MCC role objectives
- When appropriate, facilitate collaboration among families and patients, while maintaining patient wishes as the priority, ensuring confidentiality, and respecting patient autonomy (1.5)
- Identify the personal and cultural context of the patient, and the manner in which it may influence the patient’s choices (3.2)
- Provide information using clear language appropriate to the patient’s understanding, checking for understanding, and clarifying if necessary (3.3)
- Establish a common understanding and negotiate agreement concerning diagnosis, management, and follow-up (4.1)
- Identify the important determinants of health, the risk factors for illness, the interaction between the population and their physical, biological and social environments, and personal attributes, including:
- social status
- social support systems
- diet and exercise
- lifestyle issues
- Assess and respond to the specific determinants of health relevant to the individual, the community, and/or the population (1.1)
- Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations including persons with disabilities, the underserved, and the marginalized (2.0)
- Practice the profession with due regard for basic human rights (the right to privacy, freedom from discrimination, autonomy) (3.6)
- Be aware of the potential for unconscious bias influencing judgment (6.2.1)
- Use self-awareness in assessing competence, including reflection on personal practice (1.2)
- Accept complexity, uncertainty, and ambiguity as part of medical practice (2.5)
- Incorporates the patient’s experience and context into problem identification and management
- Seeks out and responds appropriately to feedback
Entrustable professional activities
- Assess, diagnose and manage patients with chronic diseases across multiple care settings (3)
- Recognize and implement appropriate disease-prevention and health-promotion (4)
- Lead and work within interprofessional health-care teams (8)
- Collaborate with patients, families and members of the interdisciplinary team (9)
- Functions effectively as an MRP and Internal Medicine consultant, integrating all of the CanMEDS roles to provide optimal, ethical, safe and patient-centered medical care (1)
- Establishes and maintains proficiency in clinical knowledge, skills and attitudes appropriate to Internal Medicine (2)
- Performs a complete and appropriate assessment of a patient, including a complete history, organized hypothesis-driven physical examination, and the ability to synthesize information to form an appropriate treatment plan and follow-up including: (3)
- a. Recognizes, effectively assess unstable patients and initiate appropriate resuscitation
- b. Assesses patients with one or more chronic conditions, develops a comprehensive plan of investigation and management
- Uses preventive and therapeutic interventions proficiently (4)
- Develops rapport, trust and ethical therapeutic relationships with patients and families (8)
- Develops a common understanding on issues, problems and plans with patients, families and other professionals to develop a shared plan of care (12)
- Facilitates the learning of patients, families and other health-care providers (18)
By the end of this module participants should be able to:
- Understand the historical reasons for the disagreements between Indigenous people and the Canadian government
- Have a strategy for communicating with Indigenous patients
- Know the theories proposed for the increased incidence of diabetes in Indigenous people throughout the world
- Understand the approaches to behaviour modification
- Understand the impact of socio-economic and cultural determinants of health on the individual patient
- How many Canadian First Nations are there?
- What interviewing strategies are helpful in communicating with Indigenous patients?
- What level of government is responsible for the health care of First Nations peoples?
- What percentage of First Nations people live in urban centres?
- What is the prevalence of type 2 diabetes in First Nations populations?
- Why are indigenous peoples throughout the world at increased risk of developing
type 2 diabetes?
- What is the “thrifty gene” hypothesis?
- Are you familiar with and do you know where you can find the current guidelines for defining:
- glucose impairment
- glucose intolerance
- What are the major barriers to adherence to a “healthy lifestyle”?
Please read the following section “A short history of Indigenous health 1600-2015” before you begin.