Urology

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 2.2 Elicit an accurate, relevant history
• □ME 2.2 Perform a physical exam that informs the diagnosis
• □ME 2.2 Synthesize patient information from the clinical assessment for the purpose of written or verbal summary to a supervisor
• □ME 3.3 Recognize the importance of triaging and timing a procedure or therapy
• □ME 1.4 Recognize urgent problems and seek assistance from more experienced physicians

Communicator

• □COM 1.2 Optimize the physical environment for patient comfort, dignity, privacy, engagement and safety
• □COM 2.1 Conduct the interview in a patient-centered manner
• □COM 2.3 Identify other sources of information (e.g., family, medical record) that may assist in a given patient’s care

Case description

Feedback provided

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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. ●emergency room
2. ●operating room

Medical Expert

• □ME 2.4 Document initial management plans for common problems in Urology

Communicator

• □COM 5.1 Document the essential elements of a clinical encounter using a structured approach
• □COM 5.1 Maintain accurate and up-to-date problem lists and medication lists
• □COM 5.1 Document relevant patient care orders

Professional

• □P 1.1 Complete assigned responsibilities in a timely fashion

Case description

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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 4.1 Organize follow-up plans
• □ME 5.2 Reconcile current and prior medication lists

Communicator

• □COM 5.1 Prepare an accurate, comprehensive, and succinct summary of hospitalization

Collaborator

• □COL 3.2 Summarize the patient’s issues for the receiving physician, including plans to deal with the ongoing issues

Professional

• □P 1.1 Complete assigned responsibilities in a timely fashion

Case description

Feedback provided

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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

Category

1. ●requesting consultation
2. ●performing consultation

Medical Expert

• □ME 4.1 Formulate clear and appropriate requests for consultation

Collaborator

• □COL 2.1 Respond to requests in a timely manner
• □COL 2.1 Communicate with other health professionals clearly and respectfully

Professional

• □P 1.1 Complete assigned responsibilities in a timely fashion
• □P 1.1 Identify limits in own expertise and seek 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

Gender

1. ●male
2. ●female

Age

1. ●adult
2. ●pediatric

Acute retention

1. ●yes
2. ●no

Anesthetic

1. ●local
2. ●under sedation

Procedure performed

1. ●different catheters
2. ●guidewires
3. ●dilators
4. ●cystoscopy
5. ●percutaneous suprapubic catheter

Medical Expert

• □ME 1.4 Perform a focused clinical assessment
• □ME 2.1 Determine the acuity of the issue and establish priorities for patient care
• □ME 3.1 Determine the appropriate procedure
• □ME 3.2 Obtain informed consent
• □ME 3.4 Prepare equipment/instruments for a procedure
• □ME 3.4 Prepare, position, and drape the patient
• □ME 3.4 Perform common procedures in a skilful, fluid and safe manner - Catheter insertion - Use of guidewires, dilators, and/or sounds to assist catheter insertion - Cystoscopy for catheter insertion - Percutaneous suprapubic catheter insertion
• □ME 3.4 Recognize and manage common outcomes/complications of difficult catheterization
• □ME 4.1 Determine the necessity of further investigation or intervention

Communicator

• □COM 5.1 Document the encounter to convey the procedure, clinical findings and/or outcome

Case description

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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

Gender

1. ●male
2. ●female

Patient features

1. ●stable
2. ●septic
3. ●potential for atypical organisms
4. ●pregnancy

Site of obstruction

1. ●ureter
2. ●bladder outlet

Medical Expert

• □ME 2.1 Determine the acuity of the issue and establish priorities for patient care
• □ME 2.1 Initiate volume resuscitation and/or antimicrobial therapy for patients with unstable presentations
• □ME 1.4 Perform a focused clinical assessment
• □ME 2.2 Develop a differential diagnosis relevant to the patient’s presentation
• □ME 2.2 Interpret diagnostic imaging
• □ME 2.4 Develop and implement a management plan
• □ME 3.1 Determine the appropriate procedure
• □ME 3.3 Consider urgency, and potential for deterioration, in advocating for the timely execution of a procedure or therapy
• □ME 3.4 Seek assistance as needed when unanticipated findings or changing clinical circumstances are encountered

Communicator

• □COM 3.1 Provide information to the patient and/or family clearly and compassionately
• □COM 4.3 Answer questions from the patient and/or family
• □COM 5.1 Document the clinical encounter to adequately convey clinical reasoning and the rationale for decisions

Collaborator

• □COL 1.2 Consult as needed with other health care professionals, including other physicians
• □COL 3.1 Identify patients requiring handover to other physicians or health care professionals

Case description

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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 2.1 Determine the acuity of the issue and establish priorities for patient care
• □ME 2.2 Perform the history and physical exam in a timely manner, without excluding key elements
• □ME 2.2 Interpret the findings of the physical exam to recognize clinical significance
• □ME 2.2 Interpret diagnostic imaging
• □ME 2.2 Develop a differential diagnosis relevant to the patient’s presentation
• □ME 2.4 Provide adequate and appropriate symptom management
• □ME 3.1 Select surgical and/or medical interventions as appropriate
• □ME 3.3 Consider urgency, and potential for deterioration, in advocating for the timely execution of a procedure or therapy

