Maternal-Fetal Medicine

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●review of images/worksheet

Type of US

1. ●first trimester
2. ●second trimester
3. ●third trimester
4. ●endovaginal

Features identified

1. ●viability
2. ●CRL measurement
3. ●fetal number and chorionicity
4. ●fetal biometry (BPD, HC, AC, FL)
5. ●fetal presentation
6. ●BPP
7. ●amniotic fluid volume
8. ●cervical length
9. ●placental location
10. ●other

Medical Expert

• □ME 1.3 Apply knowledge of the physical principles of ultrasonography, including Doppler
• □ME 3.4 Adjust instrument settings to optimize image quality
• □ME 3.4 Obtain standard views
• □ME 3.4 Clean and store ultrasound equipment appropriately after use
• □ME 3.4 Complete the ultrasound preliminary report or checklist

Communicator

• □COM 1.2 Optimize the physical environment for patient comfort, safety and privacy
• □COM 3.1 Communicate effectively with the patient during the procedure
• □COM 5.1 Record high-quality images of ultrasound findings
• □COM 5.1 Summarize US findings for clear and succinct presentation to a supervisor © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Professional

• □P 1.1 Work within personal limits, asking for assistance as needed

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●case review

Medical Expert

• □ME 2.2 Elicit a history and perform a physical exam relevant to the presentation
• □ME 2.2 Select and/or interpret investigations
• □ME 2.4 Develop a management plan
• □ME 2.4 Determine the need for consultation with another specialist
• □ME 2.2 Synthesize and organize clinical information for clear and succinct presentation to a supervisor © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 2.3 Seek and synthesize relevant information from other sources (e.g., family, medical record)

Professional

• □P 1.1 Work within personal limits, asking for assistance as needed

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●case review

Issue

1. ●maternal
2. ●fetal/neonatal
3. ●obstetrical/placental

Medical Expert

• □ME 2.2 Perform a patient assessment including history and physical exam
• □ME 2.2 Select and/or interpret investigations
• □ME 2.2 Determine peripartum risk and opportunities for risk mitigation
• □ME 2.4 Develop and implement a management plan, which may include health optimization, diagnostic and/or therapeutic intervention, and preventive and/or treatment strategies
• □ME 4.1 Determine the need and timing for referral to another physician or service © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 1.1 Demonstrate empathy, respect and compassion
• □COM 3.1 Provide the patient with accurate information about the condition, risks for future pregnancies, and options for management © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □COM 4.3 Use communication skills and strategies that help the patient and/or family make an informed decision
• □COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●case review

Issue

1. ●maternal
2. ●fetal
3. ●obstetrical/placental

Procedure required

1. ●none
2. ●diagnostic amniocentesis
3. ●cervical cerclage
4. ●caesarean delivery
5. ●other

Medical Expert

• □ME 2.2 Perform a patient assessment including history and physical exam
• □ME 2.2 Select and/or interpret investigations
• □ME 2.2 Integrate the clinical data to establish the status of and risk to the pregnancy, fetus and mother
• □ME 2.4 Develop a management plan, which may include fetal and/or maternal surveillance, obstetric delivery, and/or diagnostic or therapeutic intervention © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □ME 3.1 Describe the risks, benefits and alternatives for the proposed management plan
• □ME 3.2 Obtain informed consent for a diagnostic or therapeutic intervention
• □ME 4.1 Determine if there is a need for consultation with another specialist or service
• □ME 4.1 Establish plans for ongoing care © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 3.1 Convey information about the condition, risks for fetus and mother, and options for management clearly and compassionately
• □COM 4.3 Use communication skills and strategies that help the patient and/or family make an informed decision

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Procedure

1. ●invasive prenatal
2. ●surgical

Medical Expert

• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.4 Provide routine post-procedural management, including intravenous fluids, diet, pain management, wound care and medications as relevant
• □ME 3.4 Assess fetal growth and well-being
• □ME 4.1 Recognize and manage complications
• □ME 2.4 Develop and implement a plan for discharge, including ongoing care and follow-up

Communicator

• □COM 3.1 Share information and explanations that are clear, accurate and timely with the patient and family

Collaborator

• □COL 1.3 Integrate the patient’s perspective and context into the care plan
• □COL 1.2 Work effectively with other health care professionals involved in the patient’s care

Health Advocate

• □HA 1.1 Facilitate the patient’s timely access to needed health services and resources © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Type of US

1. ●second trimester
2. ●third trimester

Observation

1. ●direct
2. ●image review
3. ●both

Medical Expert

• □ME 1.3 Apply knowledge of fetal anatomic development
• □ME 3.4 Adjust instrument settings to optimize image quality
• □ME 3.4 Use a systematic approach in performing a screening ultrasound of fetal anatomy
• □ME 3.4 Obtain standard views
• □ME 3.4 Identify normal structures
• □ME 3.4 Recognize clinically significant findings
• □ME 3.4 Monitor patient comfort and safety, and adjust the procedure as needed © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □ME 3.4 Assess the quality and validity of the study, and any impact on the diagnostic interpretation

