Detailed Curriculum Map

Transition to Discipline

Foundation of Discipline

Core of Discipline

Transition to Practice

Transition to Discipline

TTD1a. Performing preoperative assessments for healthy adult patients who will be undergoing a non-complex scheduled surgical procedure - part A: Patient assessment Direct observation or chart/case review by supervisor
TTD1b. Performing preoperative assessments for healthy adult patients who will be undergoing a non-complex scheduled surgical procedure - Part B: Submit logbook of patient assessment encounters
TTD2. Monitoring adult patients undergoing non-complex surgical procedures, under general or regional anesthesia
TTD3. Performing the postoperative transfer of care of healthy adult patients following anon-complex surgical procedure, including postoperative orders

Foundation of Discipline

F1. Using the anesthetic assessment to generate the anesthetic considerations and management plan including postoperative disposition, and obtaining informed consent, for non-complex patients and non-complex surgery
F2a. Providing perioperative anesthetic management for non-complex cases in adult patients
F2b. Providing perioperative anesthetic management for non-complex cases in adult patients
F2c. Providing perioperative anesthetic management for non-complex cases in adult patients
F3a. Performing the non-airway basic procedures of Anesthesiology
F3b. Performing the non-airway basic procedures of Anesthesiology
F4. Identifying patients presenting with an anticipated difficult airway and preparing for management options
F5. Managing and coordinating patient positioning during anesthesia care and preventing and recognizing related complications
F6a. Anticipating, preventing and managing common or expected intraoperative events and physiologic changes during non-complex cases
F6b. Anticipating, preventing and managing common or expected intraoperative events and physiologic changes during non-complex cases
F7. Assessing the indications for transfusion of blood products and managing side effects and complications
F8. Diagnosing and managing common issues in the post-anesthesia care unit (PACU), or the surgical ward
F9. Initiating resuscitation and diagnosis of patients with life-threatening conditions in a time-appropriate manner
F10. Assessing, diagnosing and managing patients with common medical or surgical presentations in acute care settings, and advancing their care plans.
F11. Assessing pregnant patients and providing routine obstetric care or initial medical management for acute medical, surgical or obstetric conditions
F12a. Assessing and providing labour analgesia for healthy parturients with an uncomplicated pregnancy, including the management of common complications of labour analgesia
F12b. Assessing and providing labour analgesia for healthy parturients with an uncomplicated pregnancy, including the management of common complications of labour analgesia
F13. Providing anesthesia for patients undergoing non-complex cesarean section
F14. Providing perioperative anesthetic management for non-complex cases in pediatric patients
F15. Managing pediatric patients with common postoperative complications in the post anesthesia care unit or ward
F16. Assessing and initiating management for pediatric patients with common medical conditions

Core of Discipline

C1. Using the anesthetic assessment to generate the anesthetic considerations and management plan, including prioritization and optimization, for patients with complex medical issues or surgeries
C2. Providing anesthetic management for patients with defined critical illness
C3. Providing perioperative anesthetic management for patients with significant cardiac disease
C4. Managing patients presenting with a difficult airway, including developing plans for extubation
C5. Initiating and leading resuscitation for unstable patients in the perioperative period.
C6. Demonstrating required skills in POCUS (point of care ultrasound) to answer a clinical question.
C7A. Providing peripartum anesthetic management for high-risk parturients-part A
C7B. Providing peripartum anesthetic management for high-risk parturients-Part B
C8. Initiating resuscitation and providing anesthetic management for unstable parturients
C9. Assessing, investigating, optimizing and formulating anesthetic plans for more complex pediatric cases
C10. Providing perioperative anesthetic management for pediatric patients with more complex cases
C11. Providing perioperative anesthetic management incorporating a peripheral nerve block technique
C12. Diagnosing and providing management for patients with complications of regional anesthesia
C14. Providing perioperative management for patients requiring airway diagnostic and therapeutic procedures
C15. Providing perioperative anesthetic management for patients undergoing vascular surgery
C16. Providing perioperative anesthetic management for patients undergoing spinal procedures
C17. Providing perioperative anesthetic management for patients undergoing intracranial procedures
C18. Providing perioperative anesthetic management for patients undergoing thoracic surgery
C19. Assessing and providing comprehensive multi-modal management for patients with complex acute pain
C20. Assessing, diagnosing and formulating management options for patients with common chronic pain disorders
C21A. Providing comprehensive ongoing management of critically ill patients in an intensive care setting
C21B. Providing comprehensive ongoing management of critically ill patients in an intensive care setting
C22. Initiating and leading resuscitation for unstable patients, outside of the operating room or PACU
C23. Managing goals of care discussions with patients and families, including perioperative care plans
C24. Providing care for patients who have experienced a patient safety incident
C25. Recognizing and managing ethical dilemmas that arise in the course of patient care

