Faculty Development, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Division of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, Canada.
Med Teach. 2021 Jul;43(7):765-773. doi: 10.1080/0142159X.2021.1925101. Epub 2021 Jun 28.
Clinical competency committees (CCCs) are increasingly used within health professions education as their decisions are thought to be more defensible and fairer than those generated by previous training promotion processes. However, as with most group-based processes, it is inevitable that conflict will arise. In this paper the authors explore three ways conflict may arise within a CCC: (1) conflicting data submissions that are presented to the committee, (2) conflicts between members of the committee, and (3) conflicts of interest between a specific committee member and a trainee. The authors describe each of these conflict situations, dissect out the underlying problems, and explore possible solutions based on the current literature.
临床能力委员会（CCCs）在卫生专业教育中越来越多地被使用，因为人们认为它们的决策比以前的培训晋升过程更有说服力和更公平。然而，与大多数基于群体的过程一样，冲突不可避免。在本文中，作者探讨了 CCC 中可能出现的三种冲突情况：（1）向委员会提交的相互冲突的数据，（2）委员会成员之间的冲突，以及（3）特定委员会成员与受训者之间的利益冲突。作者描述了每一种冲突情况，剖析了潜在的问题，并根据当前文献探讨了可能的解决方案。
