Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework

In 1996, the Royal College of Physicians & Surgeons of Canada (RCPSC) adopted the CanMEDS framework with seven key roles: medical expert, communicator, collaborator, health advocate, manager, professional, and scholar. For many years, CanMEDS has been recognized around the world for defining wh...

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Autores principales: Jeffery Damon Dagnone, Susan Glover Takahashi, Cynthia Whitehead, Salvatore Spadafora
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Lenguaje:EN
Publicado: Canadian Medical Education Journal 2020
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Acceso en línea:https://doaj.org/article/208086391020443f918bde6d1a08e50a
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spelling oai:doaj.org-article:208086391020443f918bde6d1a08e50a2021-12-01T22:41:16ZReclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework10.36834/cmej.691821923-1202https://doaj.org/article/208086391020443f918bde6d1a08e50a2020-04-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/69182https://doaj.org/toc/1923-1202 In 1996, the Royal College of Physicians & Surgeons of Canada (RCPSC) adopted the CanMEDS framework with seven key roles: medical expert, communicator, collaborator, health advocate, manager, professional, and scholar. For many years, CanMEDS has been recognized around the world for defining what patients need from their physicians. From the start, the RCPSC acknowledged that these roles should  evolve over time to continue to meet patient and societal needs (updates in 2005 & 2015).  We propose that  an 8th role is now needed in the framework: “Doctor as Person”. Interestingly, this role was present in the foundational work through the Educating Future Physicians for Ontario (EFPO) project that the RCPSC drew upon in creating CanMEDS more than 20 years ago. Given today’s challenges of providing care in an increasingly stressed Canadian healthcare system, physicians are struggling more than ever with health and wellness, burnout, and the deterioration of the clinical environment. From the patient perspective, there is growing concern that physician-patient interactions are becoming increasingly impersonal and decreasingly patient-centered. The crack emerging in the foundation of physician identity needs to be remedied. We need to pay close attention to how we define ourselves as physicians, by better identifying the competencies required to navigate the personal and professional challenges we face. Only in so doing can we ward off the threat that exists in losing authentic human to human care interactions. Formalizing Doctor as Person as an 8th role in the CanMEDS framework will help patients and physicians create the space to have essential conversations about the humanity of medical care.  Jeffery Damon DagnoneSusan Glover Takahashi Cynthia WhiteheadSalvatore SpadaforaCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 4 (2020)
institution DOAJ
collection DOAJ
language EN
topic Education (General)
L7-991
Medicine (General)
R5-920
spellingShingle Education (General)
L7-991
Medicine (General)
R5-920
Jeffery Damon Dagnone
Susan Glover Takahashi
Cynthia Whitehead
Salvatore Spadafora
Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework
description In 1996, the Royal College of Physicians & Surgeons of Canada (RCPSC) adopted the CanMEDS framework with seven key roles: medical expert, communicator, collaborator, health advocate, manager, professional, and scholar. For many years, CanMEDS has been recognized around the world for defining what patients need from their physicians. From the start, the RCPSC acknowledged that these roles should  evolve over time to continue to meet patient and societal needs (updates in 2005 & 2015).  We propose that  an 8th role is now needed in the framework: “Doctor as Person”. Interestingly, this role was present in the foundational work through the Educating Future Physicians for Ontario (EFPO) project that the RCPSC drew upon in creating CanMEDS more than 20 years ago. Given today’s challenges of providing care in an increasingly stressed Canadian healthcare system, physicians are struggling more than ever with health and wellness, burnout, and the deterioration of the clinical environment. From the patient perspective, there is growing concern that physician-patient interactions are becoming increasingly impersonal and decreasingly patient-centered. The crack emerging in the foundation of physician identity needs to be remedied. We need to pay close attention to how we define ourselves as physicians, by better identifying the competencies required to navigate the personal and professional challenges we face. Only in so doing can we ward off the threat that exists in losing authentic human to human care interactions. Formalizing Doctor as Person as an 8th role in the CanMEDS framework will help patients and physicians create the space to have essential conversations about the humanity of medical care. 
format article
author Jeffery Damon Dagnone
Susan Glover Takahashi
Cynthia Whitehead
Salvatore Spadafora
author_facet Jeffery Damon Dagnone
Susan Glover Takahashi
Cynthia Whitehead
Salvatore Spadafora
author_sort Jeffery Damon Dagnone
title Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework
title_short Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework
title_full Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework
title_fullStr Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework
title_full_unstemmed Reclaiming physician identity: It’s time to integrate ‘Doctor as Person’ into the CanMEDS framework
title_sort reclaiming physician identity: it’s time to integrate ‘doctor as person’ into the canmeds framework
publisher Canadian Medical Education Journal
publishDate 2020
url https://doaj.org/article/208086391020443f918bde6d1a08e50a
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