| Collaborator | |
|---|---|
| 1 Work effectively with physicians and other colleagues in the health care professions | |
| 1.1 Establish and maintain positive relationships with physicians and other colleagues in the health care professions to support relationship-centred collaborative care | |
| Entry to Residency | Describe relationship-centred care Identify the stages of group development in health care settings Introduce themselves and their role to physicians and other health care professionals Identify opportunities for collaboration among health care professionals along the continuum of care |
| Transition to Discipline | Compare and contrast enablers of and barriers to collaboration in health care |
| Foundations of Discipline | Respect established rules of their team Receive and appropriately respond to input from other health care professionals Differentiate between task and relationship issues among health care professionals |
| Core of Discipline | Anticipate, identify, and respond to patient safety issues related to the function of a team |
| Transition to Practice | Establish and maintain healthy relationships with physicians and other colleagues in the health care professions to support relationship-centred collaborative care |
| Advanced Expertise | Analyze interactions among health care professionals to provide feedback to optimize the performance of a team for the benefit of patients Advocate for organizational structures that support relationship-centred collaborative care Contribute to policy discussions related to collaborative care Teach, assess, or develop the relationship-centred model of collaborative care |
| 1.2 Negotiate overlapping and shared responsibilities with physicians and other colleagues in the health care professions in episodic and ongoing care | |
| Entry to Residency | Describe the importance of professional role diversity and integration in high-quality and safe patient care |
| Transition to Discipline | Discuss the role and responsibilities of a specialist in their discipline |
| Foundations of Discipline | Describe the roles and scopes of practice of other health care professionals related to their discipline |
| Core of Discipline | Consult as needed with other health care professionals, including other physicians |
| Transition to Practice | Negotiate overlapping and shared care responsibilities with physicians and other colleagues in the health care professions in episodic and ongoing care |
| Advanced Expertise | Teach and assess the negotiation of role overlap and shared responsibilities with other health care professionals |
| 1.3 Engage in respectful shared decision-making with physicians and other colleagues in the health care professions | |
| Entry to Residency | Describe strategies to promote the engagement of physicians and other colleagues in the health care professions in shared decision-making |
| Transition to Discipline | Discuss with the patient and family any plan for involving other health care professionals, including other physicians, in the patient’s care |
| Foundations of Discipline | Integrate the patient’s perspective and context into the collaborative care plan |
| Core of Discipline | Communicate effectively with physicians and other colleagues in the health care professions Provide timely and necessary written information to colleagues to enable effective relationship-centred care |
| Transition to Practice | Engage in respectful shared decision-making with physicians and other colleagues in the health care professions Use referral and consultation as opportunities to improve quality of care and patient safety by sharing expertise |
| Advanced Expertise | Integrate feedback into shared decision-making processes as part of a quality improvement initiative Analyze, for the purposes of teaching others, shared decision-making processes in a given patient’s care Use technology to enhance collaboration in health care |
| 2 Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts | |
| 2.1 Show respect toward collaborators | |
| Entry to Residency | Respect the diversity of perspectives and expertise among health care professionals |
| Transition to Discipline | Convey information thoughtfully Respond to requests and feedback in a respectful and timely manner |
| Foundations of Discipline | Actively listen to and engage in interactions with collaborators |
| Core of Discipline | Delegate tasks and responsibilities in an appropriate and respectful manner |
| Transition to Practice | Show respect toward collaborators |
| Advanced Expertise | |
| 2.2 Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture | |
| Entry to Residency | List factors that contribute to misunderstandings, differences, and conflicts in the health care setting Describe different approaches to promote understanding and manage differences |
| Transition to Discipline | |
| Foundations of Discipline | Identify communication barriers between health care professionals Communicate clearly and directly to promote understanding, manage differences, and resolve conflicts Listen to understand and find common ground with collaborators |
| Core of Discipline | Gather the information and resources needed to manage differences and resolve conflicts among collaborators Analyze team dynamics Gain consensus among colleagues in resolving conflicts |
| Transition to Practice | Implement strategies to promote understanding, manage differences, and resolve conflicts in a manner that supports a collaborative culture |
| Advanced Expertise | Act as a consultant to physicians and other health care professionals in the promotion of a culture of collaboration Teach conflict resolution in health care |
| 3 Hand over the care of a patient to another health care professional to facilitate continuity of safe patient care | |
| 3.1 Determine when care should be transferred to another physician or health care professional | |
| Entry to Residency | Describe how scope of practice can trigger transfer of care Describe common transitions in health care and the process of safe transfer of care |
| Transition to Discipline | |
| Foundations of Discipline | Identify patients requiring handover to other physicians or health care professionals |
| Core of Discipline | |
| Transition to Practice | Determine when care should be transferred to another physician or health care professional |
| Advanced Expertise | |
| 3.2 Demonstrate safe handover of care, using both verbal and written communication, during a patient transition to a different health care professional, setting, or stage of care | |
| Entry to Residency | Describe a structured framework for transfer of care that ensures the patient, physicians, and other health care professionals understand and agree with all aspects of the care |
| Transition to Discipline | Describe specific information required for safe handover during transitions in care |
| Foundations of Discipline | Communicate with the receiving physicians or health care professionals during transitions in care, clarifying issues after transfer as needed Communicate with the patient’s primary health care professional about the patient’s care Summarize the patient’s issues in the transfer summary, including plans to deal with the ongoing issues |
| Core of Discipline | Organize the handover of care to the most appropriate physician or health care professional Analyze gaps in communication between health care professionals during transitions in care Recognize and act on patient safety issues in the transfer of care |
| Transition to Practice | Demonstrate safe handover of care, both verbal and written, during patient transitions to a different health care professional, setting, or stage of care |
| Advanced Expertise | Teach effective handover, including structured frameworks for safe and effective transfer of care Analyze local handover practices and contribute to process improvements to enhance the safety and effectiveness of transfer of care |