CanMEDS Role Element Name Expert Abdominal Distension Expert Abdominal Mass Expert Abdominal Mass ‐ Adrenal Mass Expert Abdominal Mass ‐ Hepatomegaly Expert Abdominal Mass ‐ Hernia, Abdominal Wall and Groin Expert Abdominal Mass ‐ Splenomegaly Expert Abdominal Pain, Acute Expert Abdominal Pain, Anorectal Expert Abdominal Pain, Children Expert Abdominal Pain, Chronic Expert Allergic Reactions/Food Allergies ‐ Intolerance/Atopy Expert Attention Deficit/Hyperactivity Disorder (ADHD)/Learning Disorder Expert Blood From Gastrointestinal Tract, Upper/Hematemesis Expert Blood From Gastrointestinal Tract, Lower/Hematochezia Expert Blood Pressure, Abnormal ‐ Hypertension Expert Blood Pressure, Abnormal ‐ Hypertension in Childhood Expert Blood Pressure, Abnormal ‐ Hypertension in the Elderly Expert Blood Pressure, Abnormal ‐ Malignant Hypertension Expert Blood Pressure, Abnormal ‐ Pregnancy Associated Hypertension Expert Blood Pressure, Abnormal ‐ Hypotension/Shock Expert Blood Pressure, Abnormal ‐ Hypotension/Shock ‐ Anaphylaxis Expert Blood in Sputum (Hemoptysis/Prevention of Lung Cancer) Expert Blood in Urine/Hematuria Expert Breast Disorders ‐ Breast Lump/Screening Expert Breast Disorders ‐ Galactorrhea/Discharge Expert Breast Disorders ‐ Gynecomastia Expert Burns Expert Calcium/Phosphate Concentration Abnormal, Serum ‐ Hypercalcemia Expert Calcium/Phosphate Concentration Abnormal, Serum ‐ Hyperphosphatemia Expert Calcium/Phosphate Concentration Abnormal, Serum ‐ Hypocalcemia Expert Calcium/Phosphate Concentration Abnormal, Serum ‐ Hypophosphatemia/Fanconi Syndrome Expert Cardiac Arrest Expert Chest Discomfort/Pain/Angina Pectoris Expert Coagulation Abnormalities ‐ Bleeding Tendency/Bruising Expert Coagulation Abnormalities ‐ Hypercoagulable State Expert Contraception Expert Constipation, Adult Expert Constipation, Pediatric Expert Cough Expert Cyanosis, Hypoxemia/Hypoxia Expert Cyanosis, Hypoxemia/Hypoxia in Children Expert Deformity/Limp/Pain in Lower Extremity, Child Expert Development Disorder/Developmental Delay Expert Diarrhea, Acute Expert Diarrhea, Chronic Page 1 Expert Diarrhea, Pediatric Expert Diplopia Expert Dizziness/Vertigo Expert Dying Patient/Bereavement Expert Dysphagia/Difficulty Swallowing Expert Dyspnea Expert Dyspnea, Acute (minutes to hours Expert Dyspnea, Chronic (weeks to months) Expert Dyspnea, Pediatric, Respiratory Distress Expert Ear Pain Expert Edema/Anasarca/Ascites ‐ Generalized Edema Expert Edema/Anasarca/Ascites ‐ Unilateral/Local Edema Expert Eye Redness Expert Failure to Thrive, Elderly Expert Failure to Thrive, Infant/Child Expert Falls Expert Fatigue Expert Fractures/Dislocations Expert Gait Disturbances/Ataxia Expert Genetic Concerns ‐ Ambiguous Genitalia Expert Genetic Concerns/Dysmorphic Features Expert Glucose Abnormal, Serum/Diabetes Mellitus/Polydipsia ‐ Hyperglycemia/Diabetes Mellitus Expert Glucose Abnormal, Serum/Diabetes Mellitus/Polydipsia ‐ Hypoglycemia Expert Hair & Nail Complaints ‐ Alopecia Expert Hair & Nail Complaints ‐ Nail Complaints Expert Headache Expert Hearing Loss/Deafness Expert Hemiplegia/Hemisensor Loss +/‐ Aphasia/Prevention Expert Hemoglobin Serum, Abnormal ‐ Anemia Expert Hemoglobin