Communicator

• □COM 1.2 Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety
• □COM 3.1 Provide information to the patient and/or family clearly and compassionately
• □COM 4.3 Answer questions from the patient and/or family
• □COM 5.1 Document the clinical encounter to adequately convey clinical reasoning and the rationale for decisions

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

Gender

1. ●male
2. ●female

Presentation

1. ●voiding dysfunction
2. ●hematuria
3. ●sexual dysfunction
4. ●flank pain/stone
5. ●scrotal/penile pathologies
6. ●genitourinary infections

Medical Expert

• □Part A: ME 2.2 Perform the history and physical exam in a timely manner, without excluding key elements
• □Part A: ME 2.2 Select and/or interpret appropriate investigations
• □Part A: ME 2.2 Interpret diagnostic imaging
• □Part A: ME 2.2 Develop a differential diagnosis relevant to the patient’s presentation
• □Part A: ME 2.4 Develop and implement a management plan
• □Part A: ME 3.1 Describe the indications, contraindications, risks and alternatives for a given procedure or therapy
• □Part A: ME 4.1 Determine the need and timing of follow-up
• □Part B: ME 2.2 Synthesize and interpret information from the clinical assessment

Communicator

• □Part A: COM 2.1 Conduct a patient-centred interview, gathering all relevant biomedical and psychosocial information
• □Part A: COM 3.1 Provide information to the patient and/or family clearly and compassionately
• □Part A: COM 4.3 Answer questions from the patient and/or family
• □Part B: COM 5.1 Organize information in appropriate sections
• □Part B: COM 5.1 Document all relevant findings and investigations
• □Part B: COM 5.1 Convey clinical reasoning and the rationale for decisions
• □Part B: COM 5.1 Provide a clear plan for ongoing management
• □Part B: COM 5.1 Complete clinical documentation in a timely manner

Collaborator

• □Part B: COL 1.3 Use referral and consultation as opportunities to improve quality of care and patient safety by sharing expertise

Leader

• □Part A: L 2.1 Consider costs when choosing care options

Health Advocate

• □Part A: HA 1.1 Assess a patient’s need for additional health services or resources
• □Part A: HA 1.2 Select patient education resources related to Urology

Case description

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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

Gender

1. ●male
2. ●female

Anesthetic

1. ●local
2. ●under sedation
3. ●general anesthetic

Procedure

1. ●cystoscopy
2. ●retrograde pyelogram
3. ●insertion of ureteral catheter/stent
4. ●removal of ureteral stent
5. ●evacuation of clots/fulguration
6. ●biopsy and fulguration

Medical Expert

• □ME 3.4 Prepare, position and drape the patient
• □ME 3.4 Maintain sterile technique
• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation and direction
• □ME 3.4 Respect tissue vitality when handling tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression

Communicator

• □COM 3.1 Communicate effectively with the patient during the procedure

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

Gender

1. ●male
2. ●female

Anesthetic

1. ●local
2. ●under sedation
3. ●general anesthetic

Procedure

1. ●cystoscopy
2. ●retrograde pyelogram
3. ●insertion of ureteral catheter/stent
4. ●removal of ureteral stent
5. ●dilation of urethral stricture

Medical Expert

• □ME 3.4 Prepare, position and drape the patient
• □ME 3.4 Maintain sterile technique
• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation and direction
• □ME 3.4 Respect tissue vitality when handling tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression

Communicator

• □COM 3.1 Communicate effectively with the patient during the procedure

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 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 5.2 Apply the surgical safety checklist
• □ME 3.4 Prepare the operative field
• □ME 3.4 Establish adequate exposure
• □ME 3.4 Position retractors safely
• □ME 3.4 Insert abdominal drains
• □ME 3.4 Close the layered abdominal incision
• □ME 3.4 Respect tissue vitality when handling tissue and instruments

Collaborator

• □COL 1.2 Make appropriate use of assistants
• □COL 1.1 Respect established protocols of the operating room and team

Professional

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

Case description

Feedback provided

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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. ●manual clot irrigation
2. ●JP removal
3. ●nephrostomy tube

Medical Expert

• □ME 1.4 Perform a focused clinical assessment
• □ME 2.2 Identify common issues and/or complications related to tubes and drains
• □ME 3.1 Determine the appropriate timing and procedure for tube or drain irrigation or removal
• □ME 3.4 Perform common procedures in a skilful, fluid, and safe manner
• □ME 3.4 Recognize and manage common complications of a procedure
• □ME 4.1 Develop plans for ongoing care

Communicator

• □COM 5.1 Document the clinical encounter to convey the procedure, clinical findings and/or outcome

Professional

• □P 1.1 Respond to nursing requests and concerns in a respectful and timely manner
• □P 1.1 Identify limits in own expertise and seek 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

Presentation

1. ●UTI/urosepsis
2. ●urinary tract obstruction
3. ●scrotal mass/tumour
4. ●scrotal abscess
5. ●epididymitis
6. ●torsion
7. ●priapism
8. ●Fournier’s gangrene
9. ●paraphimosis
10. ●genitourinary trauma

