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This paper presents a revised subsidiary role framework that incorporates elements of the subsidiary development research.
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Although there's no best model as different archetypes can apply to goals and contexts, we recommend to always start by applying the 7-Roles framework first.
The selection of the right archetype for any organization depends on their defined mission and positioning on the 7-Roles framework.
A Delphi study was carried out based on the CanMEDS Roles Framework.
Firstly, this Delphi study reinforces the CanMEDS Roles Framework based on the high percentages of relevance of the different roles and competences.
In this respect, our results and the developed inventory may be relevant to other institution who are working or plan to work with the CanMEDS Roles Framework.
In a real and clinical context, overlap does exist and the CanMEDS Roles Framework visually expresses this by overlaying the leaves of the CanMEDS flower.
These roles and competences are classified in frameworks such as the CanMEDS (Canadian Medical Education Directives for Specialists) Roles Framework [ 1], the six core competences identified and described by the Accreditation Council for Graduate Medical Education (ACGME competencies) [ 2] and Tomorrow Doctor's at the UK [ 3].
Like the ACGME competencies, the CanMEDS framework is a roles framework that was designed to assist residency programs in training all aspects of clinical practice, with the goal of improving patient care [ 7].
The wide and international introduction of the CanMEDS Roles Framework in medical education, shows how valuable they are for outlining the competences students have to achieve to become good doctors.
In the Delphi procedure the CanMEDS Roles Framework, already introduced in our medical school and validated in an international, European context [ 17], was used as basis for the inventory.
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