Serum, Abnormal ‐ Polycythemia/Elevated Hemoglobin Expert Hirsutism/Virilization Expert Hoarseness/Dysphonia/Speech and Language Abnormalities Expert Hydrogen Ion Concentration Abnormal, Serum Expert Impotence/Erectile Dysfunction Expert Incontinence, Stool Expert Incontinence, Urine Expert Incontinence, Urine, Pediatric (Enuresis) Expert Infertility Expert Jaundice Expert Jaundice, Neonatal Expert Joint Pain, Mono‐Articular (Acute, Chronic) Expert Joint Pain, Poly‐Articular (Acute, Chronic) Expert Joint Pain ‐ Periarticular Pain/Soft Tissue Rheumatic Disorders Expert Lipids Abnormal, Serum Expert Liver Function Tests Abnormal, Serum Expert Lump/Mass, Musculoskeletal Page 2 Expert Lymphadenopathy Expert Lymphadenopathy ‐ Mediastinal Mass/Hilar Adenopathy Expert Magnesium Concentration Serum, Abnormal/Hypomagnesemia Expert Menopause Expert Menstrual Cycle, Abnormal ‐ Amenorrhea/Oligomenorrhea Expert Menstrual Cycle, Abnormal ‐ Dysmenorrhea Expert Menstrual Cycle, Abnormal ‐ Pre‐Menstrual Syndrome (PMS) Expert Mental Status, Altered ‐ Delirium/Confusion Expert Mental Status, Altered ‐ Dementia Expert Mental Status, Altered ‐ Coma Expert Mood Disorders Expert Mouth Problems Expert Movement Disorders, Involuntary/Tic Disorders Expert Murmur/Extra Heart Sounds ‐ Diastolic Murmur Expert Murmur/Extra Heart Sounds ‐ Heart Sounds, Pathological Expert Murmur/Extra Heart Sounds ‐ Systolic Murmur Expert Neck Mass/Goiter/Thyroid Disease Expert Newborn, Depressed (see also Cyanosis/Hypoxemia/Hypoxia in Children) Expert Non‐Reassuring Fetal Status (Fetal Distress) Expert Numbness/Tingling/Altered Sensation Expert Pain Expert Pain, Neuropathic ‐ Central/Peripheral Neuropathic Pain Expert Pain, Neuropathic ‐Sympathetic Pain/Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy Expert Pain, Nociceptive ‐ Pain, Somatic ‐ Generalized Pain Disorders Expert Pain, Nociceptive ‐ Pain, Somatic ‐ Local Pain, Hip/Knee/Ankle/Foot Expert Pain, Nociceptive ‐ Pain, Somatic ‐ Local Pain, Shoulder/Elbow/Wrist/Hand Expert Pain, Nociceptive ‐ Pain, Somatic ‐ Local Pain, Spinal Compression/Osteoporosis Expert Pain, Nociceptive ‐ Pain, Somatic ‐ Local Pain, Spine/Low Back Pain Expert Pain, Nociceptive ‐ Pain, Somatic ‐ Local Pain, Spine/Neck/Thoracic Expert Palpitations (Abnormal ECG ‐ Arrhythmia) Expert Panic and Anxiety Expert PAP Smears/Screening/Prevention Expert Pediatric Emergencies ‐ Acutely Ill Infant/Child Expert Pediatric Emergencies ‐ Crying/Fussing Child Expert Pediatric Emergencies ‐ Hypotonia/Floppy Infant/Child Expert Pelvic Mass Expert Pelvic Pain Expert Periodic Health Examination Expert Periodic Health Examination ‐ Infant and Child Immunization Expert Periodic Health Examination ‐ Newborn Assessment/Nutrition Expert Periodic Health Examination ‐ Pre‐Operative Medical Evaluation Expert Periodic Health Examination ‐ Work‐Related Health Issues Expert Personality Disorders Expert Pleural Effusion/Pleural Abnormalities Expert Poisoning Expert Population Health ‐ Administration of Effective Health Programs at the Population Level Page 3 Expert Population Health ‐ Assessing and Measuring Health Status at the Population Level Expert Population Health ‐ Concepts of