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
Physicians are able to:
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 1.2 Contribute to a culture that promotes patient safety 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 2.2 Apply evidence and management processes to achieve cost-appropriate care
3. Demonstrate leadership in professional practice	3.1 Demonstrate leadership skills to enhance health care 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 4.2 Manage a career and a practice 4.3 Implement processes to ensure personal practice improvement