title: Postgraduate internal medicine residents' roles at patient discharge - do their perceived roles and perceptions by other health care providers correlate?
abstract: Knowing one's own role is a key collaboration competency for postgraduate trainees in the Canadian competency framework (CanMEDS®). To explore methods to teach collaborative competency to internal medicine postgraduate trainees, baseline role knowledge of the trainees was explored. The perceptions of roles (self and others) at patient discharge from an acute care internal medicine teaching unit amongst 69 participants, 34 physicians (25 internal medicine postgraduate trainees and 9 faculty physicians) and 35 health care professionals from different professions were assessed using an adapted previously validated survey (Jenkins et al., 2001). Internal medicine postgraduate trainees agreed on 8/13 (62%) discharge roles, but for 5/13 (38%), there was a substantial disagreement. Other professions had similar lack of clarity about the postgraduate internal medicine residents' roles at discharge. The lack of interprofessional and intraprofessional clarity about roles needs to be explored to develop methods to enhance collaborative competence in internal medicine postgraduate trainees.
authors.affiliation: Internal Medicine, Royal University Hospital, University of Saskatchewan , Saskatoon, Saskatchewan , Canada and.
authors.forename: Sharon Elizabeth
authors.initials: SE
authors.lastname: Card
authors.forename: Heather A
authors.initials: HA
authors.lastname: Ward
authors.forename: Dylan
authors.initials: D
authors.lastname: Chipperfield
authors.forename: M Suzanne
authors.initials: MS
authors.lastname: Sheppard
mesh_terms: D001291:Attitude of Health Personnel; D002170:Canada; D002983:Clinical Competence; D006801:Humans; D033183:Interdisciplinary Communication; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008505:Medical Staff, Hospital; D010351:Patient Discharge; D010564:Personnel, Hospital; D010819:Physician's Role; D011795:Surveys and Questionnaires