title: Examining the educational value of a CanMEDS roles framework in pediatric morbidity and mortality rounds.
abstract: BACKGROUND
  In order to determine whether the CanMEDS roles could be helpful in solidifying knowledge during clinical training, we examined quality of care issues identified during morbidity and mortality (M&M) rounds.
  
  
  METHODS
  During the M&M rounds, following the case presentation, there was a pause and attendees were asked to identify quality of care issues that were present in the case. The attendees were assigned to a CanMEDS prompted group or non-prompted group. Following the rounds, the issues were identified, coded according to CanMEDS role, and compared between groups.
  
  
  RESULTS
  A total of 111 individuals identified a total of 350 issues; 57 individuals were in the CanMEDS-prompted group and 54 were in the unprompted group. The mean number of issues identified was significantly higher in the CanMEDS-prompted group compared to the unprompted group (3.7 versus 2.6, p = 0.039). There were significantly more issues raised in the prompted group for the roles of communicator, collaborator, scholar and professional.
  
  
  CONCLUSIONS
  Using CanMEDS roles as prompts, attendees at M&M rounds identify more quality of care issues than if not given a prompt. Use of the CanMEDS framework may assist learners to consolidate the linkage between expected training objectives and the complexities of clinical practice.
authors.affiliation: Division of Hematology/Oncology, Department of Pediatrics, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada. djohnston@cheo.on.ca.
authors.forename: Donna L
authors.initials: DL
authors.lastname: Johnston
authors.affiliation: Division of Pediatric Medicine, Department of Pediatrics, Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada. arowanlegg@cheo.on.ca.
authors.forename: Anne
authors.initials: A
authors.lastname: Rowan-Legg
authors.affiliation: Academy for Innovation in Medical Education, Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8M5, Canada. stan.hamstra@gmail.com.
authors.forename: Stanley J
authors.initials: SJ
authors.lastname: Hamstra
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D006776:Hospitals, Pediatric / Q000592:standards; D006801:Humans; D007396:Internship and Residency; D009017:Morbidity; D009026:Mortality; D009864:Ontario; D010372:Pediatrics / Q000193:education*; D011787:Quality of Health Care; D056164:Teaching Rounds / Q000592:standards*