Implementation of competence committees during the transition to CBME in Canada: A national fidelity-focused evaluation

Cheung Warren J.; Wagner Natalie; Frank Jason R.Oswald AnnaVan Melle ElaineSkutovich AlexandraDalseg Timothy R.Cooke Lara J.Hall Andrew K.

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Implementation of competence committees during the transition to CBME in Canada: A national fidelity-focused evaluation

机译：Implementation of competence committees during the transition to CBME in Canada: A national fidelity-focused evaluation

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Purpose This study evaluated the fidelity of competence committee (CC) implementation in Canadian postgraduate specialist training programs during the transition to competency-based medical education (CBME). Methods A national survey of CC chairs was distributed to all CBME training programs in November 2019. Survey questions were derived from guiding documents published by the Royal College of Physicians and Surgeons of Canada reflecting intended processes and design. Results Response rate was 39% (113/293) with representation from all eligible disciplines. Committee size ranged from 3 to 20 members, 42% of programs included external members, and 20% included a resident representative. Most programs (72%) reported that a primary review and synthesis of resident assessment data occurs prior to the meeting, with some data reviewed collectively during meetings. When determining entrustable professional activity (EPA) achievement, most programs followed the national specialty guidelines closely with some exceptions (53%). Documented concerns about professionalism, EPA narrative comments, and EPA entrustment scores were most highly weighted when determining resident progress decisions. Conclusions Heterogeneity in CC implementation likely reflects local adaptations, but may also explain some of the variable challenges faced by programs during the transition to CBME. Our results offer educational leaders important fidelity data that can help inform the larger evaluation and transformation of CBME.

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《Medical teacher》 |2022年第7期|781-789|共9页
作者
Cheung Warren J.; Wagner Natalie; Frank Jason R.Oswald AnnaVan Melle ElaineSkutovich AlexandraDalseg Timothy R.Cooke Lara J.Hall Andrew K.;
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作者单位

Dept Emergency Med,Univ Ottawa;

Off Profess Dev & Educ Scholarship,Queens Univ;

Royal Coll Phys & Surg Canada;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Competency-based medical education; program evaluation; competence committees; implementation; DECISION-MAKING; PERFORMANCE; RESIDENTS; FRAMEWORK;

Implementation of competence committees during the transition to CBME in Canada: A national fidelity-focused evaluation

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