Clinical Dossier
Clinical Dossier Template (pdf, 151.35 KB)
What to include in your clinical dossier:
Clinical Dossier Summary
Include a few sentences highlighting the contents of each subheading used in your clinical dossier. This is the equivalent of an abstract of your dossier. It should provide a quick overview of the particularly important aspects of your dossier and provide the reader with a general view of your contributions to clinical care
Philosophy of Clinical Care
This section will be particularly important if your practice format is not typical of most physicians in your area of practice. Questions to ask yourself when reflecting on your philosophy of care:
What is your approach to clinical care?
How did you prepare for this role?
Was there a person or event that influenced your approach?
How do you influence clinical care in your area of practice?
Are there factors that enhance your ability to provide excellent clinical care?
How do you overcome the challenges to providing excellent clinical care?
Clinical Responsibilities
Use tables, when possible, to summarize clinical responsibilities - include such items as, location (inpatient, outpatient, community based) of clinical service, population served, caseload, numbers of consultations, numbers of follow-ups, procedures etc. In essence, outline the scope of the clinical service provided by you over the time span included in the application and include or delete any items relevant to your practice. Some clinical responsibilities are not easily captured in table format and will require text.
Example
Date | Location | Clinical Service | Number of new consultations | Number of Follow-ups |
---|
2004 | Hospital Clinic | Outpatients | 100 | 960 |
2004 | Community | Outreach | 92 | 875 |
2004 | Hospital Inpatient Unit | Inpatient Care | 48 admissions | N/A |
Include additional activities expected of you to ensure provision of this service.
Describe any special aspects of your clinical care: i.e. If you see a specific patient population that requires special resources or interventions this would be explained here. You may also need to briefly describe what is involved in providing clinical care in your area. For example, if a consult requires eight hours of assessment and then a family meeting to discuss results, this should be mentioned, as this is not typical of most practices.
Clinical Administration and Leadership
Provide a description of any leadership roles you have assumed related to clinical care; e.g. team leader, clinical director, and committee chair.
Describe any role you have played in planning clinical services for your practice area and /or your involvement in developing policy related to the provision of clinical care. Any evaluation of your leadership roles should be discussed here.
Scholarship in Clinical Care
(Note that this is the most important part of your dossier that would be of interest to the reviewers of your application)
Innovation and Initiative:
Provide a description of any innovative programs you have developed, implemented or evaluated involving clinical care.
Present this information in terms of the clinical problem to be solved with the intervention, the program and its objectives. Briefly outline impact and results of the program implementation.
Research and Dissemination:
Highlight significant contributions, and explain how they relate to your role as a clinician as many of the following items will be in your CV and/or your teaching dossier – refer to these documents as appropriate. Highlight here, contributions that distinguish you from your colleagues.
Examples:
publications in either peer reviewed or non-refereed journals or book chapters on clinical care subjects
teaching on clinical subjects, especially invited lectures
developing new teaching materials or methods on topics related to clinical subjects
presenting at scholarly meetings or colloquia on clinical topics
conceiving, developing and carrying out research involving aspects of clinical care
clinical program evaluation
membership on major clinical societies, editorial boards etc.
Adapt this section to fit your circumstances. It is very important to present your work in clinical care as scholarly in nature, if you have chosen clinical care as your area of expertise. For more examples on what could be considered scholarship in clinical care, see the promotions manual.
Professional Development
Describe any advanced training or skill development done to enhance provision of clinical care.
Evidence of Excellence
Highlight any awards or award nominations for your clinical work – Provide a three to four line description of the award and its significance.
Brief summaries of evaluations from consumers, team members, colleagues, supervisors, department or division chair showing excellence should be included. (Copies of letters or other forms of appreciation are not normally required)
Appendix I - Clinical Evaluations
If you have a limited number of evaluations, present them all in this section. If you have large numbers, a representative sample would suffice. It is the summary that indicates a consistent and sustained level of clinical expertise that is important.
