Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON.
Department of Obstetrics and Gynaecology, Queen's University, Kingston, ON.
J Obstet Gynaecol Can. 2020 Jun;42(6):707-717. doi: 10.1016/j.jogc.2019.10.034. Epub 2019 Dec 25.
The shift to competency-based medical education (CBME) is associated with changes in the way residents are taught and assessed. Although there are many purported benefits of CBME, an understanding of the preparedness of faculty to meet the needs of this new paradigm is lacking. The aim of this study was to characterize faculty needs to support the transition to CBME.
An online survey was designed with the aim of characterizing faculty understanding of the principles of CBME and common trainee assessment methods, as well as exploring barriers to the implementation of CBME in obstetrics and gynaecology residency programs across Canada. The survey was sent to faculty across Canada in English and French.
A total of 284 responses were collected between September 2015 and December 2016. Although most faculty viewed CBME as a positive change, there were gaps in their knowledge about CBME and workplace-based assessment methods. Barriers to the implementation of CBME included lack of training in assessment of residents and feedback, financial implications, and time constraints.
To facilitate the transition to CBME, institutions may need to consider establishing faculty training programs and implementing systemic change aimed at addressing faculty needs and barriers during this fundamental shift in the structure of residency training.
向以能力为基础的医学教育(CBME)的转变与教学和评估方式的变化有关。尽管 CBME 有许多据称的好处,但对教师为满足这一新模式的需求而做好准备的程度缺乏了解。本研究的目的是描述支持向 CBME 过渡的教师需求。
设计了一项在线调查,旨在描述教师对 CBME 原则和常见学员评估方法的理解,以及探索加拿大妇产科住院医师培训计划中实施 CBME 的障碍。该调查以英语和法语发送给加拿大各地的教师。
2015 年 9 月至 2016 年 12 月期间共收集了 284 份回复。尽管大多数教师认为 CBME 是一个积极的变化,但他们对 CBME 和基于工作场所的评估方法的知识存在差距。实施 CBME 的障碍包括缺乏对居民评估和反馈的培训、经济影响和时间限制。
为了促进向 CBME 的转变,机构可能需要考虑建立教师培训计划,并实施系统变革,旨在解决在住院医师培训结构这一根本转变期间教师的需求和障碍。