Accepted Type
Oral
Code
OH1-2-4
Was this work accepted for CCME 2020?
yes
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Oral
Sub Type
Education Research
Will the presenter be a:
Student
Affiliation
Considered for Poster
yes
Title
Exploring Residents' Perspectives of Competency-Based Medical Education Across Canada
Length of Presentation
Background/Purpose
Despite the implementation of Competence by Design (CBD) within Canadian residency programs, little is known about how residents perceive competency-based medical education (CBME), even though they are greatly affected. This study examined Canadian residents' perceptions of CBME.
Methods
An online survey including Likert-type items and open-ended questions was administered to residents across Canada. 105 residents enrolled in a CBD program and 270 residents enrolled in a traditional ("pre-CBME") program responded to the survey. Quantitative data were analyzed in SPSS using the Mann-Whitney test and qualitative data were analyzed thematically using NVivo.
Results
Three themes emerged: program outcome concerns, changes, and emotional responses. Residents in both groups were concerned about administrative burden, assessment challenges and feedback quality. The pre-CBME group had greater concerns that faculty time constraints will affect assessment completion (Mean = 4.13) than residents in CBME (Mean = 3.91), U = 11663.50, z = -2.88, p = 0.004, r = -0.14. Pre-CBME residents (Mean = 3.46) generally agreed more that faculty would spend greater time administering CBME than on learning experiences than residents in CBME programs (Mean = 2.91), U =9705.50, z = -1.095, p = .000, r = -0.26. Residents enrolled in CBME reported increased self-reflection and proactiveness in their own learning. Both groups expressed strong emotional responses (e.g. stress and frustration).
Conclusion
Residents across Canada have mixed feelings and experiences regarding CBME. Although residents perceive they are more self-directed learners as a result of CBME, the results suggest that programs will need to address specific challenges to increase stakeholder buy-in and attend to well-being.
Keyword 1
competency based medical education
Keyword 2
postgraduate medical education
Keyword 3
competency by design
Level of Training
Post Graduate
Abstract Themes
Teaching and learning
Teaching and Learning
Competency-Based Education
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Assessment
Additional Theme (Third Choice)
Authors
Presenter
Vivesh Patel
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
