EDUCATIONAL GOALS AND OBJECTIVES GASTROENTEROLOGY CORE INTERNAL MEDICINE CanMEDS 2000 OBJECTIVES Medical Expert/Clinical Decision Maker 1. To accurately assess patients with gastroenterological diseases including esophageal abnormalities, gastric cancer, peptic ulcer disease, malnutrition secondary to celiac disease, inflammatory bowel disease, colonic disease, hepatitis (infectious and alcoholic), as well as cirrhosis. 2. To understand the indication and major complications of various gastrointestinal procedures (example endoscopy, liver biopsy, colonoscopy, etc). Communicator 1. When presented with a patient with a gastrointestinal problem, the resident will be able to: - perform a thorough history with particular emphasis on the detailed history of the present problem - be able to perform a general physical examination as well as a detailed examination of the gastrointestinal system - detect and determine the significance of any abnormal physical findings related to diseases of the gastrointestinal system. 2. To document clearly and concisely by means of notations, procedure notes, and clinic letters, the essential components of all clinical encounters. The analysis and clinical plan should be recorded at a level of sophistication in keeping with the training. 3. Appreciate the importance of effective and clear communication with patients and involve family members. Educational Goals and Objectives GASTROENTEROLOGY – CORE INTERNAL MEDICINE …/ 2 Collaborator 1. To recognize and integrate into case management the roles of other health care providers including surgeons, nurses, dieticians, psychiatrists, and social workers. 2. To foster respect for and appreciation of the importance of communication with allied health professionals and referring physicians in the care of these patients. Manager 1. To formulate a logical and cost effective investigation that would assist in establishing a diagnosis. 2. To understand the indication as well as the limitations and potential complications of various radiological investigations of the gastrointestinal tract. 3. To observe and possibly perform endoscopic procedures on patients and understand the indications for these procedures. Health Advocate 1. To recognize the role played by physicians in the health care system. 2. Appreciate patient autonomy and the religious, ethic and psycho social factors which influence the doctor/patient relationship and to take such factors into account when pursuing problems and understanding patient decisions. Scholar 1. To refer to the literature in appropriately complex cases. 2. To appreciate the importance of critical appraisal of the literature and the application of the literature as it relates to patient care. 3. Recognize the requirement for self assessment in the critical role of self directed learning. Educational Goals and Objectives GASTROENTEROLOGY – CORE INTERNAL MEDICINE …/ Professional 1. Appreciate the obligation to teach others under their supervision. 2. Recognize the role of biomedical ethics in medicine including clinical practice teaching and research and to embrace attitudes conducive to effective physician/patient/family physician/physician and allied health care worker relationships. June 2003 3