"Entry to Residency" "Transition to Discipline" "Foundations of Discipline" "Core of Discipline" "Transition to Practice" "Advanced Expertise" "Leader" "1 Contribute to the improvement of health care delivery in teams, organizations, and systems" "1.1 Apply the science of quality improvement to contribute to improving systems of patient care" "Describe the relevance of system theories in health care Describe a patient’s longitudinal experience through the health care system Describe the domains of health care quality" "Describe quality improvement methodologies" "Compare and contrast the traditional methods of research design with those of improvement science Compare and contrast systems theory with traditional approaches to quality improvement Seek data to inform practice and engage in an iterative process of improvement" "Analyze and provide feedback on processes seen in one’s own practice, team, organization, or system Participate in a patient safety and/or quality improvement initiative" "Apply the science of quality improvement to contribute to improving systems of patient care" "Lead quality improvement initiatives Design processes to mitigate the impact of human and system factors on performance Apply the science of complexity to the improvement of health care Teach quality improvement science Engage physicians and other health care professionals to collaborate in improving systems of patient care" "1.2 Contribute to a culture that promotes patient safety" "Describe the features of a “just culture” approach to patient safety" "Actively encourage all involved in health care, regardless of their role, to report and respond to unsafe situations Engage patients and their families in the continuous improvement of patient safety Model a just culture to promote openness and increased reporting" "Contribute to a culture that promotes patient safety" "Promote a health care culture that enhances safety and quality Evaluate the culture of an institution or group with respect to patient safety and health quality Champion a just culture to enhance patient safety" "1.3 Analyze safety incidents to enhance systems of care" "Describe the elements of the health care system that facilitate or protect against patient safety incidents" "Describe the available supports for patients and health care professionals when patient safety incidents occur" "Analyze harmful patient safety incidents and near misses to enhance systems of care" "Implement systems-level improvements in processes for identification of and response to patient safety hazards and patient safety incidents" "1.4 Use health informatics to improve the quality of patient care and optimize patient safety" "Describe the data available from health information systems in their discipline to optimize patient care" "Map the flow of information in the care of their patients and suggest changes for quality improvement and patient safety Use data on measures of clinical performance during team discussions and to support team decision-making" "Use health informatics to improve the quality of patient care and optimize patient safety" "Participate in systems-based informatics development and improvement Engage others in the adoption and refinement of health information technology for quality improvement Compare service delivery data to accepted targets or goals" "2 Engage in the stewardship of health care resources" "2.1 Allocate health care resources for optimal patient care" "Describe the differences between cost, efficacy, and value with respect to health care delivery Describe the ethical issues related to resource stewardship in health care Analyze how practice-related decisions affect service utilization and health-system sustainability" "Describe the costs of common diagnostic and therapeutic interventions relevant to their discipline" "Describe models for resource stewardship in health care used at the institutional level Consider costs when choosing care options" "Use clinical judgment to minimize wasteful practices Develop practice-based and system-based rules for resource allocation" "Allocate health care resources for optimal patient care" "Assess performance of learners in providing high-value care Experiment with care delivery models that may improve care, value, or efficiency" "2.2 Apply evidence and management processes to achieve cost-appropriate care" "Discuss strategies to overcome the personal, patient, and organizational factors that lead to waste of health care resources Describe how evidence-informed medicine can be applied to optimize health care resource allocation" "Apply evidence and guidelines with respect to resource utilization in common clinical scenarios" "Determine cost discrepancies between best practice and their current practice Optimize practice patterns for cost-effectiveness and cost control" "Apply evidence and management processes to achieve cost-appropriate care" "Compare utilization data within and outside their institution to revise processes that are inefficient or unnecessary Engage health care administration and leadership to reduce waste Analyze a proposed practice innovation to determine its cost impact in the clinical microsystem" "3 Demonstrate leadership in professional practice" "3.1 Demonstrate leadership skills to enhance health care" "Describe leadership styles as they relate to health care Describe how self-awareness, self-reflection, and self-management are important to developing leadership skills" "Analyze their own leadership styles, including strengths, weaknesses, and biases" "Contribute to a health care change initiative" "Demonstrate leadership skills to enhance health care" "Provide mentorship and guidance to help others develop leadership skills" "3.2 Facilitate change in health care to enhance services and outcomes" "Compare and contrast the Canadian health care system with other models around the world Describe the key issues regarding the need to improve health care delivery and the role of physician leadership in this improvement Describe a recent local or national health system change and the basis for acceptance or resistance to this change" "Analyze patient feedback to help improve patient experiences and clinical outcomes Describe key health policy and organizational issues in their discipline" "Develop a strategy for implementing change in health care with patients, physicians, and other health care professionals Analyze ongoing changes occurring in health care delivery" "Facilitate change in health care to enhance services and outcomes" "Lead a multidisciplinary team to implement a change in health care delivery Provide consultative advice from a physician perspective to institutional managers and policy-makers" "4 Manage their practice and career" "4.1 Set priorities and manage time to integrate practice and personal life" "Reflect on and set personal, educational, and professional goals Demonstrate time management skills" "Align priorities with expectations for professional practice" "Build relationships with mentors Organize work using strategies that address strengths and identify areas to improve in personal effectiveness" "Set priorities and manage time to integrate practice and personal life" "Adjust priorities to enable participation in clinical care, the profession, and institutional, provincial, national, or international activities Teach and assess time and personal management skills Mentor others" "4.2 Manage career planning, finances, and health human resources in a practice" "Prioritize career path options on the basis of personal strengths and goals, the needs of society, and current and projected workforce needs" "Review opportunities for practice preparation, including choices available for further training Maintain a portfolio and reflect professional development" "Examine personal interests and seek career mentorship and counselling" "Reconcile expectations for practice with job opportunities and workforce needs Adjust educational experiences to gain competencies necessary for future independent practice Describe remuneration models as they pertain to their discipline Plan practice finances, considering short- and long-term goals" "Manage a career and a practice" "Teach others about career and financial planning Hire health care professionals according to defined capabilities Align practice with career goals and opportunities" "4.3 Implement processes to ensure personal practice improvement" "Manage a personal schedule using tools and technologies" "Describe how practice standardization can improve quality of health care" "Improve personal practice by evaluating a problem, setting priorities, executing a plan, and analyzing the results" "Implement processes to ensure personal practice improvement" "Engage regulatory bodies, medical associations, and specialty societies to improve standards of practice Engage others to develop a culture of continuous practice improvement Solicit feedback and external practice audits to drive practice improvement Develop systems to optimize practice management, including the use of checklists, prompts, and standard operating procedures"