Observable Behaviour Field Note
Assessing Competence in family medicine

Search results for: Professionalism
Theme: The physician practices evidence-based medicine skillfully. This implies not only critical appraisal and information-management capabilities, but incorporates appropriate learning from colleagues and patients.

Select up to  behaviours to include in one field note.

✓  Does not give undue weight to evidence-based medicine: incorporates the patient’s and family’s expertise about the uniqueness of their situation; incorporates the experience and expertise of colleagues and team members, as well as his or her own

✓  When a patient questions care or makes suggestions, is open to respectful discussion; responds positively to patients who bring materials from the Internet

✓  When using guidelines or the results of clinical trials (on large populations), customizes and adapts them to ensure applicability to the individual patient in question

✓  Does not change a current treatment plan when temporarily dealing with someone else’s patient; if thinks changes are desirable, discusses them first with the regular provider

✓  Checks as to whether practice is consistent with recent evidence, and makes changes consistent with this evidence

✓  Identifies knowledge gaps in own clinical practice, and develops a strategy to fill it; frames clinical questions that will facilitate the search for “answers” to these gaps

✗  Does not use resources to acquire up-to-date information about specific cases

✗  Following a group discussion and decision, does not incorporate agreed-upon changes into clinical practice

✗  Relies too much on a limited set of inappropriate information resources (e.g., drug company representatives, unselected Internet material, The Medical Post, “expert” opinion)

✗  Does not critically question information

Other behaviour not listed

Resident:
Assessor:
Clinical Setting:
Date:
Skill Dimension:
Theme:
The physician practices evidence-based medicine skillfully. This implies not only critical appraisal and information-management capabilities, but incorporates appropriate learning from colleagues and patients.

Observed Behaviour:

Other:
Feedback given (what was done well / suggestions for improvement):
 

Signed Resident:   Signed Assessor:  
Date:   Date:  


  
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