Cheung Warren J, Chan Teresa M, Hauer Karen E, Woods Robert A, McEwen Jill, Martin Lynsey J, Patocka Catherine, Dong Sandy L, Bhimani Munsif, McColl Tamara
Department of Emergency Medicine, University of Ottawa, Ottawa, ON.
Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, ON.
CJEM. 2020 Mar;22(2):187-193. doi: 10.1017/cem.2019.480.
Competence committees play a key role in a competency-based system of assessment. These committees are tasked with reviewing and synthesizing clinical performance data to make judgments regarding residents' competence. Canadian emergency medicine (EM) postgraduate training programs recently implemented competence committees; however, a paucity of literature guides their work.
The objective of this study was to develop consensus-based recommendations to optimize the function and decisions of competence committees in Canadian EM training programs.
Semi-structured interviews of EM competence committee chairs were conducted and analyzed. The interview guide was informed by a literature review of competence committee structure, processes, and best practices. Inductive thematic analysis of interview transcripts was conducted to identify emerging themes. Preliminary recommendations, based on themes, were drafted and presented at the 2019 CAEP Academic Symposium on Education. Through a live presentation and survey poll, symposium attendees representing the national EM community participated in a facilitated discussion of the recommendations. The authors incorporated this feedback and identified consensus among symposium attendees on a final set of nine high-yield recommendations.
The Canadian EM community used a structured process to develop nine best practice recommendations for competence committees addressing: committee membership, meeting processes, decision outcomes, use of high-quality performance data, and ongoing quality improvement. These recommendations can inform the structure and processes of competence committees in Canadian EM training programs.
能力委员会在基于能力的评估体系中发挥着关键作用。这些委员会负责审查和综合临床绩效数据，以对住院医师的能力做出判断。加拿大急诊医学（EM）研究生培训项目最近设立了能力委员会；然而，指导其工作的文献却很匮乏。
本研究的目的是制定基于共识的建议，以优化加拿大急诊医学培训项目中能力委员会的职能和决策。
对急诊医学能力委员会主席进行了半结构化访谈并进行分析。访谈指南基于对能力委员会结构、流程和最佳实践的文献综述制定。对访谈记录进行归纳主题分析，以确定新出现的主题。根据主题起草了初步建议，并在2019年加拿大急诊医师协会教育学术研讨会上进行了展示。通过现场展示和问卷调查，代表全国急诊医学领域的研讨会参会者参与了对这些建议的深入讨论。作者纳入了这些反馈意见，并确定了研讨会参会者对最终九条高价值建议的共识。
加拿大急诊医学领域采用结构化流程，为能力委员会制定了九条最佳实践建议，内容涉及：委员会成员构成、会议流程、决策结果、高质量绩效数据的使用以及持续质量改进。这些建议可为加拿大急诊医学培训项目中能力委员会的结构和流程提供参考。
