LIBRO + ANEXOS ENDOCRINOLOGÍA PEDIÁTRICA

Endocrinología Pediátrica. Anexos ❚ 35 11 2.2 End Result of Training, Training outcomes and Competencies The end result of training is defined as being able to practice independently as a Tertiary Care specialist in Paediatric Endocrinology and Diabetes. Many countries have reformed their postgraduate medical education to improve quality and effectiveness. New pedagogic initiatives include defining the competency based outcomes of education and training, for example using the CanMEDS framework. CanMEDS framework The CanMEDS framework describes the 7 roles of a doctor, presents competencies for each of these roles and sets high educational standards which aim to enhance patient care. An additional role is that of a mentor. By the end of tertiary training, the specialist doctor will be able to display the following characteristics and competencies for each of these 8 roles in paediatric endocrinology and diabetes: 1. Medical expert • Integrate all CanMEDS roles and fulfil the obligations of a tertiary specialist to recognise and safely manage individual patient's and the population problems • Practise medicine within their defined scope of practice and experience • Apply biomedical, psychosocial as well as specialised knowledge, clinical skills and professional attitudes to inform their daily practice • Perform patient-centred clinical assessment and establish shared management plans • Apply skills of critical thinking and reasoning to gather, interpret and analyse findings from a variety of sources, including clinical data and research evidence • Plan and arrange diagnostic tests, procedures and treatments • Establish plans for ongoing care and, when appropriate, timely consultation • Provide comprehensive and high quality clinical care within the framework of a specialised Tertiary service in the emergency/inpatient/outpatient/community settings using up-to-date specialised diagnostic and therapeutic modalities. Care includes health promotion, disease prevention, emergency management and therapeutic practice. 2. Communicator: • Establish professional therapeutic relationships with patients and their families/carers before, during and after medical encounter • Elicit and synthesise accurate and relevant information, incorporating the perspectives of patients and their families/carers • Communicate with all concerned, effectively and in a timely manner using face-to- face interactions, written documentation and other modalities • Apply a humane, compassionate and person-centred approach in all interactions • Engage patients and their families/carers in developing plans that reflect the patient's health care needs and goals