Anatomic site

1. ●not applicable
2. ●renal
3. ●ureteric
4. ●bladder
5. ●urethral
6. ●genital

Complexity of case

1. ●low
2. ●high

Medical Expert

• □ME 2.1 Determine the acuity of the issue and establish priorities for patient care
• □ME 2.1 Treat the patient’s urgent issues: provide relief from acute pain, stabilize hemodynamics and/or initiate antibiotics as appropriate
• □ME 2.2 Perform a focused clinical assessment, without excluding any key elements
• □ME 2.2 Select, prioritize and interpret investigations
• □ME 3.1 Develop a procedural or therapeutic plan that considers the risks and benefits of all treatment options
• □ME 3.3 Determine the necessity and timing of surgical intervention
• □ME 4.1 Determine the necessity and timing of referral to another health care professional

Communicator

• □COM 3.1 Provide information to the patient and/or family clearly and compassionately

Collaborator

• □COL 1.2 Work effectively with other physicians or surgeons to provide all needed aspects of care (emergency room or radiology staff, nephrology or trauma team)

Health Advocate

• □HA 1.3 Identify opportunities to incorporate prevention and health promotion into the patient interaction

Professional

• □P 4.1 Maintain calm despite stressful or negative interactions

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

Presentation

1. ●complex UTI
2. ●cutaneous genital lesions
3. ●male infertility
4. ●genital and/or pelvic pain
5. ●adrenal mass
6. ●suspicious renal mass
7. ●suspicious scrotal mass
8. ●elevated PSA

Complexity

1. ●low
2. ●high

Medical Expert

• □ME 1.4 Perform clinical assessments that address all relevant issues
• □ME 2.2 Administer and interpret disease specific questionnaires, as appropriate (e.g., erectile dysfunction)
• □ME 2.2 Identify and interpret pertinent findings on physical examination
• □ME 2.2 Identify indications for, and interpret, specialized tests
• □ME 2.2 Integrate the patient’s other medical problems, overall functioning and current health status into the decision regarding plan of care
• □ME 2.4 Stratify risk for clinical progression/recurrence and identify patients that need further investigation (e.g., biopsy) and/or surgical intervention
• □ME 2.4 Develop and implement a plan, which may include further investigation, surveillance, medical treatment and/or surgical intervention
• □ME 4.1 Determine the necessity and timing of referral to another health care professional
• □ME 2.3 Share concerns about goals of care that are not felt to be achievable with the patient, in a constructive and respectful manner
• □ME 4.1 Establish plans for ongoing care and/or surveillance

Communicator

• □COM 4.3 Use communication skills and strategies that help patients make informed decision about their health
• □COM 5.1 Document the clinical encounter to adequately convey clinical reasoning and the rationale for decisions

Leader

• □L 2.1 Use clinical judgment to minimize wasteful practices

Health Advocate

• □HA 1.2 Select and provide relevant patient education resources

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

Setting

1. ●clinical
2. ●simulation

Issue

1. ●difficult catheterization
2. ●need for ureteric stent

Medical Expert

• □ME 2.2 Perform a focused clinical assessment, without excluding any key elements
• □ME 2.4 Develop and implement a plan, which may include endoscopy, interventional radiology intervention and/or observation
• □ME 1.4 Recognize when the problem needs the involvement of more experienced colleagues and seek assistance

Professional

• □P 1.1 Respond to requests for assistance or consultation in a timely fashion

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

Congenital urinary tract anomalies

1. ●not applicable
2. ●hydronephrosis: antenatal
3. ●ureteocele
4. ●megaureter
5. ●posterior urethral valve
6. ●duplication anomalies
7. ●ureteropelvic junction obstruction (UPJO)
8. ●vesicoureteral reflux
9. ●exstrophy
10. ●neurogenic voiding dysfunction

Genital conditions

1. ●not applicable
2. ●hydroceles/herniae
3. ●hypospadias
4. ●phimosis
5. ●neonatal torsion
6. ●concealed penis
7. ●testicular torsion
8. ●disorders of sexual differentiation
9. ●epispadias

Medical Expert

• □ME 2.2 Elicit a history, including the perinatal history as relevant
• □ME 2.2 Perform the physical exam in a manner that minimizes discomfort or distress, without excluding key elements
• □ME 2.2 Adapt the clinical assessment to the child’s age and development
• □ME 2.2 Select investigations, considering the limitations of blood volume on laboratory testing and the challenges of medical imaging in children
• □ME 2.2 Interpret investigations
• □ME 2.2 Distinguish disorders of sexual differentiation from others in the differential diagnosis
• □ME 2.4 Develop a management plan, which may include observation, medical management or surgical intervention
• □ME 3.1 Identify patients that would benefit from surgical intervention
• □ME 3.2 Obtain informed consent

Communicator

• □COM 3.1 Provide information to the patient and/or family clearly and compassionately
• □COM 4.3 Answer questions from the patient and/or family

Professional

• □P 1.1 Exhibit appropriate professional behaviours

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

Tumour difficulty

1. ●low
2. ●high

Medical Expert

• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation and direction
• □ME 3.4 Respect tissue vitality when handling tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression
• □ME 3.4 Resect and fulgurate tissue safely