Communicator

• □COM 5.1 Record high-quality images of ultrasound findings
• □COM 5.1 Provide written documentation of ultrasound findings © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Setting

1. ●journal club
2. ●grand rounds
3. ●clinic
4. ●on-call
5. ●scholarly project
6. ●other

Scholar

• □S 3.2 Identify and select relevant high-quality articles pertinent to the field
• □S 3.3 Assess the level of evidence quality including internal/external validity and source of bias
• □S 3.1 Identify remaining gaps in knowledge and questions for further investigation
• □S 3.4 Integrate best evidence and clinical expertise
• □S 3.3 Interpret study findings and critique their relevance to clinical practice
• □S 4.5 Interpret and translate knowledge to the audience at an appropriate level
• □S 2.4 Present the information in an organized manner © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●case review

Issue

1. ●maternal
2. ●fetal
3. ●obstetrical/placental

Medical Expert

• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.2 Determine peripartum risk and opportunities for risk mitigation
• □ME 2.4 Develop and implement a management plan, which may include health optimization, diagnostic and/or therapeutic intervention, and preventive and/or treatment strategies
• □ME 4.1 Coordinate consultation with another specialist or service, and other aspects of ongoing follow-up and care

Communicator

• □COM 3.1 Provide the patient with accurate information about the condition, risks for future pregnancies, and options for management
• □COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware
• □COM 4.3 Use communication skills and strategies that help the patient and/or family make an informed decision © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Collaborator

• □COL 3.2 Provide effective oral and/or written communication to the referring care provider or another specialist

Health Advocate

• □HA 1.1 Facilitate the patient’s timely access to needed health services and resources © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●case review

Issue

1. ●maternal
2. ●fetal
3. ●obstetrical/placental

Medical Expert

• □ME 1.4 Perform a clinical assessment that addresses all relevant issues
• □ME 2.2 Integrate the clinical data to establish the status of and risk to the pregnancy, fetus and mother
• □ME 3.1 Determine the most appropriate procedures or therapies for the purpose of assessment and/or management
• □ME 2.4 Develop a management plan, which may include fetal and/or maternal surveillance, obstetric delivery, and/or diagnostic or therapeutic intervention
• □ME 4.1 Develop and implement plans for ongoing follow-up © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 3.1 Convey information about the condition, risks for fetus and mother, and options for management clearly and compassionately
• □COM 4.3 Use communication skills and strategies that help the patient and/or family make an informed decision

Collaborator

• □COL 1.2 Work effectively with other health care professionals involved in the patient’s care

Health Advocate

• □HA 1.2 Provide recommendations for resources for patient education and support
• □HA 1.1 Facilitate the patient’s timely access to needed health services and resources

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Timing of observation

1. ●antepartum
2. ●intrapartum
3. ●postpartum

Post-procedure complication

1. ●no
2. ●yes

Medical Expert

• □ME 2.1 Determine the acuity of the issue and the priorities for patient care
• □ME 1.4 Perform a rapid assessment of fetal and/or maternal status, without excluding key elements
• □ME 2.4 Develop a management plan, which may include fetal and/or maternal surveillance, obstetric delivery, and/or diagnostic or therapeutic intervention
• □ME 2.4 Reassess, re-evaluate and adjust the management plan as needed

Communicator

• □COM 3.1 Provide information to the patient and/or family about the condition and plans for management clearly and compassionately
• □COM 5.1 Document the encounter to convey the clinical course and rationale for clinical decisions

Collaborator

• □COL 1.1 Receive and appropriately respond to input from other members of the team
• □COL 1.2 Communicate effectively with other health professionals, using clear language and summarizing the evolving clinical status © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Professional

• □P 4.1 Maintain capacity for professional clinical performance in stressful situations © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Communicator

• □COM 5.1 Organize information in appropriate sections
• □COM 5.1 Document all relevant findings and investigations
• □COM 5.1 Convey clinical reasoning and the rationale for decisions
• □COM 5.1 Provide a clear plan for ongoing management
• □COM 5.1 Complete clinical documentation in a timely manner © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Collaborator

• □COL 1.2 Identify the roles of the referring physician and the MFM subspecialist clearly in the ongoing management plan
• □COL 3.2 Provide anticipatory guidance for results of outstanding investigations and/or next steps for management

