Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Can J Diabetes. 2020 Feb;44(1):30-36.e2. doi: 10.1016/j.jcjd.2019.04.019. Epub 2019 May 7.
In recent years there has been an increased emphasis on competency-based medical education (CBME) in Canada and internationally, as can be seen with the implementation of competency-based curriculums for postgraduate medical education (PGME) through the Royal College of Physicians and Surgeons of Canada. Currently, no Canada-wide consensus exists on educational competencies relating to diabetes in undergraduate medical education (UGME). Our aim in this study was to develop a list of competencies and objectives for UGME in diabetes using a modified Delphi method.
Representatives involved in the development of the diabetes curriculum at all 17 medical schools across Canada were contacted. A draft list of competencies and objectives was developed by the research team using the existing curriculums at 9 Canadian medical schools and was organized using the CanMEDS framework. A Delphi method was used, with 2 iterations in order to reach consensus.
Twelve of 17 medical schools agreed to participate. Of the 12 surveys sent in the first round, 8 responses were received (response rate 66.7%). The revised version was then resent to the 8 respondents and 7 responses were received (response rate 87.5%). A list of 9 competencies and 62 objectives was finalized.
A competency-based consensus curriculum for diabetes education for undergraduate medical students was developed using a modified Delphi method. The final consensus syllabus will be disseminated across the country. This curriculum serves as a step in the transition to competency-based UGME and in ensuring that future medical school graduates are proficient in diabetes care.
近年来，加拿大和国际上越来越强调以能力为基础的医学教育（CBME），这可以从加拿大皇家内科医生和外科医生学院实施以能力为基础的研究生医学教育（PGME）课程中看出。目前，在本科医学教育（UGME）中，针对糖尿病的教育能力方面，加拿大还没有达成全国共识。我们在这项研究中的目的是使用修改后的 Delphi 方法，为 UGME 在糖尿病方面制定一套能力和目标清单。
联系了参与加拿大 17 所医学院糖尿病课程开发的代表。研究团队使用 9 所加拿大医学院的现有课程制定了一份能力和目标草案清单，并使用 CanMEDS 框架进行了组织。使用 Delphi 方法进行了 2 轮，以达成共识。
17 所医学院中有 12 所同意参与。在第一轮中发送的 12 份调查中，收到了 8 份回复（回复率为 66.7%）。然后将修订后的版本发送给 8 位受访者，收到了 7 份回复（回复率为 87.5%）。最终确定了 9 项能力和 62 项目标。
使用修改后的 Delphi 方法为本科医学生制定了糖尿病教育的以能力为基础的共识课程。最终的共识教学大纲将在全国范围内传播。该课程是向以能力为基础的 UGME 过渡的一步，也是确保未来医学院毕业生熟练掌握糖尿病护理的一步。