Teaching Dossier
Teaching Dossier Template (pdf, 185.69 KB)
What to include in your teaching dossier
Teaching Dossier Summary
A summary of your dossier may be helpful if it is extensive. It should provide a quick overview of the particularly important aspects of your dossier and provide the reader with a general view of your contributions to education. This is the equivalent of an abstract of your dossier. A brief dossier may not require a summary. If your two page summary for your promotion application focuses on educational activities you may choose to refer to it as opposed to completing a second summary.
Philosophy of Education
A brief description of your approach to teaching and how you have prepared for your role as a teacher is helpful, especially for clinician teachers and clinician educators.
To be considered in preparing this section:
Primary areas of interest in medical education
How you acquired skills as a teacher/educator
Experiences that have influenced your approach to teaching
How you approach teaching and education
Why you teach
Teaching Responsibilities / Student and Faculty Contact
(This section must be completed by all faculty members applying for promotion)
Provide an outline of your teaching activities across the continuum of education. List your teaching activities by level of learner (Undergraduate, Postgraduate, Master’s students, CME) and level of the audience (Local, Provincial, National, and International). Inclusion of the number of learners and the contact time involved will assist others in evaluating your contributions. Summarize where possible rather than list multiple examples of the same activity. For example, you may indicate that you supervise 8 students per year on a clinical service as opposed to listing all eight.
Undergraduate Teaching
Include clinical supervision, courses taught, lectures provided, PBL tutoring, small group sessions (PSD; communication skills; PAL; EBM; etc.)
Date | Activity | Number of students | Contact Time |
---|
’03 - ‘04 | Some activity | 8 / year | 6 hrs/wk 6 wks/yr |
Undergraduate Clinical supervision | | | |
’01 - ‘05 | 3rd year students in some rotation | 16/year | 4 hrs /wk; 16 wks/yr |
Postgraduate Teaching
Date | Activity | Number of residents | Contact Time |
---|
Local Post-graduate Presentations | | | |
‘00 -‘04 | Some group of presentations | 4-6 | 25 hrs/yr |
Provincial and National Post-graduate Presentations | | | |
2004 | Canadian Comprehensive Review Course in Whatever, Edmonton, Alberta | 40 | 2 hours |
Post-graduate Clinical Supervision | | | |
‘00 - ‘05 | Residents in some clinic | 5-6 / yr | 6-8 months/yr |
‘00 - ‘05 | Residents on some inpatient service | 4-5 / yr | 4 - 8 months/yr |
Post-graduate Practice Exams | | | |
‘00 - ‘04 | Some exam format | 20-25 / exam | 10 hrs/yr |
Royal College of Physicians and Surgeons of Canada Speciality Exam | | | |
‘02 - ‘04 | Some exam committee member | 20-24/ exam | 25 hrs/yr |
Graduate Education
Date | Activity and format | Attendance | Contact Time |
---|
Courses Provided | | | |
2000-‘04 | Course number: Title | 8 | X hrs/wk |
2000-‘02 | Course number: Title | 20 | X hrs/wk |
Thesis supervision | | | |
2000-04 | Somebody. PhD Thesis: Some title. Role: (Primary supervisor/ co-supervisor/thesis committee member/ examiner) | | |
2000-02 | Somebody. Master’s thesis: Some title. Role: (Primary supervisor/ co-supervisor/thesis committee member/ examiner) | | |
Continuing Medical Education
Date | Activity and format | Attendance | Contact Time |
---|
Local CME Presentations | | | |
2004 | Group, Location, Title | 25 | 2 hrs |
Provincial, National and International CME Presentations | | | |
2004 | Group, Location, Title | 130 | 1 hr |
Refers to presentations offered to non-academic groups – often patient support or interest groups
Date | Presentation | Attendance | Contact time |
---|
2002 | Group, location, title | 50 | 1.5 hrs |
Educational Administration and Leadership
Provide a brief description of any leadership roles you have assumed related to medical education. Responsibilities and time commitments should be described for each role at a divisional, departmental, university and external level. The level of activity should be clearly identified, particularly those at a provincial, national and international level. Provide any evidence of evaluation of your leadership skills at the departmental or higher level.
