The final in-training evaluation report (FITER) will be completed by the Program Director, with input from the Residency Training Committee, based on a summation of all ITERs, feedback from interprofessional team members, Mini CEX, summative oral examination, and the scholarly project General Educational Objectives/Competencies Medical Expert/ Family Medicine Expert The Family Physician is a skilled clinician. Family Medicine is a Community Based Discipline. The patient-physician relationship is central to the role of the Family Physician. General Objective #1: The resident will demonstrate skills in performing a palliative care consultation. Specific objectives: The resident will be able to: perform a complete palliative care consultation, including assessing the physical, social, psychological, spiritual and functional parameters for a palliative care patient. communicate the findings both written and verbally. General Objective #2: The resident will be able to demonstrate advanced knowledge, skill, and attitudes in managing pain in advanced illness. Specific objectives: The resident will be able to demonstrate the knowledge of: Assessment of pain, including the use of validated assessment tools, history taking skills, physical examination skills, and appropriate ordering and interpretation of investigations; the common and less common cancer pain syndromes; the neurophysiology of pain transmission; the pharmacology (pharmacokinetics and dynamics) of medications used in pain control; the special issues in assessment of pain in patients with cognitive impairment and with communication difficulties; dose selection, titration, routes of administration and effectiveness of pain medications. Medications include: opioids, including methadone; adjuvants; NSAIDS, anti-depressants, anti-consultants, steroids, ketamine, etc.
The final in-training evaluation report (FITER) will be completed by the Program Director, with input from the Residency Training Committee, based on a summation of all ITERs, feedback from interprofessional team members, Mini CEX, summative oral examination, and the scholarly project General Educational Objectives/Competencies Medical Expert/ Family Medicine Expert The Family Physician is a skilled clinician. Family Medicine is a Community Based Discipline. The patient-physician relationship is central to the role of the Family Physician. General Objective #1: The resident will demonstrate skills in performing a palliative care consultation. Specific objectives: The resident will be able to: perform a complete palliative care consultation, including assessing the physical, social, psychological, spiritual and functional parameters for a palliative care patient. communicate the findings both written and verbally. General Objective #2: The resident will be able to demonstrate advanced knowledge, skill, and attitudes in managing pain in advanced illness. Specific objectives: The resident will be able to demonstrate the knowledge of: Assessment of pain, including the use of validated assessment tools, history taking skills, physical examination skills, and appropriate ordering and interpretation of investigations; the common and less common cancer pain syndromes; the neurophysiology of pain transmission; the pharmacology (pharmacokinetics and dynamics) of medications used in pain control; the special issues in assessment of pain in patients with cognitive impairment and with communication difficulties; dose selection, titration, routes of administration and effectiveness of pain medications. Medications include: opioids, including methadone; adjuvants; NSAIDS, anti-depressants, anti-consultants, steroids, ketamine, etc.
ES-Palliative_Care_Objectives_2013.docx