Transition to Practice

Medical Expert

1. Practise medicine within their defined scope of practice and expertise
	1.1. Demonstrate a commitment to high-quality care of their patients							TTD: 2 F: 1 · 13 · 16 C: 1 · 2 · 10 · 12 · 18
	1.2. Integrate the CanMEDS Intrinsic Roles into their practice of Anesthesiology
	1.3. Apply knowledge of the clinical and biomedical sciences relevant to Anesthesiology							TTD: 2 · 2 F: 1 · 1 · 4 · 4 · 4 · 4 · 4 · 4 · 5 · 7 · 7 · 8 · 8 · 10 · 10 · 11 · 12a · 13 · 15 · 16 C: 2 · 2 · 3 · 6 · 9 · 10 · 11 · 11 · 15 · 15 · 16 · 17 · 18 · 19
	1.4. Perform appropriately timed clinical assessments with recommendations that are presented in an organized manner							F: 4 · 4 · 6a · 8 · 8 · 9 · 10 · 10 · 11 · 11 · 12a · 12b · 12b · 13 · 14 · 15 · 15 C: 4 · 5 · 8 · 9 · 14 · 18
	1.5. Carry out professional duties in the face of multiple, competing demands							TTD: 2 F: 1 · 9 C: 21A
	1.6. Recognize and respond to the complexity, uncertainty, and ambiguity inherent in Anesthesiology practice							C: 1 · 5 · 7A · 8 · 10 · 10 · 12 · 14 · 21A · 22
2. Perform a patient-centred clinical assessment and establish a management plan
	2.1. Prioritize issues to be addressed in a patient encounter							F: 16 C: 1 · 5 · 5 · 7A · 8 · 8 · 14 · 16 · 17 · 20 · 22
	2.2. Elicit a history, perform à physical exam, select appropriate investigations, and interpret their results for the purpose of diagnosis and management, disease prevention, and health promotion							TTD: 1a · 1a · 1a · 1a · 1a · 1b · 1b · 1b · 1b F: 1 · 2a · 2a · 2a · 4 · 6a · 7 · 8 · 8 · 8 · 9 · 10 · 11 · 12a · 14 · 14 · 16 C: 1 · 1 · 2 · 3 · 3 · 3 · 4 · 4 · 5 · 5 · 6 · 7A · 8 · 9 · 9 · 9 · 9 · 11 · 11 · 12 · 12 · 14 · 15 · 15 · 16 · 16 · 17 · 17 · 17 · 18 · 19 · 19 · 19 · 20 · 20 · 21A · 21A · 22 · 22
	2.3. Establish goals of care in collaboration with patients and their families*, which may include slowing disease progression, treating symptoms, achieving cure, improving function, and palliation							C: 9 · 20 · 21A · 23 · 23 · 25
	2.4. Establish a patient-centred management plan							TTD: 3 F: 1 · 4 · 5 · 6a · 6a · 7 · 8 · 8 · 9 · 10 · 11 · 11 · 11 · 11 · 12a · 12b · 13 · 14 · 15 · 16 · 16 C: 1 · 1 · 2 · 4 · 4 · 5 · 5 · 5 · 7A · 8 · 8 · 9 · 10 · 12 · 14 · 15 · 19 · 20 · 21A · 21A · 22 · 22 · 23 · 23 · 25
3. Plan and perform procedures and therapies for the purpose of assessment and/or management
	3.1. Determine the most appropriate procedures or therapies							TTD: 1a · 2 F: 1 · 2a · 2a · 3a · 12a · 14 C: 1 · 3 · 6 · 7A · 8 · 11 · 12 · 14 · 15 · 16 · 17 · 18 · 18 · 19 · 21A
	3.2. Obtain and document informed consent, explaining the risks and benefits of, and the rationale for, a proposed procedure or therapy, as appropriate							F: 1 · 2a · 3a · 4 · 4 · 5 · 7 · 7 · 11 · 12a · 13 · 14 C: 1 · 6 · 9 · 10 · 11 · 15 · 16 · 22 · 23
	3.3. Prioritize a procedure or therapy, taking into account clinical urgency and available presenters							F: 2a · 4 · 6a · 8 C: 25
	3.4. Perform a procedure in a skillful and safe manner, adapting to unanticipated findings or changing clinical circumstances							TTD: 2 · 2 F: 2a · 3a · 3a · 3a · 3a · 4 · 5 · 6a · 8 · 12a · 12a · 12a · 12b · 13 · 13 · 14 · 14 · 15 · 16 C: 2 · 2 · 3 · 4 · 5 · 6 · 6 · 6 · 7A · 7A · 8 · 8 · 10 · 10 · 11 · 11 · 11 · 11 · 12 · 12 · 12 · 14 · 15 · 15 · 15 · 16 · 16 · 16 · 16 · 16 · 17 · 17 · 17 · 18 · 18 · 18 · 18 · 19 · 20 · 22
4. Establish plans for ongoing care and, when appropriate, timely consultation
	4.1. Implement a patient-centred care plan that supports ongoing care, follow-up on Investigations, response to treatment, and further consultation							F: 5 · 6a · 8 · 9 · 10 · 10 · 12a · 13 · 15 C: 3 · 4 · 6 · 7A · 12 · 19 · 20 · 20 · 21A · 22
		4.1.2. Assess and manage complications resulting from anesthesia care, procedures and therapies, including but not limited to local anesthetic toxicity and complications of general and regional anesthesia						C: 9
5. Actively contribute, as an individual and as a member of a team providing care, to the continuous improvement of health care quality and patient safety
	5.1. Recognize and respond to harm from health care delivery, including patient safety incidents							TTD: 2 · 3 F: 5 · 5 · 6b · 8 · 8 · 14 C: 12 · 12 · 12 · 12
	5.2. Adopt strategies that promote patient safety and address human and system factors							TTD: 2 · 2 · 2 · 2 · 3 F: 2a · 2a · 2b · 6a · 8 · 10 · 13 C: 2 · 3 · 4 · 4 · 5 · 7A · 8 · 10 · 12 · 16 · 22