Scholar

• □S 3.4 Integrate best evidence and clinical expertise into decision-making

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Procedure

1. ●emergency/rescue cerclage
2. ●classical caesarean section

Medical Expert

• □ME 1.3 Apply knowledge of surgical anatomy, steps of the procedure, potential intraoperative risks, and means to avoid/overcome them
• □ME 3.2 Obtain and document informed consent, explaining the risks and rationale for a proposed procedure
• □ME 3.4 Demonstrate effective procedure preparation, including patient identification and/or safe surgical checklist
• □ME 3.4 Position and prep patient
• □ME 3.4 For caesarean section, evaluate the lower segment and confirm the need for a classical caesarean section
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, and forward progression
• □ME 3.4 Establish and implement a plan for post-procedure care, including post- operative orders © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 5.1 Document the procedure and outcome © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Collaborator

• □COL 1.2 Communicate effectively and professionally with the OR team

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Procedure

1. ●ultrasound guidance
2. ●simple amniocentesis
3. ●complex amniocentesis
4. ●amnioreduction
5. ●chorionic villus sampling
6. ●cordocentesis
7. ●foeticide
8. ●intrauterine transfusion
9. ●other

Complexity

1. ●none
2. ●BMI>35
3. ●fibroids
4. ●multiple pregnancy
5. ●oligohydramnios
6. ●other

Medical Expert

• □ME 3.1 Determine the safety and appropriateness of the procedure
• □ME 3.2 Obtain and document informed consent, explaining the risks and rationale for a proposed procedure
• □ME 3.4 Demonstrate effective procedure preparation, including patient identification and/or safe surgical checklist
• □ME 3.4 Select and provide sedation and local anesthesia, as appropriate
• □ME 3.4 Prepare to obtain and handle samples, sending for appropriate testing © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □ME 3.4 Perform the procedure in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstances
• □ME 3.4 Monitor patient comfort and safety, and adjust the procedure as needed
• □ME 3.4 Establish and implement a plan for post-procedure care

Communicator

• □COM 5.1 Document the procedure and outcome © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Collaborator

• □COL 1.2 Communicate effectively with patient, sonographer and/or assistant(s) during the procedure

Professional

• □P 1.1 Work within personal limits, asking for assistance as needed

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Type of US

1. ●first trimester
2. ●second trimester
3. ●third trimester

Indication for US

1. ●suspected fetal anemia
2. ●suspected placental accreta spectrum
3. ●fetal cardiac screening
4. ●multiple gestation
5. ●other

Finding

1. ●complicated monochorionic multiple gestation
2. ●complicated dichorionic multiple gestation
3. ●fetal anomaly
4. ●placental/cord anomaly
5. ●severe fetal growth restriction
6. ●other

Fetal anomaly

1. ●N/A
2. ●none
3. ●CNS
4. ●face
5. ●neck
6. ●thorax
7. ●heart
8. ●abdominal wall
9. ●GI tract
10. ●urinary tract
11. ●extremity
12. ●skeleton
13. ●known aneuploidy

Medical Expert

• □ME 2.2 Gather and synthesize patient information to establish the clinical question
• □ME 1.3 Apply knowledge of the physical principles of ultrasonography, including Doppler © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □ME 3.4 Acquire high-quality images and all relevant views/Dopplers
• □ME 3.4 Adapt the examination, as needed, based on findings during the procedure
• □ME 3.4 Monitor patient comfort and safety, and adjust the procedure as needed
• □ME 3.4 Provide interpretation of the comprehensive obstetric ultrasound
• □ME 3.4 Provide timely suggestions for further testing and/or management, as appropriate, to the referring physician

Communicator

• □COM 5.1 Provide a clear, concise, accurate and grammatically correct report © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Observation

1. ●direct
2. ●image review

Type of US

1. ●first trimester
2. ●second trimester
3. ●third trimester
4. ●endovaginal

Complexity

1. ●high maternal BMI (i.e., >40)
2. ●poor/limited acoustic window
3. ●other

Medical Expert

• □ME 3.4 Adjust instrument settings to optimize image quality
• □ME 3.4 Acquire high-quality images and all relevant views/Dopplers
• □ME 3.4 Assess fetal growth and well-being
• □ME 3.4 Identify all major and minor findings
• □ME 3.4 Monitor patient comfort and safety, and adjust the procedure as needed
• □ME 3.4 Assess the quality and validity of the study, and any impact on the diagnostic interpretation

Communicator

• □COM 3.1 Convey the findings and the limits of the examination to the patient clearly and compassionately © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Professional

• □P 4.1 Perform ultrasonography in a safe manner to minimize the risk of repetitive strain injury © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Situation

1. ●serious diagnosis or prognosis
2. ●third party
3. ●language barrier
4. ●adverse event
5. ●mental health/developmental delay
6. ●complaint
7. ●other