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

Case complexity

1. ●normal
2. ●high

Technique

1. ●standard electrocautery, alternative electrocautery
2. ●laser

Medical Expert

• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation and direction
• □ME 3.4 Respect tissue vitality when handling tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression
• □ME 3.4 Resect and fulgurate tissue safely
• □ME 3.4 Determine that procedure is complete, hemostasis achieved
• □ME 3.4 Implement an appropriate and safe exit strategy

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

Technique

1. ●cold-knife
2. ●holmium laser
3. ●dilation

Medical Expert

• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation and direction
• □ME 3.4 Respect tissue vitality when handling tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression
• □ME 3.4 Incise or dilate tissue safely
• □ME 3.4 Demonstrate appropriate and safe use of holmium laser, as applicable
• □ME 3.4 Implement an appropriate and safe exit strategy

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

Gender

1. ●male
2. ●female

Complexity

1. ●Low
2. ●High

Medical Expert

• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation, and direction
• □ME 3.4 Respect tissue vitality when handing tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression
• □ME 3.4 Demonstrate appropriate and safe use of ancillary equipment (guidewires, ureteral catheters, access sheaths, baskets)
• □ME 3.4 Demonstrate appropriate and safe use of holmium laser
• □ME 3.4 Demonstrate appropriate and safe use of fluoroscopy
• □ME 3.4 Implement an appropriate and safe exit strategy

Collaborator

• □COL 1.2 Make appropriate use of assistants
• □COL 1.3 Communicate effectively throughout the procedure

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

Nephroscopy done

1. ●yes
2. ●no

Medical Expert

• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation and direction
• □ME 3.4 Respect tissue vitality when handing tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression
• □ME 3.4 Perform nephroscopy
• □ME 3.4 Demonstrate appropriate care of instruments
• □ME 3.4 Demonstrate appropriate and safe use of ancillary equipment (guidewires, ureteral catheters, access sheaths, baskets)
• □ME 3.4 Demonstrate appropriate and safe use of holmium laser
• □ME 3.4 Demonstrate appropriate and safe use of fluoroscopy
• □ME 3.4 Implement an appropriate and safe exit strategy

Collaborator

• □COL 1.2 Make appropriate use of assistants
• □COL 1.3 Communicate effectively throughout the procedure

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

Nephroscopy

1. ●flexible
2. ●rigid

Medical Expert

• □ME 3.4 Assemble and optimize endoscope function
• □ME 1.3 Apply knowledge of anatomy, key landmarks and the surgical procedure
• □ME 3.4 Manipulate endoscope appropriately, achieving stabilization, orientation, and direction
• □ME 3.4 Respect tissue vitality when handling tissue and instruments
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression
• □ME 3.4 Demonstrate appropriate and safe use of intracorporeal lithotripter
• □ME 3.4 Demonstrate appropriate and safe use of fluoroscopy
• □ME 3.4 Implement an appropriate and safe exit strategy

Collaborator

• □COL 1.2 Make appropriate use of assistants
• □COL 1.3 Communicate effectively throughout the procedure
• □COL 1.3 Assist in planning access

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. ●radical nephrectomy, simple nephrectomy
2. ●donor nephrectomy
3. ●nephroureterectomy
4. ●partial nephrectomy
5. ●pyeloplasty

Case complexity

1. ●low
2. ●medium
3. ●high

Medical Expert

• □ME 3.4 Prepare, position and drape the patient
• □ME 3.4 Establish laparoscopic access/port placement
• □ME 3.4 Mobilize the bowel
• □ME 3.4 Expose the retroperitoneum
• □ME 3.4 Expose the renal hilum
• □ME 3.4 Achieve vascular control
• □ME 3.4 Retrieve the organ/tumour
• □ME 3.4 Mobilize the ureter
• □ME 3.4 Manage the distal ureter
• □ME 3.4 Implement an appropriate and safe exit strategy
• □ME 3.4 Recognize and manage intraoperative emergencies
• □ME 3.4 Demonstrate intraoperative judgment, fluidity of movement, forward progression

Collaborator

• □COL 1.3 Communicate effectively throughout the procedure

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

Component performed (check all that apply)

1. ●mobilizing renal/perirenal structures
2. ●vascular hemostasis
3. ●quality components

Procedure

1. ●radical nephrectomy
2. ●partial nephrectomy
3. ●RPLND
4. ●nephroureterectomy
5. ●utererolysis
6. ●uretero-ureterostomy
7. ●adrenalectomy
8. ●pyeloplasty
9. ●other (write in)

Medical Expert

• □ME 3.4 Mobilize retroperitoneal structures such as ureter, kidney, IVC, branches of IVC, thoracic duct, and aorta
• □ME 3.4 Mobilize bowel to expose kidney
• □ME 3.4 Mobilize bowel to identify and mobilize/dissect pelvic ureter down to bladder
• □ME 3.4 Mobilize and dissect kidney circumferentially
• □ME 3.4 Mobilize the adrenal
• □ME 3.4 Mobilize the omentum Hemostasis components
• □ME 3.4 Dissect, isolate, and/or ligate a main artery and vein
• □ME 3.4 Control a bleeding vessel Quality components
• □ME 3.4 Demonstrate appropriate tissue handling of bowel, ureter, vessels, etc. (non-traumatic, finesse, appropriate use of instruments)
• □ME 3.4 Identify other structures and assess for possible injuries (i.e., pleural, pancreatic, splenic injury)
• □ME 3.4 Demonstrate intraoperative judgement, fluidity of movement, forward progression

