title: How do Supervising Clinicians of a University Hospital and Associated Teaching Hospitals Rate the Relevance of the Key Competencies within the CanMEDS Roles Framework in Respect to Teaching in Clinical Clerkships?
abstract: OBJECTIVE
  In German-speaking countries, the physicians' roles framework of the "Canadian Medical Education Directives for Specialists" (CanMEDS) is increasingly used to conceptualize postgraduate medical education. It is however unclear, whether it may also be applied to the final year of undergraduate education within clinical clerkships, called "Practical Year" (PY). Therefore, the aim of this study was to explore how clinically active physicians at a university hospital and at associated teaching hospitals judge the relevance of the seven CanMEDS roles (and their (role-defining) key competencies) in respect to their clinical work and as learning content for PY training. Furthermore, these physicians were asked whether the key competencies were actually taught during PY training.
  
  
  METHODS
  124 physicians from internal medicine and surgery rated the relevance of the 28 key competencies of the CanMEDS framework using a questionnaire. For each competency, following three aspects were rated: "relevance for your personal daily work", "importance for teaching during PY", and "implementation into actual PY teaching".
  
  
  RESULTS
  In respect to the main study objective, all questionnaires could be included into analysis. All seven CanMEDS roles were rated as relevant for personal daily work, and also as important for teaching during PY. Furthermore, all roles were stated to be taught during actual PY training. The roles "Communicator", "Medical Expert", and "Collaborator" were rated as significantly more important than the other roles, for all three sub-questions. No differences were found between the two disciplines internal medicine and surgery, nor between the university hospital and associated teaching hospitals.
  
  
  CONCLUSIONS
  Participating physicians rated all key competencies of the CanMEDS model to be relevant for their personal daily work, and for teaching during PY. These findings support the suitability of the CanMEDS framework as a conceptual element of PY training.
authors.affiliation: Technische Universität München, Klinikum rechts der Isar, III. Medizinische Klinik für Hämatologie und Internistische Onkologie, München, Deutschland.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Jilg
authors.affiliation: Kompetenzzentrum für Prüfungen in der Medizin/Baden-Württemberg, Heidelberg, Deutschland.
authors.forename: Andreas
authors.initials: A
authors.lastname: Möltner
authors.affiliation: Technische Universität München, Fakultät für Medizin, MedizinDidaktisches Centrum für Ausbildungsforschung und Lehre (TUM MeDiCAL), München, Deutschland.
authors.forename: Pascal
authors.initials: P
authors.lastname: Berberat
authors.affiliation: Klinikum der Universität München, Institut für Didaktik und Ausbildungsforschung in der Medizin, München, Deutschland.
authors.forename: Martin R
authors.initials: MR
authors.lastname: Fischer
authors.affiliation: Universität Zürich, Medizinische Fakultät, Studiendekanat, Zürich, Schweiz.
authors.forename: Jan
authors.initials: J
authors.lastname: Breckwoldt
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002170:Canada; D002982:Clinical Clerkship / Q000458:organization & administration*; D002983:Clinical Competence; D003431:Cross-Cultural Comparison; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000458:organization & administration*; D005060:Europe; D005260:Female; D006784:Hospitals, Teaching / Q000458:organization & administration*; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010819:Physician's Role; D011795:Surveys and Questionnaires
keywords: CanMEDS framework; clinical teaching; competencies; curriculum planning; residency training