD, Sloan JA, Habermann TM (2003) The well-being of physicians. Am J Med 114(6):513–519

    Article  PubMed  Google Scholar 

Career Planning and Job Searching

  • Collins J (1999) Noninterpretive skills for radiology residents: job search and contract issues. AJR Am J Roentgenol 173(6):1453–1457

    PubMed  CAS  Google Scholar 

  • Gunderman RB (2001) Today’s radiology resident and tomorrow’s academic radiologist. AJR Am J Roentgenol 177:1277–1280

    PubMed  CAS  Google Scholar 

  • Logan PM, Fraser DB (1998) Constructing a curriculum vitae: the radiologist’s resume. AJR Am J Roentgenol 171(4):923–925

    PubMed  CAS  Google Scholar 

  • Slone RM, Tart RP, Montgomery WJ (1993) Job search techniques for radiology residents. Invest Radiol 28(8):779–785

    Article  Google Scholar 

  • Wolfman DJ (2008) The path from residency to reality. In Pract 2(2):8–9

    Google Scholar 

Health Advocate

  • Morris BAP, Butler-Jones D (1991) Community advocacy and the MD: physicians should stand up and stand out. Can Med Assoc J 144(10):1316–1317

    CAS  Google Scholar 

Screening for Disease

  • Black WC (2000) Overdiagnosis: an underrecognized cause of confusion and harm in cancer screening. J Natl Cancer Inst 92(16):1280–1282

    Article  PubMed  CAS  Google Scholar 

  • Black WC, Welch HG (1997) Screening for disease. AJR Am J Roentgenol 168(1):3–11

    PubMed  CAS  Google Scholar 

  • Friedenberg RM (2002) The 21st century: the age of screening. Radiology 223(1):1–4

    Article  PubMed  Google Scholar 

  • Grimes DA, Schulz KF (2002) Uses and abuses of screening tests. Lancet 359(9309):881–884

    Article  PubMed  Google Scholar 

  • Hillman BJ, Black WC, D’orsi C, Hauser JB, Smith R (2004) The appropriateness of employing imaging screening technologies: report of the methods committee of the ACR task force on screening technologies. J Am Coll Radiol 1(11):861–864

    Article  PubMed  Google Scholar 

  • Kopans DB, Monsees B, Smith R, Feig S (2002) Ten criteria for effective screening (letter). AJR Am J Roentgenol 178(2):508–509

    PubMed  Google Scholar 

  • Mant D, Fowler G (1990) Mass screening: theory and ethics. Br Med J 300(6729):916–918

    Article  CAS  Google Scholar 

Self-Referral and Whole-Body CT Screening

  • Berland LL, Berland NW (2003) Whole-body computed tomography screening. Semin Roentgenol 38(1):65–79

    Article  PubMed  Google Scholar 

  • Berlin L (2003) Potential ramifi cations of whole-body CT screening: taking a peek into pandora’s box. AJR Am J Roentgenol 180(2):317–322

    PubMed  Google Scholar 

  • Illes J, Fan E, Koenig BA et al (2003) Self-referred whole-body CT imaging: current implications for health care consumers. Radiology 228(2):346–351

    Article  PubMed  Google Scholar 

  • Illes J, Kann D, Karetsky K, Letourneau P, Raffi n TA, Schraedley-Desmond P, Koenig BA, Atlas SW (2004) Advertising, patient decision making and self-referral for computed tomographic and magnetic resonance imaging. Arch Intern Med 164(22):2415–2419

    Article  PubMed  Google Scholar 

  • Lee TH, Brennan TA (2002) Direct-to-consumer marketing of high-technology screening test. N Engl J Med 346(7):529–531

    Article  PubMed  Google Scholar 

  • Stolberg HO (2003) Yuppie scans from head to toe: unethical entrepreneurism. Can Assoc Radiol. J 54(1):10–13

    PubMed  Google Scholar 

Unnecessary Testing and Radiation Safety

  • Amis ES, Butler PF, Applegate KE, Birbaum SB, Brateman SB, Hevezi JM, Mettler FA, Morin RL, Pentecost MJ, Smith GG, Strauss KJ, Zeman RK (2007) American college of radiology white paper on radiation dose in medicine. J Am Coll Radiol 4(5):272–284

    Article  PubMed  Google Scholar 

  • Cascade PN (2004) Unnecessary imaging and radiation risk. J Am Coll Radiol 1(10):709–711

    Article  PubMed  Google Scholar 

  • Cascade PN, Webster EW, Kazerooni EA (1998) Ineffective use of radiology: the hidden cost. AJR Am J Roentgenol 170:561–564

    PubMed  CAS  Google Scholar 

  • Dunnick NR, Applegate KE, Areson RL (2005) The inappropriate use of imaging studies: a report of the 2004 intersociety conference. J Am Coll Radiol 2:401–406

    Article  PubMed  Google Scholar 

  • Malone JF (2008) New ethical issues for radiation protection in diagnostic radiology. Radiat Prot Dosimetry 129(1–3):6–12

    Article  PubMed  CAS  Google Scholar 

  • Swensen SJ, Johnson CD (2005) Radiologic quality and safety: mapping value into radiology. J Am Coll Radiol 2:992–1000