Professional

• □P 1.1 Recognize own surgical limitations and request 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

Component performed (select all the apply)

1. ●basic components of pelvic procedures
2. ●bowel components
3. ●ureteral components
4. ●bladder/urethral components
5. ●vascular hemostasis
6. ●pelvic lymph node dissection

Procedure

1. ●bladder repair
2. ●repair of intraop bladder injury
3. ●partial cystectomy
4. ●simple cystectomy
5. ●radical cystectomy
6. ●fistula repair
7. ●ureteric reconstruction
8. ●iatrogenic ureteral injury
9. ●ureteral implant
10. ●simple prostatectomy
11. ●radical prostatectomy
12. ●open cystolithotomy
13. ●bladder diverticulectomy
14. ●augmentation cystoplasty +/- diversion
15. ●other (write in)

Medical Expert

• □Part A: ME 3.4 Demonstrate development of space of retzius and opening of endopelvic fascia Bowel components
• □Part A: ME 3.4 Mobilize bladder and take down pedicles
• □Part A: ME 3.4 Isolate a segment of small bowel (identify proper location, ensure adequate supply, division and restoration of bowel continuity with suture and/or stapler)
• □Part A: ME 3.4 Suture and close off/repair lumen (enterotomy repair etc.) Ureteral components
• □Part A: ME 3.4 Perform ureteral reimplantation (into bowel or bladder)
• □Part A: ME 3.4 Manage ureteral injury (Boari Flap or psoas hitch or ileal interposition) along with stenting Bladder/urethral components
• □Part A: ME 3.4 Perform urethral and/or ureteral anastomosis (open or MIS)
• □Part A: ME 3.4 Open and/or close the bladder (i.e., rupture/iatrogenic bladder injury, open cystolithotomy)
• □Part A: ME 3.4 Perform bladder neck reconstruction Vascular hemostasis
• □Part A: ME 3.4 Demonstrate approach and technique to control a bleeding vessel in the pelvis (i.e., DVC) Pelvic lymph node dissection
• □Part A: ME 3.4 Perform pelvic lymph node dissection up to common iliac bifurcation Quality components
• □Part A: ME 3.4 Demonstrate appropriate tissue handling of bowel, ureter, vessels, etc. (non-traumatic, finesse, appropriate use of instruments)
• □Part A: ME 3.4 Demonstrate intraoperative judgement, fluidity of movement, forward progression
• □Part A: ME 3.4 Identify other structures and assess for possible injuries (i.e., pleural, pancreatic, splenic injury)

Professional

• □Part A: P 1.1 Recognize own surgical limitations and request 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

Demographic

1. ●pediatric
2. ●adult

Type of procedure

1. ●scrotal/inguinal
2. ●penile/male urethral
3. ●vaginal/pelvic floor

Medical Expert

• □ME 3.4 Prepare, position, and drape the patient
• □ME 1.3 Apply knowledge of anatomy, key landmarks, and the surgical procedure
• □ME 3.4 Select appropriate instruments and sutures for each step of the procedure
• □ME 3.4 Open and close the incision
• □ME 3.4 Use optical magnification appropriately
• □ME 3.4 Perform safe tissue dissection of relevant structures and tissue layers with gentle tissue handling
• □ME 3.4 Use instruments appropriately, including trocar placement and stay sutures
• □ME 3.4 Perform suturing, suture ligation, and a spatulated anastomosis
• □ME 3.4 Use drains and catheters/stents appropriately
• □ME 3.4 Recognize and address immediate intra-operative complications

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

Location

1. ●inpatient
2. ●outpatient
3. ●emergency room
4. ●telephone consultation

Setting

1. ●clinical
2. ●simulation

Age group

1. ●adult
2. ●pediatric

Type of surgery

1. ●endoscopy
2. ●percutaneous
3. ●genital
4. ●open
5. ●laparoscopic

Type of complication

1. ●genitourinary (GU)bleeding
2. ●urine leak
3. ●urosepsis
4. ●other (write in)

Medical Expert

• □Part A: ME 2.1 Determine the acuity of the issue and establish priorities for patient care
• □Part A: ME 2.2 Gather information about the patient’s illness, including procedures performed and clinical course
• □Part A: ME 2.2 Select, prioritize, and interpret investigations
• □Part A: ME 2.2 Synthesize patient information to determine a diagnosis
• □Part A: ME 2.4 Develop and implement a management plan
• □Part B: ME 5.1 Report patient safety incidents through appropriate institutional procedures
• □Part B: ME 5.1 Identify potential improvement opportunities arising from harmful safety incidents and near misses

