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FAMILY MEDICINE CLERKSHIP RETREAT 2014 RETRAITE DE L’EXTERNAT EN MÉDECINE FAMILIALE 2014 Dr Kay-Anne Haykal, Undergraduate director Dr Hélène O’Connor,

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  • FAMILY MEDICINE CLERKSHIP RETREAT 2014

    RETRAITE DE LEXTERNAT EN MDECINE FAMILIALE 2014Dr Kay-Anne Haykal, Undergraduate directorDr Hlne OConnor, directrice stage de mdecine familialeDr Eoghan OShea, family medicine clerkship director

  • No conflict of interest

  • AGENDAINTRODUCTIONIntroductionCLERKSHIP EVALUATION : a must?Lvaluation lexternat: est-ce ncessaire?PROFESSIONALISM CONCERN FORMFormulaire de signalement de manque de professionalisme13 ENTRUSTABLE PROFESSIONAL ACTIVITIESQUESTIONS ABOUT CLERKSHIPQuestions au sujet de lexternat

  • INTRODUCTIONWho you are?Qui vous tes?What do you do for UG?Que faites-vous au pr-gradu?If you were a vegetable, what vegetable would you be? And Why?Quel lgume seriez-vous et pourquoi?

  • CLERKSHIP EVALUATION: a MUST???Lvaluation lexternat: est-ce ncessaire?Supervisor and/or most responsible physician must provide supervision. This includes:evaluating the medical student's level of expertise ensuring that the medical student has the appropriate knowledge, skills and judgment

  • Evaluation of medical student through:direct observationIndirect observation

    Frequency of evaluations:ongoing evaluation to determine clinical competence and educational requirementmeeting regularly for assessment, management and documentation of patient care.

  • What to evaluate :appropriate knowledgeskills judgment Ability to perform the delegated act such that the patient is not put in jeopardyreviewing and countersigning documentation countersigning all orders concerning investigation or treatment of a patient, written under the supervision or direction of a physician.

  • Mid-rotation evaluationRotation mi-stageEnd of week 2 (student has 5 weeks with preceptor)Direct feedback to studentEvaluation on one45

  • ConcernsIf you are having any concerns about a students performance:clearly document your concerns on that evaluationdont wait for the final evaluation If you give 2 (inconsistently meets expectations), give details in the section Areas of Need of Attention.If you give 1 (rarely meets expectations), a remediation plan is needed and this should be discussed with rotation director immediately.

  • FINAL EVALUATION of rotationvaluation finale du stageEnsure your name and your student name is on evaluationFill with student during last week (last 2 days)EvaluateClinical expertiseCommunicationscholar/scientistProfessionalismProcedures/skills

  • Document procedures

  • Any score of 2 or 1, should be addressed clearly here

  • VERY IMPORTANT TO WRITE OVERALL COMMENTS HERE. THEY MUST BE POSITIVEREFLECT THE CPFC COMPETENCIESARE USED ON STUDENTS MSPR/DEANS LETTER3 TO 5 COMMENTS

    OUTSTANDING PERFORMACE IS AWARDED FOR 1 STUDENT ANNUALY. NOMINATE EXPECTIONNAL STUDENTS AND PLEASE DOCUMENT WHY!!!

  • EVALUATION OF CLINICAL PRECEPTOR BY STUDENT

  • PROFESSIONALISMCONCERN FORM

    Formulaire de signalement de manque de professionalisme

  • PROFESSIONALISM CONCERN FORMThe purpose of this form is to initiate a meeting between a medical student and the Associate Dean, Undergraduate Medical Education.

    for faculty members as well as students

  • When to use it?A medical student of the University of Ottawa Faculty of Medicine is expected to live by the tenets of the Declaration of Professionalism and demonstrate in her/his behaviors as a medical student Honesty and IntegrityAltruism and RespectResponsibility and AccountabilityCompassion and EmpathyDedication and Self-Improvement

    In my opinion, the student named above has demonstrated behaviors(s) that fall below the expected standards of professionalism of our Faculty of Medicine, as indicated during the event described below:

  • What to write?

  • INCIDENT REPORT

  • Preceptors manualManuel du prcepteurhttp://www.familymedicine.uottawa.ca/eng/ug_Pre-Clerkship-3-year.html

  • Orientation videoOnline Orientation for the 3rd year clerkship both in English and FrenchAnglophone version : http://www.familymedicine.uottawa.ca/eng/ug_Pre-Clerkship-3-year.html or http://www.youtube.com/watch?v=6i7Im1-zZjA#t=12Francophone version : http://www.youtube.com/watch?v=qXX4tAxq8qcThis will be distributed at the beginning of clerkship to medical students in order to give them an overview of their rotation and help them to enrich their experience in family medicine.

  • Thank you!Questions about the evaluations?

  • 13 ENTRUSTABLE PROFESSIONAL ACTIVITIESDr Eoghan OShea

  • Questions about clerkshipQuestions au sujet de lexternatDr Kay-Anne HaykalDr Hlne OConnorDr Eoghan OShea

    When a medical student becomes a member of a health care team or is in a rotation where he or she is expected to participate in the delivery of health care, the supervisor and/or most responsible physician must provide appropriate supervision. This includes:evaluating the medical student's level of expertise through direct observation, and ensuring ongoing evaluation to determine the medical student's clinical competence and educational requirements; ensuring that the medical student to whom they are delegating has the appropriate knowledge, skills and judgment to perform the delegated act such that the patient is not put in jeopardy3; meeting regularly with the medical student to discuss his or her assessment, management and documentation of patient care. providing direct or remote supervision to medical students while they engage in clinical activities. According to the RHPA and guided by the principles of graded responsibility, students may carry out controlled acts, under direct or remote supervision, depending on their level of competence. In cases of remote supervision, these acts should be restricted to previously agreed-upon arrangements with the most responsible physician. reviewing and countersigning documentation by a medical student of a patient's history, physical examination, and diagnosis, within a fixed time period, as well as progress notes. countersigning all orders concerning investigation or treatment of a patient, written under the supervision or direction of a physician. Prescriptions, telephone or other transmitted orders of a physician may be transcribed by the medical student, but must be countersigned at a later date. Educational institutions are expected to ensure that medical students engaged in clinical activities are covered by liability insurance carried by the hospital, the university, or the student.

    * The area under Preceptors Overall Evaluation and Comments should be reserved for positive comments about the student in the general categories of knowledge, skills, and behaviours. These comments are used for the students Deans letters and are very important in their search for a residency position. Please include as much as you can in this section.

    **