    Article  PubMed  Google Scholar 

Scholar Resident Teaching and Eff ective Presentations

  • Collins J (2006) Keys to educator effectiveness in radiology. Acad Radiol 13:641–643

    Article  PubMed  Google Scholar 

  • Collins J (2004) Education techniques for lifelong learning. Making a powerpoint presentation. Radiographics 24:1177–1183

    Article  Google Scholar 

  • Collins J (2001) Education techniques for lifelong learning. Giving a powerpoint presentation: the art of communicating effectively. Radiographics 24:1177–1183

    Article  Google Scholar 

  • Daffner RH (2003) On improvement of scientifi c presentations: using powerpoint. AJR Am J Roentgenol 181:47–49

    PubMed  Google Scholar 

  • Daffner RH (2000) On improvement of scientifi c presentations. AJR Am J Roentgenol 174: 1229–1231

    PubMed  CAS  Google Scholar 

  • Logan PM (2001) Preparing and presenting a scientifi c paper. Can Assoc Radiol J 52(6):361–365

    PubMed  CAS  Google Scholar 

  • Logan PM (2004) Preparing an educational exhibit. J Am Coll Radiol 55:82–86

    Google Scholar 

  • Murray M (2008) Radiologists as teachers: the value of engaging in conversation. Clin Radiol 63(2):207–209

    Article  PubMed  CAS  Google Scholar 

  • Roberts CC, Chew FS (2003) Teaching radiology residents, and radiology residents as teachers. Acad Radiol 10(Suppl 1):S97–S101

    Article  PubMed  Google Scholar 

  • Shinn LJ (2001) Strategies for effective presentations. J Radiol Nurs 2316–2318

    Google Scholar 

  • Shepherd M (2006) How to give an effective presentation using powerpoint. Eur Diab Nurs 3(3):154–158

    Article  Google Scholar 

  • Williamson KB, Kang YP, Steele JL, Gunderman RB (2002) The art of asking: teaching through questioning. Acad Radiol 9(12):1419–1422

    Article  PubMed  Google Scholar 

Professional Professionalism and Role Models

  • Borgstede JP (2005) Professionalism. J Am Coll Radiol 2:873–874

    Article  PubMed  Google Scholar 

  • Donnelly LF, Strife JL (2006) Establishing a program to promote professionalism and effective communication in radiology. Radiology 238:773–779

    Article  PubMed  Google Scholar 

  • Duff P (2002) Professionalism in medicine: an A-Z primer. Obstet Gynecol 99:1127–1128

    Article  PubMed  Google Scholar 

  • Duff P (2004) Teaching and assessing professionalism in medicine. Obstet Gynecol 104:1362–1366

    Article  PubMed  Google Scholar 

  • Francis IS (2008) Finding and maintaining professionalism in radiology. Clin Radiol 63:15–17

    Article  PubMed  CAS  Google Scholar 

  • Gunderman RB (2001) Patient communication: what to teach radiology residents. Am J Roentgenol 177:41–43

    CAS  Google Scholar 

  • Gunderman RB (2002) Role models in the education of radiologists. Am J Roentgenol 179:327–329

    Google Scholar 

  • Lee AG, Beaver HA, Boldt HC, Olson R, Oetting TA, Abramoff M, Carter K (2007) Teaching and assessing professionalism in opthalmology residency training programs. Surv Opthalmol 52: 300–314

    Article  Google Scholar 

  • Wood J, Collins J, Burnside ES, Albanese MA, Propeck PA, Kelcz F, Spilde JM, Schmaltz LM (2004) Patient, faculty, and self-assessment of radiology resident performance: a 360-degree method of measuring professionalism and interpersonal/communication skills. Acad Radiol 11:931–939

    PubMed  Google Scholar 

Patient Confidentiality

  • Bovi A (2003) Council on ethical and judicial affairs of the American Medical Association. Ethical guidelines for use of electronic mail between patients and physicians. Am J Bioeth 3:W-IF2

    Google Scholar 

  • Dodek D Y, Dodek A (1997) From Hippocrates to facsimile: protecting patient confidentiality is more diffi cult and more important than ever before. Can Med Assoc J 156:847–852

    CAS  Google Scholar 

  • Heilman RS (1994) Patient confidentiality: radiologists can do better. Radiographics 14:254

    PubMed  CAS  Google Scholar 

  • Stanberry B (2006) Legal and ethical aspects of telemedicine. J Telemed Telecare 12:166–175

    Article  PubMed  Google Scholar 

  • Sharfstein D, Cupta A (1995) Confidentiality of radiologic images. Radiology195: 873

    PubMed  CAS  Google Scholar 

  • Ubel PA, Zell MM, Miller DJ, Fischer GS, Peters-Stefani D, Arnold RM (1995) Elevator talk: observational study of inappropriate comments in a public space. Am J Med 99:190–194

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karen Finlay .

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Finlay, K., Probyn, L. (2010). Applying CanMEDS to Academic Afternoons. In: The Practice of Radiology Education. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03234-9_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-03234-9_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-03147-2

  • Online ISBN: 978-3-642-03234-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics