Medical Expert: The Resident Who Passed the Ultimate Test – The Integration of Roles During the Gynecological Examination

KM Paarlberg, Henricus van de Wiel

Research output: Chapter in Book/Report/Conference proceedingChapterProfessional


The gynecologist (in training) and health care practitioners (HCPs), in this chapter referred to as examiners, who perform a gynecological examination need to integrate all CanMEDS competences to perform an effective examination. Effective here means an interaction between the HCP and patient, in which the woman feels acknowledged, respected, well treated, and well diagnosed. What the examination as a test for medical expertise illustrates is that each aspect of the CanMEDS model is a conditional fractal; every role is conditional for all the other roles. Communication has to be organized, organization has to be communicated. Everything is connected to everything and that makes it so hard to grasp in the beginning. The medical expert is able to integrate all roles as intrinsic roles. In this chapter, we therefore address the different CanMEDS competences that play a role during a gynecological examination.
Original languageEnglish
Title of host publicationBio-Psycho-Social Obstetrics and Gynecology
Subtitle of host publicationA Competency-Oriented Approach
EditorsKM Paarlberg, HBM van de Wiel
Number of pages20
ISBN (Electronic)978-3-319-40404-2
ISBN (Print)978-3-319-40402-8
Publication statusPublished - 21-Feb-2017

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