Timing

1. ●planned
2. ●unplanned

Medical Expert

• □ME 2.1 Ascertain participants’ understanding of the situation and the reason for the encounter

Communicator

• □COM 1.1 Demonstrate empathy, respect and compassion
• □COM 3.1 Provide information and explanations that are clear and accurate
• □COM 3.1 Verify understanding of information conveyed
• □COM 1.4 Identify, verify and validate non-verbal cues
• □COM 4.1 Communicate in a manner that is respectful, non-judgmental and culturally aware
• □COM 1.5 Recognize when strong emotions (such as anger, fear, anxiety, or sadness) are impacting an interaction and respond appropriately © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □COM 1.5 Establish boundaries as needed in emotional situations
• □COM 2.2 Summarize and close the encounter effectively © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Medical Expert

• □ME 1.4 Contribute MFM expertise to interprofessional discussions © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 1.4 Manage one’s own non-verbal communication
• □COM 5.1 Document the encounter to convey the discussion and its outcome © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Collaborator

• □COL 1.3 Demonstrate respect for the opinions of other meeting participants
• □COL 1.3 Support clinical colleagues in the development of a management plan

Leader

• □L 3.1 Facilitate the meeting, attending to flow, organization and time management
• □L 3.1 Ensure engagement and participation of attendees
• □L 3.1 Summarize and clarify key points and discussions

Health Advocate

• □HA 1.1 Advocate for the patient’s needs and concerns

Professional

• □P 1.2 Prepare for a meeting, reviewing its purpose, background information and list of participants
• □P 1.1 Intervene when behaviours towards other attendees undermine a respectful environment

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Patient acuity

1. ●urgent
2. ●non-urgent

Setting

1. ●clinical
2. ●simulation

Medical Expert

• □ME 2.2 Interpret clinical information gathered by another health professional, along with the results of investigations
• □ME 2.1 Determine the acuity of the issue and the priorities for patient care
• □ME 2.4 Determine the setting of care appropriate for the patient’s health needs
• □ME 2.4 Assess the need and timing of transfer to another level of care
• □ME 4.1 Provide recommendations for additional investigations and/or next steps in management and treatment
• □ME 2.4 Establish a plan for ongoing care in the local setting and/or for care prior to and during transfer © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Communicator

• □COM 2.3 Gather patient information from another health care professional
• □COM 5.1 Document advice provided to off-site health care providers © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Collaborator

• □COL 1.2 Work effectively with other health care professionals involved in the patient’s care

Leader

• □L 2.1 Apply knowledge of the health care resources available in other care settings

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Role

1. ●triage of referrals
2. ●inpatient
3. ●outpatient

Medical Expert

• □ME 1.1 Demonstrate responsibility and accountability for decisions regarding patient care, acting in the role of most responsible physician
• □ME 1.5 Prioritize patients based on the urgency of the clinical issue
• □ME 4.1 Coordinate the involvement of other consultants in patient care
• □ME 2.4 Develop and implement management plans

Collaborator

• □COL 1.2 Work effectively with the interprofessional team © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □COL 2.1 Delegate tasks and responsibilities in a respectful manner

Leader

• □L 4.1 Set priorities and manage time to fulfil diverse responsibilities
• □L 4.1 Review and act on test results in a timely manner
• □L 4.1 Integrate supervisory and teaching responsibilities into the overall management of the clinical service

Scholar

• □S 3.4 Integrate best evidence and clinical expertise into decision-making

Professional

• □P 1.1 Respond punctually to requests from patients or other health care professionals
• □P 4.1 Manage the mental and physical challenges that impact physician wellness and/or performance © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

Case description

Feedback provided

Next steps

Entrustment (how much supervision did this activity need?)

1. ●I had to do
2. ●I had to talk them through
3. ●I needed to prompt
4. ●I needed to be there just in case
5. ●I didn’t need to be there

Teaching activity

1. ●journal club
2. ●bedside teaching
3. ●academic half-day
4. ●other formal rounds
5. ●other

Audience

1. ●MFM residents
2. ●junior resident/medical students
3. ●staff physicians
4. ●other health care professionals
5. ●patients and/or families
6. ●public

Scholar

• □S 2.4 Identify the learning needs and desired learning outcomes of others
• □S 2.4 Develop learning objectives for a teaching activity
• □S 3.3 Critically evaluate health literature
• □S 3.4 Integrate best evidence and clinical expertise
• □S 2.2 Create a positive learning environment
• □S 2.4 Use teaching techniques appropriate for the audience and subject material
• □S 2.4 Present the information in an organized manner
• □S 2.4 Use audiovisual aids effectively © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.
• □S 2.4 Provide adequate time for questions and discussion © 2021 The Royal C ollege of Physicians and Surgeons of C anada. All rights reserved.

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