Communicator

1. Establish professional therapeutic relationships with patients and their families
	1.1. Communicate using a patient-centred approach that encourages patient trust and autonomy, and is characterized by empathy, respect, and compassion							TTD: 1a · 1b F: 2a · 2b · 10 · 14 C: 9 · 23 · 25
	1.2. Optimize the physical environment for patient comfort, dignity, privacy, engagement, and safety							F: 3a · 4 · 12a · 13 · 14 C: 6 · 7B · 11 · 21B · 25
	1.3. Recognize when the values, biases, or perspectives of patients, physicians, or other health care professionals may have an impact on the quality of care, and modify the approach to the patient accordingly							C: 23
	1.4. Respond to a patient's non-verbal behaviours to enhance communication							TTD: 1a · 1b C: 7A · 9
	1.5. Manage disagreements and emotionally charged conversations							F: 10 C: 1 · 7A · 9 · 9 · 17 · 18 · 23 · 23
	1.6. Adapt to the unique needs and preferences of each patient and to his or her clinical condition and circumstances							F: 1 · 16 C: 1 · 23
2. Elicit and synthesize accurate and relevant information, incorporating the perspectives of patients and their families
	2.1. Use patient-centred interviewing skills to effectively gather relevant biomedical and psychosocial information							F: 11 · 14 C: 9 · 23
	2.2. Provide a clear structure for, and manage the flow of, an entire patient encounter							TTD: 1b F: 10 · 16 C: 19 · 20
	2.3. Seek and synthesize relevant information from other sources, including the patient's family, with the patient's consent							F: 10 · 16
3. Share health care information and plans with patients and their families
	3.1. Share information and explanations that are clear, accurate, and timely while checking for patient and family understanding							TTD: 1a · 1b · 1b F: 1 · 9 · 9 · 10 · 10 · 14 · 15 · 15 C: 4 · 7A · 8 · 12 · 21A · 22 · 23 · 25 · 25
	3.2. Disclose harmful patient safety incidents to patients and their families accurately and appropriately							F: 13 · 15 C: 4 · 12 · 12
4. Engage patients and their families in developing plans that reflect the patient's health care needs and goals
	4.1. Facilitate discussions with patients and their families in a way that is respectful, non-judgmental, and culturally safe							TTD: 1a · 1b F: 7 · 8 · 12a · 12b · 13 C: 7B · 21B
	4.2. Assist patients and their families to identify, access, and make use of information and communication technologies to support their care and manage their health
	4.3. Use communication skills and strategies that help patients and their families make informed decisions regarding their health							TTD: 1a · 1b F: 1 · 10 C: 17 · 18 · 20 · 23
5. Document and share written and electronic information about the medical encounter to optimize clinical decision-making, patient safety, confidentiality, and privacy
	5.1. Document clinical encounters in an accurate, complete, timely, and accessible manner, in compliance with regulatory and legal requirements							TTD: 1a · 1b · 3 · 3 · 3 F: 1 · 1 · 2a · 3a · 4 · 6a · 6a · 6a · 7 · 8 · 9 · 10 · 12a · 12b · 13 · 15 · 15 C: 1 · 3 · 4 · 5 · 6 · 7B · 9 · 10 · 11 · 12 · 15 · 16 · 18 · 18 · 19 · 21A · 23
	5.2. Communicate effectively using a written health record, electronic medical record, or other digital technology							F: 2a · 2a · 2b · 2b · 14
	5.3. Share information with patients and others in a manner that respects patient privacy and confidentiality, and enhances understanding

