Leader
Definition
As Leaders, physicians engage with others to contribute to a vision of a high-quality health care system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers.
Description
The CanMEDS Leader Role describes the engagement of all physicians in shared decision making for the operation and ongoing evolution of the health care system. As a societal expectation, physicians demonstrate collaborative leadership and management within the health care system. At a system level, physicians contribute to the development and delivery of continuously improving health care and engage with others in working toward this goal. Physicians integrate their personal lives with their clinical, administrative, scholarly, and teaching responsibilities. They function as individual care providers, as members of teams, and as participants and leaders in the health care system locally, regionally, nationally, and globally.
KEY CONCEPTS
- Administration: 4.1, 4.2
- Career development: 4.2
- Complexity of systems: 1.1
- Consideration of justice, efficiency, and effectiveness in the allocation of health care resources: 1.1, 1.2, 1.3, 1.4, 2.1, 2.2
- Effective committee participation: 3.2
- Health human resources: 2.1, 4.2
- Information technology for health care: 1.4
- Leading change: 1.1, 1.2, 1.3, 1.4, 2.2, 3.2
- Management of personnel: 4.2
- Negotiation: 3.1
- Organizing, structuring, budgeting, and financing: 2.1, 2.2, 4.1, 4.2, 4.3
- Personal leadership skills: 3.1, 4.1
- Physician remuneration: 4.2
- Physician roles and responsibilities in the health care system: 1.1, 1.2, 1.3, 1.4, 2.2, 3.2
- Physicians as active participant-architects within the health care system: 1.1, 1.2, 1.3, 1.4, 3.2
- Practice management to maintain a sustainable practice and physician health: 4.1, 4.2, 4.3
- Priority-setting: 2.1, 3.2, 4.1
- Quality improvement: 1.1, 1.2, 1.3, 1.4, 2.2, 3.2, 4.3
- Stewardship: 2.1, 2.2
- Supervising others: 4.2
- Systems thinking: 1.1, 1.2, 1.3, 1.4, 2.1, 2.2
- Time management: 4.1, 4.2
Key competencies | Enabling competencies |
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Physicians are able to: | |
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Tools
Where are these tools from?
Many of the tools were originally developed for the CanMEDS Teaching and Assessment Tools Guide.
The title codes on the tools are maintained to allow quick cross-referencing between the CanMEDS Tools Guide and this online registry (e.g. T1, T2, A1)
The tools are part of the Royal College’s commitment to support the roll-out of CanMEDS 2015.

Tips on using these Tools
- Many of the Tools are designed to use as-is (i.e. no further work required)
- Some tools are also available in MSWord format. This allows you to easily manipulate the ‘bones’ of the tool and customize it for your own use
- When reproducing and modifying the tools, please maintain the footer that acknowledges the source
- Clarify the teaching and assessment goals of your specific context;
- Select the right tools to match the particular needs and goals of your specific context; and
- Combine Roles and tools in an effective and efficient manner
Teaching
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T1. Lecture or Large-group Session: Foundations of the Leader Role
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T2. Presentation: Teaching the Leader Role
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T3. Small Group Teaching: Leading and managing in everyday practice
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T5. Case Report: Leader Role Competencies
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T6. Morbidity and Mortality Rounds: Patient safety and quality improvement
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T7. Self-Directed Learning: Time management assignment - where does the time go?
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Assessment
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A1. Multisource Feedback: Leadership skills in the CanMEDS Leader Role
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A2. Multisource Feedback: Managing people and resources in the CanMEDS Leader Role
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A3. Quality Improvement Project: Leader Role quality improvement project
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A4. Case Report: Leadership reflection
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This work by Royal College of Physicians and Surgeons of Canada is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.