Competence By Design: a transformational national model of time-variable competency-based postgraduate medical education.

Autor:	Frank JR; Centre for Innovation in Medical Education and Professor, Department of Emergency Medicine, Faculty of Medicine, University of Ottawa, ON, Canada., Karpinski J; Department of Medicine, University of Ottawa, Ottawa, ON, Canada.; Competency Based Medical Education, University of Ottawa, Ottawa, ON, Canada.; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada., Sherbino J; McMaster University, Hamilton, ON, Canada., Snell LS; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Medicine and Health Sciences Education, McGill University, Montreal, QC, Canada., Atkinson A; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Department of Paediatrics, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Oswald A; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.; Competency Based Medical Education, University of Alberta, Edmonton, AB, Canada., Hall AK; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada., Cooke L; Division of Neurology, Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada., Dojeiji S; Physical Medicine and Rehabilitation, University of Ottawa, Ottawa, ON, Canada., Richardson D; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Department of Physical Medicine and Rehabilitation, Queen's University, Kingston, ON, Canada., Cheung WJ; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Department of Medicine, University of Toronto, Toronto, ON, Canada., Cavalcanti RB; Department of Medicine, University of Toronto, Toronto, ON, Canada.; HoPingKong Centre, University Health Network, Toronto, ON, Canada., Dalseg TR; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Division of Emergency Medicine, University of Toronto, Toronto, ON, Canada., Thoma B; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Emergency Medicine, University of Saskatchewan, Saskatoon, SK, Canada., Flynn L; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Departments of Psychiatry and Family Medicine, and Co-Director Master of Health Sciences Education, Queen's University, Kingston, ON, Canada., Gofton W; Department of Surgery (Division of Orthopedic Surgery), The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada., Dudek N; Department of Medicine (Division of Physical Medicine & Rehabilitation) and The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada., Bhanji F; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Wong BM; Centre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Canada., Razack S; Centre for Health Education Scholarship, University of British Columbia and BC Children's Hospital, Vancouver, BC, Canada., Anderson R; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Northern Ontario School of Medicine University, Sudbury, ON, Canada., Dubois D; Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada., Boucher A; Department of Medicine (Division of Endocrinology), Universitéde Montréal, Montréal, QC, Canada., Gomes MM; Department of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, ON, Canada., Taber S; Office of Standards and Assessment, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada., Gorman LJ; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada., Fulford J; Canadian Internet Registration Authority, Canada., Naik V; Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.; Medical Council of Canada, Ottawa, ON, Canada., Harris KA; Royal College of Physicians and Surgeons of Canada, Canada.; Emeritus, Western University, Canada., St Croix R; Learning and Connecting at the Royal College of Physicians and Surgeons of Canada, Canada., van Melle E; Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.; Department of Family Medicine, Queen's University, Kingston, ON, Canada.
Jazyk:	angličtina
Zdroj:	Perspectives on medical education [Perspect Med Educ] 2024 Mar 18; Vol. 13 (1), pp. 201-223. Date of Electronic Publication: 2024 Mar 18 (Print Publication: 2024).
DOI:	10.5334/pme.1096
Abstrakt:	Postgraduate medical education is an essential societal enterprise that prepares highly skilled physicians for the health workforce. In recent years, PGME systems have been criticized worldwide for problems with variable graduate abilities, concerns about patient safety, and issues with teaching and assessment methods. In response, competency based medical education approaches, with an emphasis on graduate outcomes, have been proposed as the direction for 21st century health profession education. However, there are few published models of large-scale implementation of these approaches. We describe the rationale and design for a national, time-variable competency-based multi-specialty system for postgraduate medical education called Competence by Design. Fourteen innovations were bundled to create this new system, using the Van Melle Core Components of competency based medical education as the basis for the transformation. The successful execution of this transformational training system shows competency based medical education can be implemented at scale. The lessons learned in the early implementation of Competence by Design can inform competency based medical education innovation efforts across professions worldwide. Competing Interests: JRF, JK, LSS, FB, VN, ST, JF, KH, RST were employees of the Royal College.JS, AA, AO, AKH, LC, SD, DR, WJC, RBC, TD, BT, LF, WG, ND, BW, RS, RA, DD, AB, MG, and EVM performed contract work for the Royal College. (Copyright: © 2024 The Author(s).)
Databáze:	MEDLINE
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