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. 2023 Oct 4;16:100–110. doi: 10.1016/j.sopen.2023.10.002

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