Collaborator

1. Work effectively with physicians and other colleagues in the health care professions
	1.1. Establish and maintain positive relationships with physicians and other colleagues in the health care professions to support relationship-centred collaborative care							TTD: 2 F: 2a · 2b · 2b · 4 · 5 · 8 · 9 · 10 · 12a · 12b · 13 · 15 · 16 C: 3 · 12 · 14
	1.2. Negotiate overlapping and shared responsibilities with physicians and other colleagues in the health care professions in episodic and ongoing care							TTD: 2 F: 5 · 8 · 9 · 10 C: 1 · 5 · 7B · 8 · 9 · 10 · 15 · 16 · 16 · 18 · 20 · 21B
	1.3. Engage in respectful shared decision-making with physicians and other colleagues in the health care professions							TTD: 2 F: 6a · 7 · 9 · 12a C: 1 · 2 · 3 · 4 · 5 · 7A · 7B · 8 · 10 · 11 · 12 · 12 · 15 · 19 · 20 · 21A · 21B · 22
		1.3.1. Consult as needed with other Anesthesiologists or consultants						C: 14
2. Work with physicians and other colleagues in the health care professions to promote understanding, manage differences, and resolve conflicts
	2.1. Show respect toward collaborators							TTD: 1a · 1a · 1b · 1b · 3 · 3 F: 2b · 4 C: 6 · 7B · 12 · 14 · 21B
	2.2. Implement strategies to promote understanding, manage differences, and resolve conflict in a manner that supports a collaborative culture							F: 1 · 2b · 5 · 10 · 11 · 13 · 15 C: 7B · 10 · 21B
3. Hand over the care of a patient to another health care professional to facilitate continuity of safe patient care
	3.1. Determine when care should be transferred to another physician or health care professional							F: 10 · 16
	3.2. Demonstrate safe handover of care, using both verbal and written communication, during a patient transition to a different health care professional, setting, or stage of care							TTD: 3 · 3 F: 2a · 2b · 6a · 8 · 8 · 10 · 10 · 10 · 10 · 10 · 14 · 15 · 16 C: 2 · 3 · 5 · 7A · 7B · 8 · 10 · 14 · 15 · 16 · 17 · 18 · 21A · 21A · 21B · 22

Leader

1. Contribute to the improvement of health care delivery in teams, organizations, and systems
	1.1. Apply the science of quality improvement to contribute to improving systems of patient care							F: 2b · 7 · 8
	1.2. Contribute to a culture that promotes patient safety							C: 2 · 12 · 17
	1.3. Analyze patient safety incidents to enhance systems of care
	1.4. Use health informatics to improve the quality of patient care and optimize patient safety
2. Engage in the stewardship of health care resources
	2.1. Allocate health care resources for optimal patient care							F: 7 C: 1 · 3 · 9 · 10
	2.2. Apply evidence and management processes to achieve cost-appropriate care							F: 4 · 7
3. Demonstrate leadership in professional practice
	3.1. Demonstrate leadership skills to enhance health care							C: 18
	3.2. Facilitate change in health care to enhance services and outcomes
4. Manage career planning, finances, and health human resources in a practice
	4.1. Set priorities and manage time to integrate practice and personal life							TTD: 2 F: 8 · 12a · 12b
	4.2. Manage a career and a practice							F: 2a C: 4 · 5 · 8 · 8 · 12 · 16 · 17 · 19 · 22
	4.3. Implement processes to ensure personal practice improvement							C: 2 · 22

Health Advocate

1. Respond to an individual patient’s health needs by advocating with the patient within and beyond the clinical environment
	1.1. Work with patients to address determinants of health that affect them and their access to needed health services or resources							TTD: 3 C: 2 · 7B · 20 · 21B
	1.2. Work with patients and their families to increase opportunities to adopt healthy behaviours							F: 12a C: 1 · 9 · 10 · 11 · 18
	1.3. Incorporate disease prevention, health promotion, and health surveillance into interactions with individual patients							F: 10
2. Respond to the needs of the communities or populations they serve by advocating with them for system-level change in a socially accountable manner
	2.1. Work with a community or population to identify the determinants of health that affect them
	2.2. Improve clinical practice by applying a process of continuous quality improvement to disease prevention, health promotion, and health surveillance activities							F: 8
	2.3. Contribute to a process to improve health in the community or population they serve

