Medical Expert: The Resident Who Passed the Ultimate Test—The Integration of Roles During the Gynecological Examination

  • K. Marieke Paarlberg
  • Harry B. M. van de Wiel


The gynecologist (in training) and health care practitioners (HCPs), in this chapter referred to as examiners, who perform a gynecological examination need to integrate all CanMEDS competences to perform an effective examination. Effective here means an interaction between the HCP and patient, in which the woman feels acknowledged, respected, well treated, and well diagnosed. What the examination as a test for medical expertise illustrates is that each aspect of the CanMEDS model is a conditional fractal; every role is conditional for all the other roles. Communication has to be organized, organization has to be communicated. Everything is connected to everything and that makes it so hard to grasp in the beginning. The medical expert is able to integrate all roles as intrinsic roles. In this chapter, we therefore address the different CanMEDS competences that play a role during a gynecological examination.


Medical expert CanMEDS competences Metacompetences ObGyn professional Gynecological examination Biopsychosocial model Communication Technique Educational gynecological examination Intrinsic roles 



The editors gratefully acknowledge the assistance and contribution of Prof. W. C. M. Weijmar Schulz, Mrs. V. Faber, and Dr. R. van Lunsen to this chapter.

Portions of this chapter have been previously published and are reproduced by permission from: Weijmar Schultz WCM, Faber V. Een gynaecologische klacht. In: Heineman MJ, editor. Probleemgeoriënteerd denken in de obstetrie, gynaecologie en voortplantingsgeneeskunde. 2 ed. Utrecht, The Netherlands: De Tijdstroom; 2012: 47–54.


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • K. Marieke Paarlberg
    • 1
  • Harry B. M. van de Wiel
    • 2
  1. 1.Department of Obstetrics and GynecologyGelre Hospitals, Apeldoorn LocationApeldoornThe Netherlands
  2. 2.Wenckebach InstituteUniversity of Groningen, University Medical Centre GroningenGroningenThe Netherlands

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