Accepted Type
Oral
Code
OE2-3-4
Acceptance Declaration
Accept
Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.
Was this work accepted for CCME 2020?
no
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Resident
Affiliation
Considered for Poster
yes
Title
An evaluation of the Surgical Foundations curriculum: a national study
Length of Presentation
Background/Purpose
Canadian Surgical Foundations (SF) residency programs transitioned to Competency Based Medical Education in 2018. It is unknown how well the SF curriculum prepares surgery residents for peri-operative patient management.
Methods
We administered online surveys to 300 first-year English-speaking surgery residents across Canada to assess self-reported confidence in recognizing and managing seven common peri-operative patient presentations at 3 time points: pre-SF (Jul 2019), mid-SF (Dec 2019), and post-SF (May 2020). We conducted multi-station simulation-based OSCEs for surgery residents at our institution pre-SF (Aug 2019) and mid-SF (Dec 2019), and collected Workplace-Based Assessment (WBA) data for six pre-selected Entrustable Professional Activities (EPAs) (Jul 2019 - May 2020).
Results
55 residents (18%) completed pre-SF, 31 (10%) completed mid-SF, and 52 (17%) completed post-SF surveys. Confidence in recognizing 6 out of 7 patient presentations was high pre-SF and did not improve significantly except for recognizing poor glycemic control (p <0.01). Confidence in managing 7 out of 7 patient presentations improved significantly (p<0.05). OSCEs performance did not change significantly between pre-SF and mid-SF (4(3.5-4.5) vs 4(3-4); p=0.28). Residents received high entrustment scores from the start of the SF curriculum and they improved significantly for 2 out of 6 EPAs. Only 56% of WBA assessments had narrative feedback, 16% of which had somewhat constructive feedback.
Conclusion
Participation in the SF curriculum lead to improved confidence of surgery residents in managing common peri-operative patient presentations, and greater level of entrustment for some EPAs. Consideration should be given to further faculty development to increase the quantity and quality of narrative feedback.
Keyword 1
Surgical Foundations
Keyword 2
CBME
Keyword 3
Program evaluation
Level of Training
Post Graduate
Abstract Themes
Curriculum
Curriculum
Competency-Based Education
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Ekaterina Kouzmina
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
