Bogie Bryce, Payne Sarah, Harms Sheila, McConnell Meghan, Samaan Zainab
Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, Ontario, Canada.
J Multidiscip Healthc. 2021 Sep 16;14:2587-2595. doi: 10.2147/JMDH.S325572. eCollection 2021.
Residency training programs across Canada are beginning to implement the Royal College of Physicians and Surgeons of Canada's new Competence By Design (CBD) framework in medical education. The objective of the current research was to assess faculty members' and learners' understanding of, and preparedness for, the national shift to CBD in psychiatry before and after an educational intervention.
The current research implemented a pre-test/post-test design to investigate faculty members' and learners' perceptions and attitudes towards competency-based medical education (CBME) and CBD before and after a one-hour educational session delivered by an expert on CBME.
Of the 104 session attendees, 83 (79.8%) completed the pre-survey and 80 (76.9%) completed the post-survey. Both groups reported a moderate level of baseline knowledge of CBME and CBD. Knowledge of CBME improved significantly for both faculty members ( = 0.03) and learners ( < 0.01) after the education session; however, only learners showed a significant increase in knowledge of the CBD framework following the education session ( < 0.01). Further, only learners demonstrated a significant increase in perceived preparedness for CBD following the session ( = 0.02).
Overall, a brief, one-hour education session was at least somewhat effective at improving knowledge and preparedness for psychiatry's transition to CBD. In order to facilitate the transition to CBD and to assist in the rollout of future policy changes, psychiatry departments should provide both faculty members and learners with educational sessions and resources prior to the policy implementation.
加拿大各地的住院医师培训项目开始在医学教育中实施加拿大皇家内科医师和外科医师学院新的“以设计促胜任力”（CBD）框架。本研究的目的是评估在一次教育干预前后，教员和学员对精神病学领域向CBD的全国性转变的理解和准备情况。
本研究采用前测/后测设计，以调查教员和学员在由CBME专家进行的一小时教育课程前后对基于胜任力的医学教育（CBME）和CBD的看法及态度。
在104名参加课程的人员中，83人（79.8%）完成了预调查，80人（76.9%）完成了后调查。两组均报告对CBME和CBD的基线知识水平中等。教育课程后，教员（P = 0.03）和学员（P < 0.01）对CBME的知识均有显著提高；然而，只有学员在教育课程后对CBD框架的知识有显著增加（P < 0.01）。此外，只有学员在课程后对CBD的感知准备程度有显著提高（P = 0.02）。
总体而言，一次简短的一小时教育课程在提高对精神病学向CBD转变的知识和准备程度方面至少有一定效果。为了促进向CBD的转变并协助未来政策变化的推出，精神病学部门应在政策实施前为教员和学员提供教育课程及资源。