Scholar

1. Engage in the continuous enhancement of their professional activities through ongoing learning
	1.1. Develop, implement, monitor, and revise a personal learning plan to enhance professional practice							TTD: 1a · 1b F: 1 · 1 · 1 · 13 C: 11
	1.2. Identify opportunities for learning and improvement by regularly reflecting on and assessing their performance using various internal and external data sources							F: 2a · 2a · 2a · 4 · 8 · 14 · 16 C: 1 · 4 · 22
	1.3. Engage in collaborative learning to continuously improve personal practice and contribute to collective improvements in practice
2. Teach students, residents, the public, and other health care professionals
	2.1. Recognize the influence of role-modeling and the impact of the formal, informal, and hidden curriculum on learners
	2.2. Promote a safe learning environment
	2.3. Ensure patient safety is maintained when learners are involved							F: 6b C: 22
	2.4. Plan and deliver learning activities							F: 10
	2.5. Provide feedback to enhance learning and performance
	2.6. Assess and evaluate learners, teachers, and programs in an educationally appropriate manner
3. Integrate best available evidence into practice
	3.1. Recognize practice uncertainty and knowledge gaps in clinical and other professional encounters and generate focused questions that can address them							C: 16
	3.2. Identify, select, and navigate pre-appraised resources
	3.3. Critically evaluate the integrity, reliability, and applicability of health-related research and literature							F: 12a C: 10
	3.4. Integrate evidence into decision-making in their practice							F: 1 · 7 · 9 · 10 · 11 C: 18
4. Contribute to the creation and dissemination of knowledge and practices applicable to health
	4.1. Demonstrate an understanding of the scientific principles of research and scholarly inquiry, and the role of research evidence in health care
	4.2. Identify ethical principles for research and incorporate them into obtaining informed consent, considering potential harms and benefits, and considering vulnerable populations
	4.3. Contribute to the work of a research program
	4.3.1 Execute scholarly work
4.4 Pose questions amenable to scholarly investigation and select appropriate methods to address them
	4.5. Summarize and communicate to professional and lay audiences, including patients and their families, the findings of relevant research, and scholarly inquiry

Professional

1. Demonstrate a commitment to patients by applying best practices and adhering to high ethical standards
	1.1. Exhibit appropriate professional behaviours and relationships in all aspects of practice, demonstrating honesty, integrity, humility, commitment, compassion, respect, altruism, respect for diversity, and maintenance of confidentiality							TTD: 1a · 1a · 1a · 1b · 1b · 1b · 2 · 3 F: 2a · 2b · 6a · 9 · 10 · 11 · 14 · 16 C: 2 · 7B · 7B · 10 · 21B · 21B
	1.2. Demonstrate a commitment to excellence in all aspects of practice							TTD: 2 C: 3 · 21A
	1.3. Recognize and respond to ethical issues encountered in practice							F: 16 C: 23 · 23 · 25 · 25
	1.4. Recognize and manage conflicts of interest
	1.5. Exhibit professional behaviours in the use of technology-enabled communication							F: 2b
2. Demonstrate a commitment to society by recognizing and responding to societal expectations in health care
	2.1. Demonstrate accountability to patients, society, and the profession by responding to societal expectations of physicians							C: 1 · 4 · 10 · 18
	2.2. Demonstrate a commitment to patient safety and quality improvement							F: 1 · 2a · 4 · 5 · 8 · 8 · 9 · 10 · 12b · 13 · 15 C: 11 · 12 · 18
3. Demonstrate a commitment to the profession by adhering to standards and participating in physician-led regulation
	3.1. Fulfil and adhere to the professional and ethical codes, standards of practice, and laws governing practice							F: 1 · 7 C: 12 · 25
	3.2. Recognize and respond to unprofessional and unethical behaviours in physicians and other colleagues in the health care professions							C: 25
	3.3. Participate in peer assessment and standard-setting
4. Demonstrate a commitment to physician health and well-being to foster optimal patient care
	4.1. Exhibit self-awareness and manage influences on personal well-being and professional performance							F: 2a · 9 C: 4 · 5 · 8
	4.2. Manage personal and professional demands for a sustainable practice throughout the physician life cycle							F: 9
	4.3. Promote a culture that recognizes, supports, and responds effectively to colleagues in need