Themes and supporting quotes from suggested improvements for junior residents
| Internal medicine | General surgery | Paediatrics | |
| Personal attributes/personal leadership skills* | Hopefully no one takes advantage of his generosity and good nature. —Resident 9, Other Allied Health Assessment | Develop and enhance a 1 on 1 rapport. —Resident 3, Nurse Assessment | The resident’s voice is at times too soft, quiet. It is hard to hear what she is saying! —Resident 5, Other Allied Health Assessment |
| Communicator†/negotiation* | Her verbal communication could be an area to work on. Sometimes she relies on her notes when she could be expressing things without them. —Resident 1, Pharmacist Assessment | Answer pages quicker (I know he gets busy sometimes) and maybe chart more during rounds since clerks sometimes miss vital information. —Resident 1, Pharmacist Assessment | Less talk and sarcasm. —Resident 4, Nurse Assessment |
| Organisation/time management*/administration*/priority setting* | More proactive in starting discharge summaries prior to discharge day to facilitate discharge process. —Resident 7, Nurse Assessment | The resident can be a little more thorough when obtaining medication histories or restarting medications. —Resident 2, Attending Physician | The resident can be clearer with what the plan is when communicating such that orders are not changed unintentionally. —Resident 6, Pharmacist Assessment |
| Scholar†/knowledge base/career development* | Continue to read around patient care issues to improve knowledge and experience. —Resident 5, Attending Physician Assessment | The resident can continue to improve on situational awareness. The resident should continue to read surgical principles. —Resident 7, Peer Resident Assessment | Needs to improve on knowledge base. Needs more practice in mock codes. —Resident 1, Attending Physician Assessment |
| Professional†/physician roles and responsibilities in the healthcare system* | Protecting my emotional well-being during times of sleep deprivation. Efficiency in navigation of the health care system —Resident 11, Self-assessment | Being a bit more intuitive as to the way things are explained to the patient although has greatly improved with ongoing experience and greater confidence. —Resident 4, Patient Assessment | The resident is an able practitioner and can work on her confidence in her decisions regarding drug dosages. —Resident 7, Pharmacist Assessment |
| Collaborator†/teamwork/systems thinking* | Could be more tactful in inter-professional interactions and may appear confrontational when she is trying to advocate for patient’s well-being. Needs to ensure that she is consistent in following through with tasks that she volunteered for. —Resident 2, Peer Resident Assessment | Whole team visit lasts 3 minutes, stopping in for only a minute is all it needs. Clarify role on team, helps feel you know the physician better. —Resident 8, Nurse Assessment | Ensuring good communication with RNs. —Resident 3, Attending Physician Assessment |
| Health advocate†/stewardship* | Had some trouble taking a stand against the nursing team’s errors and chose using the patient as a buffer zone. —Resident 4, Patient Assessment | Could provide more proactive care rather than reactive care at times. —Resident 3, Attending Physician Assessment | (1) Active listening (2) avoiding medical jargon if I'm uncomfortable and being more confident in the skills I have. —Resident 2, Self-assessment |
*Denotes key concepts of the Leader role as suggested by the Royal College of Physicians and Surgeons of Canada.
†Denotes Intrinsic CanMEDS roles.
RNs, registered nurses.