Division of Pediatric Medicine, The Hospital for Sick Children, Ontario, Canada.
Division of Immunology and Allergy, Department of Pediatrics.
Can Med Educ J. 2023 Mar 21;14(1):101-107. doi: 10.36834/cmej.75278. eCollection 2023 Mar.
While many Area of Focused Competency (AFC) Diplomas are available to those who have completed Pediatric residency training, it is not known which competencies are enhanced within each AFC discipline. Our objective was to determine which CanMEDS roles were targeted by existing AFCs available to those who have completed Pediatric residency training and identify gaps within CanMEDs roles that may be fulfilled by the development of new AFCs.
A qualitative study was undertaken using document analysis methodology to compare CanMEDS competencies across AFCs available to those with Royal College examination eligibility or certification in Pediatrics. RCPSC Competency Training Requirements documents were used to compare and contrast the competencies in each AFC with competencies established in Pediatric residency training. Key and Enabling Competencies were compared for each CanMEDS role to identify differences.
Ten AFCs were identified with eligibility requirements including Royal College examination eligibility or certification in Pediatrics. All 10 AFCs included at least one new Medical Expert competency, for a total of 42 unique competencies in this role across all AFCs. The Scholar role had only 10 new competencies across seven AFCs, while only one AFC added a single unique competency in the Collaborator role.
The majority of new competencies contributed by AFCs lie within the CanMEDS role of Medical Expert. The Scholar and Collaborator roles have the least differences when comparing competencies of existing AFCs to those competencies established in Pediatric residency training. Developing additional AFCs that offer advanced skills in these roles may help close this gap within the discipline of Pediatrics.
虽然有许多针对完成儿科住院医师培训的人的重点领域能力（AFC）文凭，但尚不清楚每个 AFC 学科中增强了哪些能力。我们的目标是确定已经完成儿科住院医师培训的人可以获得的现有 AFC 针对哪些 CanMEDS 角色，并确定 CanMEDS 角色中的空白领域，这些空白领域可能需要通过开发新的 AFC 来填补。
采用定性研究，使用文献分析方法比较那些具有皇家学院儿科考试资格或认证的人可获得的 AFC 中 CanMEDS 能力。使用 RCPSC 能力培训要求文件比较和对比每个 AFC 中的能力与儿科住院医师培训中的能力。比较每个 CanMEDS 角色的关键和使能能力，以确定差异。
确定了 10 种具有皇家学院考试资格或儿科认证资格要求的 AFC。所有 10 种 AFC 都至少包含一项新的医学专家能力，在所有 AFC 中，该角色共有 42 项独特的能力。学者角色在七个 AFC 中只有 10 项新能力，而只有一个 AFC 在合作者角色中添加了一项独特的能力。
AFC 提供的大多数新能力都属于 CanMEDS 医学专家角色。在比较现有 AFC 的能力与儿科住院医师培训中建立的能力时，学者和合作者角色的差异最小。开发提供这些角色高级技能的额外 AFC 可能有助于缩小儿科领域的这一差距。