Communicator

• □Part A: COM 3.1 Convey information related to the patient’s health status, care and needs in a timely, honest, and transparent manner
• □Part A: COM 5.1 Document the clinical encounter to adequately convey clinical information, clinical reasoning, and the rationale for decisions
• □Part B: COM 3.2 Communicate the reasons for unanticipated clinical outcomes and/or disclose patient safety incidents to patients and families
• □Part B: COM 3.2 Plan and document follow-up to a harmful patient safety incident

Professional

• □Part A: P 3.1 Demonstrate an understanding of the medicolegal responsibilities of the most responsible physician, and the limits of resident autonomy

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

Hospital stay

1. ●day surgery
2. ●same day admit
3. ●inpatients

Medical Expert

• □ME 2.4 Provide routine post-operative care, managing intravenous fluids, diet, wound care, and medications
• □ME 1.4 Perform clinical assessments of pediatric patients that address all relevant issues
• □ME 2.4 Provide appropriate pain management
• □ME 2.4 Adjust medication dosing for patient age, size, and/or renal function
• □ME 2.4 Manage issues related to wound healing, as well as tubes and drains
• □ME 4.1 Develop plans for follow-up on investigations and/or ongoing care

Communicator

• □COM 1.6 Adapt to the communication needs of children and their families
• □COM 3.1 Share information and explanations that are clear, accurate, and timely while checking for patient and/or family understanding
• □COM 1.5 Recognize when strong emotions are affecting an interaction and respond appropriately

Collaborator

• □COL 1.2 Work effectively with other health professionals

Health Advocate

• □HA 1.3 Incorporate health promotion into interactions with the patient and family

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

Gender

1. ●male
2. ●female

Condition

1. ●genital and/or pelvic pain
2. ●genital lesions
3. ●recurrent infections
4. ●sexual and/or reproductive dysfunction
5. ●stones
6. ●voiding dysfunction

Category

1. ●chronic
2. ●complex
3. ●elderly/frail
4. ●not a surgical candidate

Treatment

1. ●escalate/switch therapy
2. ●move to surgical approach
3. ●discharge
4. ●other

Medical Expert

• □ME 1.4 Perform clinical assessments that address all relevant issues
• □ME 2.2 Interpret the results of investigations performed to monitor the condition and/or treatment
• □ME 2.2 Synthesize patient information to determine response to treatment, side effects, and/or toxicity
• □ME 2.4 Adjust management plans based on clinical status and/or response to treatment
• □ME 2.2 Integrate the patient’s other medical problems, overall functioning and current health status into the decision regarding plan of care
• □ME 3.1 Determine if the condition warrants surgical intervention and if the patient is a candidate for interventional procedures
• □ME 4.1 Determine the necessity and timing of referral to another health care professional
• □ME 4.1 Coordinate treatment and follow-up plans
• □ME 2.3 Share concerns about goals of care that are not felt to be achievable with the patient, in a constructive and respectful manner

Communicator

• □COM 4.3 Use communication skills and strategies that help patients make informed decisions about their health

Health Advocate

• □HA 1.1 Facilitate timely patient access to services and resources
• □HA 1.3 Incorporate prevention, health promotion, and health surveillance into patient interactions

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

Type of observation

1. ●direct
2. ●indirect

Setting

1. ●clinical
2. ●simulation

Type of cancer

1. ●renal
2. ●bladder
3. ●prostate
4. ●testicular
5. ●penile
6. ●urethral
7. ●adrenal

Stage of cancer

1. ●localized
2. ●invasive
3. ●metastatic/advanced
4. ●other

Previous treatment

1. ●operative removal
2. ●TURBT
3. ●other

Treatment planned

1. ●ongoing surveillance
2. ●adjuvant
3. ●palliative care
4. ●other

Medical Expert

• □Part A: ME 2.2 Assess the patient’s functional status and quality of life
• □Part A: ME 2.2 Interpret the results of investigations done for diagnosis and/or staging (pathology, imaging, tumour markers)
• □Part A: ME 2.2 Synthesize patient information to determine diagnosis and prognosis
• □Part A: ME 2.2 Identify features of the patient’s condition or co-morbidities which modify the risk of disease progression and/or treatment
• □Part A: ME 2.4 Develop and implement a plan, which may include further investigation, surveillance, medical treatment and/or surgical intervention
• □Part A: ME 4.1 Identify indications for adjuvant therapy and the timing of referral to other specialists
• □Part A: ME 4.1 Determine the frequency and timing of future investigations and visits
• □Part A: ME 2.3 Share concerns about goals of care that are not felt to be achievable with the patient, in a constructive and respectful manner
• □Part B: ME 2.2 Assess the patient’s functional status and quality of life
• □Part B: ME 2.2 Interpret the results of investigations performed to monitor the condition and/or treatment
• □Part B: ME 2.2 Synthesize patient information to determine response to treatment and/or toxicity
• □Part B: ME 2.4 Adjust management plans based on clinical status and/or response to treatment
• □Part B: ME 2.4 Develop a plan for management, which may include continuation of current treatment, change in therapy, escalation of therapy or a palliative approach
• □Part B: ME 4.1 Determine the necessity and timing of referral to another health care professional
• □Part B: ME 4.1 Determine the frequency and timing of future investigations and visits
• □Part B: ME 2.3 Share concerns about goals of care that are not felt to be achievable with the patient, in a constructive and respectful manner