Health and Its Determinants Expert Population Health ‐ Environment Expert Population Health ‐ Health of Special Populations Expert Population Health ‐ Interventions at the Population Level Expert Population Health ‐ Outbreak Management Expert Potassium Concentration Abnormal, Serum ‐ Hyperkalemia Expert Potassium Concentration Abnormal, Serum ‐ Hypokalemia Expert Pregnancy ‐ Antepartum Care Expert Pregnancy ‐ Intrapartum Care/Postpartum Care Expert Pregnancy ‐ Obstetrical Complications Expert Pregnancy Loss Expert Prematurity Expert Prolapse/Pelvic Relaxation Expert Proteinuria Expert Pruritus Expert Psychotic Patient/Disordered Thought Expert Pulse Abnormalities/Diminished/Absent/Bruits Expert Pupil Abnormalities Expert Renal Failure, Acute Expert Renal Failure, Chronic Expert Scrotal Mass Expert Scrotal Pain Expert Seizures (Epilepsy) Expert Sexual Maturation, Abnormal Expert Sexually Concerned Patient/Gender Identity Disorder Expert Skin Rash, Macules Expert Skin Rash, Papules Expert Skin Rash, Papules ‐ Childhood Communicable Diseases Expert Skin Rash, Papules ‐ Urticaria/Angioedema/Anaphylaxis Expert Skin Ulcers/Skin Tumors (Benign and Malignant) Expert Sleep and Circadian Rhythm Disorders/Sleep Apnea Syndrome/Insomnia Expert Sodium Concentration Abnormal, Serum ‐ Hypernatremia Expert Sodium Concentration Abnormal, Serum ‐ Hyponatremia Expert Sore Throat (Rhinorrhea) Expert Sore Throat (Rhinorrhea) ‐ Smell/Taste Dysfunction Expert Stature Abnormal (Tall Stature/Short Stature) Expert Strabismus and/or Amblyopia Expert Substance Abuse/Drug Addiction/Withdrawal Expert Sudden Infant Death Syndrome SIDS)/Acute Life Threatening Event (ALTE) Expert Suicidal Behavior Expert Syncope/Pre‐syncope/Loss of Consciousness (Fainting) Expert Temperature Abnormal/Fever and/or Chills ‐ Fever in a Child/Fever in a Child Less than Three Weeks Expert Temperature Abnormal/Fever and/or Chills ‐ Fever in the Immune Compromised Host/Recurrent Fever Expert Temperature Abnormal/Fever and/or Chills ‐ Fever of Unknown Origin Expert Temperature Abnormal/Fever and/or Chills ‐ Hyperthermia Page 4 Expert Temperature Abnormal/Fever and/or Chills ‐ Hypothermia Expert Tinnitus Expert Trauma/Accidents Expert Trauma/Accidents ‐ Abdominal Injuries Expert Trauma/Accidents ‐ Bites, Animal/Insects Expert Trauma/Accidents ‐ Bone/Joint Injury Expert Trauma/Accidents ‐ Chest Injuries Expert Trauma/Accidents ‐ Bone Injuries Expert Trauma/Accidents ‐ Drowning (Near Drowning) Expert Trauma/Accidents ‐ Facial Injuries Expert Trauma/Accidents ‐ Hand/Wrist Injuries Expert Trauma/Accidents ‐ Head Trauma/Brain Death/Transplant Donation Expert Trauma/Accidents ‐ Nerve Injuries Expert Trauma/Accidents ‐ Skin Wounds/Regional Anaesthesia Expert Trauma/Accidents ‐ Spinal Trauma Expert Trauma/Accidents ‐ Urinary Tract Injuries Expert Trauma/Accidents ‐ Vascular Injury Expert Urinary Frequency ‐ Dysuria and/or Pyuria Expert Urinary Frequency ‐ Polyuria/Polydipsia Expert Urinary Obstruction/Hesitancy/Prostatic Cancer Expert Vaginal Bleeding, Excessive/Irregular/Abnormal Expert Vaginal Discharge/Vulvar Itch/STD Expert Violence, Family Expert Violence, Family ‐ Adult Abuse/Spouse Abuse Expert Violence,