Examples of activities you might include in this section of your dossier include:
Undergraduate Education
Block chair
Clerkship coordinator
Example: Division of Something Undergraduate Coordinator (‘01 - 2005) Coordinator for all elective clinical rotations, link block rotations, and ambulatory block rotations in something. This involves working with approximately 35 students and twelve clinical supervisors per year. The link block and ambulatory block rotations were introduced in the Division of something since assuming this role.
PSD coordinator
Exam coordinator
Committees (i.e. Admissions committee; Stage II block committee; evaluation committee)
MCC Site coordinator
Education task force or working group
Consultant to other programs/sites Postgraduate Education
Program director
Site coordinator
Academic half-day coordinator
Exam coordinator
Committees
Consultant to other programs/sites
Education Task force or working group
Example: Implementation of CanMEDS 2000 Roles in Canadian Something Post-Graduate training programs (’99 - ’01)
In 1999 I took a lead role in revising the training objectives for the Something Specialty Committee of the RCPSC, to include the CanMEDS 2000 roles. My prior involvement with Educating Future Physicians for Ontario (EFPO) and the Societal Needs Working Group for the CanMEDS 2000 Project facilitated this task. The revised objectives were implemented in 2001 and are now used by all Canadian Something specialty-training programs.
Continuing Medical Education
Program coordinator
Director
Education Task force or working group – Local, provincial and national • Coordination of CME credits
Rounds coordinator
Committees (i.e. Departmental CPD Committee; Course planning committee; National committees)
Scholarship in Education
(This section is of particular importance for those applying for promotion with the area of expertise chosen as teaching/education)
Teaching Innovations and Curriculum development: Describe the innovation and your role in development, implementation, evaluation and dissemination. Can include innovative curriculum development, teaching strategies, learning aids, and evaluation methods. You may wish to organize by level of learner or topic. (Be prepared to submit examples of materials when applying for promotion).
Undergraduate
Example: Some-Speciality Elective Rotation for Clinical Clerks
The principles of systematic educational planning were used to develop and implement a rotation for clinical clerks that would provide an introduction to the principles of Some-Speciality. The objectives for the rotation were based on needs identified by students, attending physicians, and patients. The rotation was implemented with-in the Division of Some-Speciality in 2000. Approximately 45 students have now completed the rotation. This curriculum was presented at the Royal College of Physicians and Surgeons Annual Meeting in 2004. A copy of the abstract and the handbook which is provided to students at the start of the rotation are available on request.
Post-graduate
Example: Using the Principles of Continuous Quality Improvement to Develop a Quality Assurance Curriculum for Residents.
This curriculum was developed using an iterative approach over a period of four years. The program is completed during three 2-hr sessions each year. The success of the final curriculum depends on the active involvement of residents in selecting and completing a quality assurance project, within a limited period of time. The curriculum was presented the Some Speciality Annual Meeting in June 2003. A manuscript, describing the program, has also been submitted to a peer-reviewed journal for possible publication. An abstract of the Some Speciality presentation is available on request.
Research and Publications in Education
Education research grants, education publications, education research presentations may be identified in this section as you would for your CV. Education peer review activities – grant/paper reviewing and editing contributions should also be included here.
If preferred, you may briefly summarize your education research contributions in this section and refer back to your CV.
For example: the majority of my research grants, publications, and peer-reviewed presentations are related to medical education and has been outlined in my CV. I provided expertise related to quantitative research methodologies and program evaluation for the grants and publications in which I have been a co-investigator/author.
Professional Development
Identify any advanced training or skill development program completed to enhance your skills as a teacher/educator.
Evidence of Excellence
Provide a summary of the results of evaluations provided by different levels of learners. A sample of representative evaluations should be attached as an appendix to the dossier.
Note: It is not necessary to include every evaluation you have ever received; a sampling of evaluations will be preferred by reviewers.
Any teaching awards and nominations should be identified in this section.
A brief description of the basis on which you were nominated to receive the award will be helpful to reviewers.