The Red Book - The College of Family Physicians Canada

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General objective 8(Principle #4 – Resource to a Defined Patient Population)The resident will be able to demonstrate the ability to incorporate accepted standards ofpalliative care into their practices.Specific objectivesThe resident will be able to:8.1 Become a role model by demonstrating skillful care of the dying8.2 Develop a proactive approach to managing patient and family expectations and needs8.3 Assist institutional and community palliative care programs in developing standards ofcare consistent with accepted standardsGeneral objective 9(Principle # 4 – Resource to a Defined Patient Population)The resident will be able to incorporate evidence-based decision making in caring for dyingpatients and their families.Specific objectivesThe resident will be able to:9.1 Access the relevant literature in helping to solve clinical problems9.2 Apply critical appraisal skills to literature in palliative medicineGeneral objective 10(Principle #1 – The Doctor-Patient Relationship)The resident will be able to discuss the ethical issues confronting dying patients, their familie,sand their physicians, including end-of-life decision making, advance directives, care planning,competency, euthanasia, and assisted suicide.Specific objectivesThe resident will be able to:10.1 Outline a general framework for ethical decision making10.2 Describe an approach to managing the particular ethical issues at the end-of-life includingwithdrawing or withholding therapy, advance directives, euthanasia, and assisted suicide10.3 Demonstrate integrity, honesty, and compassion in the care of patients59
10.4 Act as an effective advocate for the rights of the patient and family in clinical situationsinvolving serious ethical considerationsContent and Organization of the ProgramThere must be an organized program of rotations and other educational experiences, bothmandatory and elective, designed to provide each resident with the opportunity to fulfill theeducational requirements and achieve competence in the program.Residents must be provided with increasing individual responsibility, under appropriatesupervision, according to their level of training, ability, and experience.The following are the minimum educational requirements in palliative medicine.Additional experience could be required by the program director.1. Prerequisitea) Completion of the educational requirements for certification by the CFPCORb) Completion of the educational requirements for certification by the RCPSC2. Program requirements: one year of palliative medicine. This program must include thefollowing:a) A core component of at least nine months in supervised clinical experience in palliativecareb) Oncology educational experience, unless previously donec) A blend of institutional and community experienced) Opportunity for continuity of experience across home and institutional care throughoutthe programe) Interdisciplinary care and teachingf) Three months of electives designed to complement core experience, taking into accountprevious experience and the learning needs of the residentg) A scholarly project3. For satisfactory completion of the CFPC/RCPSC requirements in palliative medicine, aresident must:a) Have successfully completed a one-year program in palliative medicine accredited bythe CFPC and the RCPSC in which the resident has been enrolled for the full year60
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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 56 and 57: 1. Goals of the programThe overall
Page 58 and 59: Specific objectivesThe resident wil
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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