Submission ID 77882
| Code | OD-2-6 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Other |
| Presenter Other | As of right now, the presenter is a faculty member. It will likely be changed to a resident or early career faculty closer to the date of the conference. Please note that the lead author (not presenting) is a graduate student. |
| Title | Has It Been Worth All the Fuss? Graduating Residents' Perspectives on Cbme |
| Background/Purpose | Queen's University transitioned 29 postgraduate specialty training programs to competency-based medical education (CBME) curricula in July 2017. We explored the experiences of CBME-trained residents graduating from five-year programs to inform the ongoing practice of CBME in Canada. |
| Methods | We captured the experiences of residents using qualitative description. Data were collected through focus groups, interviews, and written responses. Two members of the research team analyzed the data inductively, using conventional content analysis to identify themes. The researchers ensured intercoder reliability through dialogue and consensus. |
| Results | Fifteen residents from eight specialties participated. Many residents described misalignment between expectations and reality of CBME. Residents initially felt the onus of operationalizing CBME was on them, experiencing a lack of faculty guidance and buy-in. Assessment changes were perceived as both challenges and strengths, as residents noted a focus on quantity rather than quality, but also appreciated a comprehensive list of expectations. Some differences in residents' experiences with CBME arose from contextual differences between programs. Overall, programs were receptive to feedback and residents experienced improvements over time. Recommendations included changes to assessment and service requirements to facilitate resident progress. |
| Discussion | Residents acknowledged that many challenges associated with CBME were related to initial implementation, highlighting the importance of transparency and support for residents during implementation. This presentation will also explore the contextual factors contributing to different CBME experiences between specialty programs, which highlight the importance of seeking out and being guided by resident feedback during the continued rollout of CBME curricula across Canada. |
| Keyword 1 | Competency-based medical education |
| Keyword 2 | Postgraduate medical education |
| Keyword 3 | Competence by Design |
| Abstract content most relevant to: (check all that apply) | Residency Education |
| Abstract Track - First Choice | Curriculum |
| Curriculum | Competency-Based Education |
| Authors | Damon Dagnone Portia Kalun Natalie Wagner Heather Braund Laura McEwen Steve Mann Jessica Trier Karen Schultz Rachel Curtis Andrew McGuire Ian Pereira Damon Dagnone |
