1. Medical Expert/Clinical Decision Maker Observers/Interns possess a defined body of knowledge and procedural skills which are used to collect and interpret data, and will observe how to make appropriate clinical decisions and carry out diagnostic and therapeutic procedures within the boundaries of their discipline and expertise. 1.1 Knowledge of normal body structure and function as expressed in a biopsychosocial model of human development. The observer/intern will understand the normal human anatomy, physiology and psychology with emphasis on physiological and psychological changes during growth and development. 1.2 Interviewing and Communication Skills. The observer/intern will observe how to establish a professional relationship and interact with the patient (infant, child or adolescent) and parent, guardian or other care giver in order to obtain a history, to conduct a physical examination and to provide ongoing care. The pediatric observer/intern will establish an atmosphere of open communication appropriate to the situation and will convey interest, sensitivity, empathy, and support. 1.3 History Taking Skills. The observer/intern will observe how to obtain and record a complete history including: · Identifying data and date of contact · Reasons the patient was brought for or sought medical help (chief complaint) · The important symptoms in sufficient detail to provide a clear picture of the clinical problem(s), history of present illness, all other important information from the past history, perinatal history, developmental history, medications, allergies, review of symptoms, family history, and social history. 1.4 Physical Examination Skills. The observer/intern will observe how to carry out an efficient, orderly physical examination, demonstrating sensitivity to the patient’s needs, modified according to the patient’s age, gender, and problem and record this information by regions or systems. 1.5 Problem Solving and Decision Making. The observer/intern will observe how to demonstrate the ability to correlated, evaluate, prioritize and synthesize information, including the relevant ethical issues, acquired by interview, history taking and physical examination. The observer/intern will observe how to recognize and define problems (formulation) and generate a differential diagnosis and problem list. The observer/intern will observe how to demonstrate the ability to manage problems.
2. Communicator To provide humane high quality care, observers/interns will observe how to establish an effective relationships with patients, physicians and other health care professionals. Communication skills are essential for the functioning of observers/interns and are necessary for obtaining information from, conveying information to patients and their families and establishing therapeutic relationships with patients and families. Furthermore, these abilities are critical in eliciting patients’ and/or families’ beliefs, concerns and expectations about their illness, and for assessing key factors impacting upon patients’ health.
3. Collaborator Observers/interns will observe how to work in partnership with others who are appropriately involved in the care of children and adolescents. It is therefore essential for observers/interns to be able to collaborate effectively with patients, their families and a multidisciplinary team of expert health professionals for provision of optimal patient care, education, and research.
4. Manager Observers/interns
W ill observe how to function as managers when they make every day practice decisions involving resources, so-workers, tasks, policies, and their personal lives. They do this in the setting of individual patient care, practice organizations and in the broader context of the health care system. Thus observers/interns will observe how to to prioritize and effectively execute tasks through teamwork with colleagues, and make systemic decisions when allocating finite health care resources. As managers, observers/interns will observe how to take on positions of leadership within the context of professional organizations and the dynamic Canadian heath care system.
5. Scholar Observers/interns engage
will observe how to in a lifelong pursuit of mastery of pediatrics. They recognize the need to be continually learning and model this for others. Through their scholarly activities they contribute to the appraisal, collection, and understanding of health care knowledge, and facilitate the education of their students/house staff, patients, and other health professionals.
6. Professional Observers/interns will observe how to have a unique societal role as professionals dedicated to improving the health and well-being of children and adolescents. Observers/interns will observe how to be committed to the highest standards of excellence in clinical care and ethical conduct and to continually perfect the mastery of their discipline. Observers/interns will observe how to be committed to delivering highest quality care with integrity, honesty and compassion.
