Table 1.
Definition of the seven CanMEDS roles and four NOTSS competencies.
CanMEDS | Medical expert | Integrating all of the CanMEDS Roles in the provision of high-quality and safe patient-centred care |
Communicator | Forming relationships with patients and their families that facilitate the gathering and sharing of essential information for effective health care | |
Collaborator | Working effectively with other health care professionals to provide safe, high-quality, patient-centred care | |
Leader | Engaging with others to contribute to a vision of a high-quality health care system and take responsibility for the delivery of excellent patient care | |
Health Advocate | Working with those they serve to determine and understand needs, speak on behalf of others when required, and support the mobilization of resources to effect change | |
Scholar | Demonstrating a lifelong commitment to excellence in practice through continuous learning and by teaching others, evaluating evidence, and contributing to scholarship | |
Professional | Commitment to the health and well-being of individual patients and society through ethical practice, high personal standards of behaviour, accountability to the profession and society, physician-led regulation, and maintenance of personal health | |
NOTTS | Situation awareness | Developing and maintaining a dynamic awareness of the situation in OR. Elements are gathering information, understanding information, and projecting and anticipating future state |
Decision making | Diagnosing the situation and reaching a judgement in order to choose an appropriate course of action. Elements are: considering options, selecting and communicating options, implementing and reviewing decisions | |
Communication and teamwork | Working to ensure that the team has an acceptable shared picture of the situation and can complete tasks effectively. Elements are: exchanging information, establishing a shared understanding, coordinating team activities | |
Leadership | Providing directions to the team, demonstrating high standards of clinical practice and care, and being considerate about the needs of individual team members. Elements are: setting and maintaining standards, supporting others, and coping with pressure |