Table 4 Mean scores for each of the 44 tasks
From: Intern preparedness for the CanMEDS roles and the Dunning-Kruger effect: a survey
Interns | Supervisors | |||
|---|---|---|---|---|
Mean | SD | Mean | SD | |
1. ‘MEDICAL EXPERT’ ROLE | ||||
Carry out basic ward procedures | 4.70* | 0.72 | 4.08* | 0.86 |
Carry out a comprehensive physical examination | 4.26* | 0.86 | 3.92 | 0.76 |
Draw up a comprehensive assessment of patients | 4.07* | 0.73 | 3.69 | 0.95 |
Appropriate use of diagnostic procedures in adults | 3.89 | 0.70 | 3.56 | 0.88 |
Apply basic science knowledge to clinical conditions | 3.78 | 1.01 | 3.46 | 0.88 |
Appropriate use of diagnostic procedures in children | 3.78 | 0.85 | 3.38 | 0.92 |
Justify drug use based on mechanisms of action | 3.67 | 0.96 | 3.50 | 0.80 |
Carry out basic surgical procedures | 3.44 | 1.09 | 2.86† | 0.69 |
Manage a woman in labour | 3.22 | 1.01 | 2.25† | 0.50 |
Handle most clinical emergencies | 3.19 | 0.83 | 3.31 | 0.63 |
2. ‘COMMUNICATOR’ ROLE | ||||
Treat each patient as an individual | 4.12* | 0.86 | 3.69 | 0.75 |
Provide education to patients | 4.04* | 0.90 | 3.50 | 0.67 |
Record clinical data systematically | 3.93 | 1.07 | 4.00* | 0.71 |
Counsel a distressed patient | 3.67 | 0.73 | 3.31 | 0.63 |
Tell patients they have a terminal illness | 3.52 | 0.98 | 2.91† | 0.70 |
Manage ‘difficult’ (uncooperative) patients | 3.22 | 0.70 | 2.92† | 0.64 |
Deal with dying patients | 3.15 | 1.20 | 3.25 | 0.45 |
Deal with relatives in distressing situations | 3.15 | 0.82 | 3.00 | 0.85 |
3. ‘COLLABORATOR’ ROLE | ||||
Approach senior staff for help if uncertain | 4.41* | 0.84 | 4.00* | 0.71 |
Recognise own clinical limitations | 3.93 | 0.87 | 3.69 | 0.85 |
Coordinate patient management with allied professionals | 3.91 | 0.75 | 3.62 | 0.87 |
Appreciate group dynamics in a team environment | 3.85 | 0.95 | 3.46 | 0.88 |
Take responsibility for patients’ clinical care | 3.78 | 0.93 | 3.62 | 0.96 |
Sensitive to the needs of nursing staff | 3.63 | 1.04 | 3.46 | 0.52 |
4. ‘LEADER’ ROLE | ||||
Prioritise the day’s activities | 3.59 | 0.84 | 3.31 | 0.85 |
Serve in administration/leadership roles if needed | 3.48 | 1.09 | 2.82† | 0.98 |
Actions to enhance healthcare facility effectiveness | 3.38 | 0.94 | 3.62 | 0.51 |
Select drugs based cost, risks, benefits | 2.85† | 0.91 | 2.90† | 0.74 |
5. ‘HEALTH ADVOCATE’ ROLE | ||||
Appreciate the importance of patient culture/ ethnicity | 3.81 | 0.68 | 3.75 | 0.75 |
Understand the interaction of social factors with disease | 3.74 | 0.76 | 3.62 | 0.77 |
Evaluate the impact of family factors on illness | 3.63 | 0.79 | 3.33 | 0.65 |
Discuss preventive strategies with patients | 3.63 | 0.79 | 3.00 | 0.85 |
Able to respond to local community health care needs | 3.33 | 0.78 | 3.00 | 1.07 |
6. ‘SCHOLAR’ ROLE | ||||
Identify own learning needs | 4.26* | 0.86 | 3.62 | 0.77 |
Continually self-evaluate own performance | 4.00* | 0.73 | 3.08 | 1.00 |
Critically evaluate research related to practice | 3.44 | 0.80 | 3.00 | 0.82 |
Invest time in developing own skills | 3.41 | 1.08 | 3.67 | 0.65 |
7. ‘PROFESSIONAL’ ROLE | ||||
Maintain attitudes appropriate to professional practice | 4.15 | 0.95 | 3.62 | 1.04 |
Behave in a calm manner in difficult situations | 3.56 | 1.01 | 3.38 | 0.65 |
Deal with own emotions when a patient dies | 3.22 | 1.28 | 3.64 | 0.92 |
Able to approach ethical dilemmas | 2.92† | 0.80 | 3.00 | 0.63 |
Cope with stress caused by work | 2.78† | 1.01 | 3.08 | 0.90 |
Able to deal with medico-legal documentation | 2.59† | 1.19 | 2.91† | 1.04 |
Balance own work and personal life | 2.52† | 1.19 | 3.36 | 1.12 |
ALL ROLES AND TASKS | ||||
Average for all tasks | 3.60 | 1.02 | 3.41 | 0.85 |