Communicator

• □Part A: COM 3.1 Provide information on diagnosis and prognosis clearly and compassionately
• □Part A: COM 4.3 Use communication skills and strategies that help patients make informed decision about their health
• □Part B: COM 4.3 Use communication skills and strategies that help patients make informed decision about their health

Collaborator

• □Part A: COL 1.2 Consult, as needed, with other oncology professionals

Health Advocate

• □Part B: HA 1.1 Facilitate timely patient access to services and resources
• □Part B: HA 1.3 Incorporate prevention, health promotion, and health surveillance into patient interactions

Scholar

• □Part A: S 3.4 Integrate best evidence and clinical expertise into decision-making
• □Part B: 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

Complexity of case load

1. ●low
2. ●high

Medical Expert

• □Part A: ME 1.5 Carry out professional duties in the face of multiple, competing demands
• □Part A: ME 3.1 Determine the most appropriate procedures or therapies for the purpose of assessment and/or management
• □Part A: ME 2.4 Develop and implement patient-centered discharge and follow-up plans
• □Part A: ME 4.1 Ensure patients receive appropriate end of life care
• □Part A: ME 4.1 Determine the necessity and timing of referral to another health care professional
• □Part A: ME 4.1 Coordinate investigation, treatment, and follow-up when multiple physicians and health care professionals are involved

Collaborator

• □Part B: COL 1.2 Make effective use of the scope and expertise of other health care professionals
• □Part B: COL 1.1 Respond appropriately to input from other health care professionals
• □Part B: COL 1.3 Communicate effectively with physicians and other colleagues in the health care professions

Leader

• □Part A: L 2.1 Allocate health care resources for optimal patient care
• □Part A: L 4.1 Manage time and prioritize tasks
• □Part A: L 3.1 Plan relevant work schedules for the service team

Health Advocate

• □Part A: HA 1.1 Facilitate timely patient access to services and resources

Scholar

• □Part A: S 3.4 Integrate best evidence and clinical expertise into decision-making
• □Part A: S 2.2 Ensure a safe learning environment for all members of the team
• □Part A: S 2.3 Supervise junior learners to ensure patient safety
• □Part B: S 2.4 Provide formal and informal teaching for junior learners
• □Part B: S 2.4 Provide useful, timely, constructive feedback

Professional

• □Part B: P 1.1 Exhibit appropriate professional behaviors
• □Part B: P 1.1 Respond punctually to requests from patients or other health care professionals

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

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 the literature
• □S 3.4 Integrate best evidence and clinical expertise
• □S 2.4 Present the information in an organized manner
• □S 2.4 Use audiovisual aids effectively
• □S 2.4 Provide adequate time for questions and discussion

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 dissemination

1. ●publication
2. ●manuscript prepared for submission

Oral presentation

1. ●yes
2. ●no

Leader

• □L 4.1 Organize work to manage clinical, scholarly, and other responsibilities

Scholar

• □S 4.4 Identify, consult, and collaborate with content experts and others in the conduct of scholarly work
• □S 4.4 Generate focused questions for scholarly investigation
• □S 3.3 Critically evaluate the integrity, reliability, and applicability of health-related research and literature
• □S 4.5 Summarize the findings of a literature review
• □S 4.4 Select appropriate methods of addressing a given scholarly question
• □S 4.2 Identify ethical principles in research
• □S 4.4 Collect data for scholarly work
• □S 4.4 Perform data analysis
• □S 4.4 Integrate existing literature and findings of data collection
• □S 4.4 Identify areas for further investigation
• □S 4.5 Defend and disseminate the results of research

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 1.3 Apply a broad base and depth of knowledge in clinical and biomedical sciences to manage the breadth of patient presentations in Urology
• □ME 1.5 Carry out professional duties in the face of multiple, competing demands
• □ME 2.4 Establish a patient-centred management plan for any Urology presentation
• □ME 1.6 Recognize and respond to the complexity, uncertainty, and ambiguity in practice
• □ME 3.1 Determine the most appropriate procedures or therapies for the purpose of assessment and/or management
• □ME 3.3 Prioritize procedures/therapies, taking into account clinical urgency and available resources
• □ME 5.2 Use systems to track and follow-up on clinical data such as studies and laboratory tests
• □ME 4.1 Determine appropriate timing of next visit based on planned investigations, clinical status, and/or anticipated clinical course

Communicator

• □COM 2.2 Manage the flow and timing of clinical encounters
• □COM 5.1 Document clinical encounters in an accurate, complete, timely and accessible manner

Collaborator

• □COL 3.1 Determine when care should be transferred to another physician or health care professional

Leader

• □L 4.1 Review and act on test results in a timely manner
• □L 4.1 Manage time effectively to maintain clinic flow

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

Medical Expert

• □ME 3.4 Anticipate and prepare for technical challenges and/or significant findings
• □ME 3.2 Obtain and document informed consent, explaining the risks and benefits of, and the rationale for, a proposed procedure or therapy
• □ME 3.4 Perform endoscopic procedures in a skilful and safe manner, adapting to unanticipated findings or changing clinical circumstances
• □ME 3.4 Identify clinically significant findings of endoscopic procedures
• □ME 3.1 Determine the most appropriate procedure or therapy for the purpose of ongoing assessment and/or management
• □ME 4.1 Propose and implement plans for ongoing care, follow-up on investigations, and further treatment or referral

