The Red Book - The College of Family Physicians Canada

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1. Goals of the programThe overall goals of the program:a) To train physicians with added competency in the area of palliative medicine who willprovide primary and consultant palliative care servicesANDb) To provide clinical and initial basic academic training for physicians who will be goingon to academic careers in palliative medicine.2. Educational objectives of the programSuccessful residents will acquire a broad-based understanding of the principles; philosophy; andcore knowledge, skills, and attitudes of palliative medicine.(Note: Since the Colleges use different formats for objectives, each general objective thatfollows has the approved Royal College format and has been linked to one of the CFPC’s fourprinciples of family medicine as indicated.)General objective 1(Principle #1 – The Doctor-Patient Relationship)The resident will be able to describe medical and societal attitudes towards death and dying.Specific objectivesThe resident will be able to:1.1 Describe current societal attitudes about death and dying1.2 Identify issues in death and dying relevant to different cultures, spiritual beliefs, andtraditions1.3 Describe current barriers in providing better care for the dying1.4 Define palliative care and describe its basic principlesGeneral objective 2(Principle #1 – The Doctor-Patient Relationship)The resident will be able to demonstrate a whole person (person-centred) approach to caring fordying patients and their families.55
Specific objectivesThe resident will be able to:2.1 Describe the physical, psychological, social, and spiritual issues of dying patients and theirfamilies2.2 Demonstrate an ability to work with the patient and family to establish common, patientcentredgoals of care2.3 Demonstrate effective communications skills in dealing with terminally ill patients andtheir families, including skills in delivering bad news2.4 Demonstrate a systematic approach to working with the families of dying patients,including bereavement counseling2.5 Demonstrate an ongoing commitment to a patient and family from the time of palliativemedicine consultation for a terminal illness until a patient dies, and commitment to thefamily after a patient diesGeneral objective 3(Principle #1 – The Doctor-Patient Relationship)The resident will demonstrate awareness of his or her personal issues and concerns in the area ofdeath and dying.Specific objectivesThe resident will be able to:3.1 Describe his or her own concerns about dealing with dying patients and their families3.2 Demonstrate an awareness of how his or her own personal experiences of death and dyinghave influenced attitudes3.3 Describe strategies for managing his or her own stress in dealing with the dyingGeneral objective 4(Principle #2 – Effective Clinician)The resident will be able to demonstrate effective knowledge, skills, and attitudes in dealing withthe complex interplay of the physical, psychological, social, and spiritual needs of dying patientsand their families.56
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Table of ContentsOverview of the Ac
Page 7 and 8: INTRODUCTION TO THE RED BOOK: FAMIL
Page 9 and 10: ) Designing and implementing learni
Page 11 and 12: The responsibilities of this indivi
Page 13 and 14: STANDARD B.3: THE LEARNING ENVIRONM
Page 15 and 16: 3. There must be ready access to a
Page 17 and 18: Scholarly Activity7. A satisfactory
Page 19 and 20: services, community services or sem
Page 21 and 22: common procedures during labour and
Page 23 and 24: Residents must be given opportuniti
Page 25 and 26: 5. Assessment processes are more ef
Page 27: ENHANCED SKILLS: SPECIFIC STANDARDS
Page 30: FAMILY MEDICINE/EMERGENCY MEDICINE:
Page 34 and 35: 2. Opportunities for the resident t
Page 36 and 37: 4. Experience during the third year
Page 38 and 39: 3. Creating an awareness of the ser
Page 40 and 41: ResourcesClinical teaching resource
Page 42 and 43: The family physician is a skilled c
Page 44 and 45: • An identifiable formal teaching
Page 46 and 47: The program must ensure adequate ex
Page 48 and 49: Enabling objectives:• Demonstrate
Page 50 and 51: CLINICIAN SCHOLAR PROGRAM: STANDARD
Page 52 and 53: 4. The training environment should
Page 54 and 55: 2000 roles of medical expert, commu
Page 58 and 59: Specific objectivesThe resident wil
Page 60 and 61: General objective 8(Principle #4 -
Page 62 and 63: ) Have completed a mandatory schola
Page 64 and 65: There should be an evaluation proce
Page 66 and 67: Definition:• Specific issue(s) ar
Page 68 and 69: GUIDELINES FOR AN APPEAL OF AN ACCR
Page 70 and 71: CFPC Board shall designate one of t
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The Red Book - The College of Family Physicians Canada

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