SubmissionId 60565

Accepted Type
Dedicated Poster

Code
LP17 - 03

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
Poster

Sub Type
Education Research

Will the presenter be a:
Student

Affiliation

Title
Turning out well-rounded oncologists: Are our residency learning outcomes up to the task?

Length of Presentation

Background/Purpose
Successful implementation of Competency-Based Medical Education in residency training relies on well-defined and holistic learning objectives. The purpose of our study was to ascertain whether our oncology residency programs' learning objectives reflect a comprehensive spread of competencies according to established learning taxonomies, and to evaluate their quality.

Methods
All 1117 learning objectives from the Medical Oncology and Radiation Oncology residency programs at Western University were evaluated based on the SMART rubric (Specific, Measurable, Attainable, Realistic, Timely). Bloom's Taxonomy was used to map learning domains. Objectives' clinical competency domains were categorized according to Fink's Taxonomy and CanMEDS.

Results
Thirty-six percent of the objectives met all SMART criteria. Sixty-eight percent of objectives targeted recall and understanding in Bloom's cognitive domain while 66% of objectives targeted receiving and responding in the affective domain. All CanMEDS roles were represented within 1117 objectives with 68% focused on Medical Expert. Using Fink's taxonomy, 70% of objectives targeted Foundational knowledge, 24% Application, 20% Integration, 18% Human dimension, 5% Learning to learn, and 2 % Caring.

Conclusion
Existing oncology objectives emphasize CanMEDS medical expert competency, achieved through lower levels of Bloom's cognitive domains. Using Fink's as an alternative framework, a relative underrepresentation of learning outcomes of Integration, Human dimension, Caring and Learning to Learn becomes evident. These findings will inform faculty dialogue about revision of objectives using CanMEDS and other frameworks, to ensure that learning outcomes target the broad spectrum of competencies required of clinical oncologists.

Keyword 1
Learning Objectives

Keyword 2
CANMeds

Keyword 3
Competency-based Medical Education

Level of Training
Post Graduate

Abstract Themes
Learning Outcomes

Learning Outcomes
  • Basic Medical Sciences
  • Clinical Skills
  • Communication Skills
  • Critical Thinking
  • General
  • Health Promotion
  • Life-Long Learning
  • Patient Management
  • Professionalism/Ethics
  • Teaching
  • Teamwork
  • Decision Making/Clinical Reasoning

Additional Theme (First choice)
Postgraduate

Additional Theme (Second Choice)

Additional Theme (Third Choice)

Authors
Presenter
    Cindy Lin

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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