Communicator

• □COM 4.3 Use communication skills and strategies that help patients make informed decisions about their health
• □COM 5.1 Document surgical procedures in an accurate, complete, timely, and accessible manner

Leader

• □L 4.1 Manage endoscopy clinic scheduling to ensure appropriate case volume and complexity, and optimize clinic flow
• □L 4.2 Adhere to occupational safety procedures to ensure personal and team safety during the application of fluoroscopic, laser, and cytotoxic interventions
• □L 4.2 Demonstrate leadership skills in the endoscopy suite
• □L 4.1 Manage time effectively to maintain clinic flow

Professional

• □P 1.2 Prepare for surgical procedures, reviewing the list of planned operations
• □P 4.1 Maintain professional clinical performance in demanding or stressful clinical 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

Type of procedures

1. ●laparoscopic
2. ●endoscopic
3. ●open

Medical Expert

• □Part A: ME 5.2 Lead the team in the use of the surgical safety checklist
• □Part A: ME 3.4 Perform surgical procedures in a skilful and safe manner
• □Part A: ME 3.4 Manage unexpected intraoperative findings and perioperative issues, adjusting the procedure as appropriate
• □Part A: ME 4.1 Establish plans for post-operative care

Communicator

• □Part A: COM 3.1 Convey information about the procedure, operative findings, and patient status to the family clearly and compassionately
• □Part A: COM 5.1 Document surgical procedures in an accurate, complete, timely and accessible manner

Collaborator

• □Part A: COL 3.2 Transition patient care safely to the post-operative team
• □Part B: COL 1.2 Make effective use of the scope and expertise of other health care professionals
• □Part B: COL 2.1 Delegate tasks and responsibilities in an appropriate and respectful manner
• □Part B: COL 1.3 Communicate effectively with the operating room team

Leader

• □Part B: L 4.2 Demonstrate leadership skills in the operating room

Scholar

• □Part B: S 2.3 Provide junior learners with opportunities for appropriate clinical responsibility
• □Part B: S 2.5 Provide junior learners with feedback to enhance learning and performance

Professional

• □Part A: P 1.2 Prepare for surgical procedures, reviewing the list of planned operations
• □Part A: P 4.1 Maintain professional clinical performance in demanding or stressful clinical settings
• □Part B: P 1.1 Intervene when behaviours toward colleagues and/or learners undermine a respectful environment
• □Part B: P 4.1 Maintain professional clinical performance in demanding or stressful clinical 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

Setting

1. ●clinical
2. ●simulation

Issue

1. ●bladder injury
2. ●ureteric injury/ need for reimplant
3. ●identification of ureter/ ureterolysis
4. ●retroperitoneal mass/ hematoma
5. ●new renal mass
6. ●mass involving bladder

Medical Expert

• □ME 2.2 Perform a focused clinical assessment, without excluding any key elements
• □ME 1.6 Recognize when the problem needs the involvement of more experienced colleagues and seek assistance
• □ME 2.2 Determine the necessity and timing of any further investigations
• □ME 2.4 Develop and implement a plan, which may include surgical intervention, endoscopy, interventional radiology intervention, medical management and/or observation
• □ME 3.4 Select appropriate materials and equipment for a procedure or intervention
• □ME 3.2 Obtain informed consent, as appropriate to the intraoperative consultation

Communicator

• □COM 3.1 Convey information related to the patient’s health status, care, and needs in a timely, clear, and compassionate manner

Collaborator

• □COL 1.3 Engage the consulting surgical team in respectful shared decision- making
• □COL 3.2 Provide handover of the patient’s status and ongoing care needs to the referring surgical team as well as one’s own colleagues

Professional

• □P 1.1 Respond to requests for assistance or consultation in a timely fashion

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

Collaborator

• □COL 1.1 Receive and respond appropriately to input from others
• □COL 1.3 Work effectively with physicians and other colleagues

Leader

• □L 3.1 Demonstrate an understanding of the administrative operations of urology programs
• □L 3.1 Contribute to improvements in urology professional practice

Scholar

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

Professional

• □P 2.1 Demonstrate a commitment to active participation in the activities of the profession
• □P 1.1 Exhibit appropriate professional behaviors

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 1.1 Demonstrate an awareness of what is required to practice safely and effectively in the setting of future practice

Leader

• □L 4.2 Examine personal interests and career goals
• □L 4.2 Adjust educational experiences to gain competencies necessary for future practice

Scholar

• □S 1.2 Interpret data on personal performance to identify opportunities for learning and improvement
• □S 1.1 Define learning needs related to personal practice and/or career goals
• □S 3.1 Generate focused questions that address practice uncertainty and knowledge gaps
• □S 1.1 Create a learning plan that is feasible, includes clear deliverables, and a plan for monitoring ongoing achievement
• □S 1.1 Identify resources required to implement a personal learning plan

Professional

• □P 2.1 Demonstrate a commitment to maintaining and enhancing competence

Case description

Feedback provided

Next steps