Service de microbiologie et d'infectiologie, Centre hospitalier affilié universitaire Hôtel-Dieu de Lévis, Quebec, Canada.
School of Health Professions Education (SHE), Maastricht University, Maastricht, The Netherlands.
Can Med Educ J. 2024 Feb 29;15(1):26-36. doi: 10.36834/cmej.77140. eCollection 2024 Feb.
The CanMEDS Competency Framework is an internationally recognized model used to outline the proficiencies of a physician. It has predominantly been studied in clinical environments but not all medical specialties take part in direct patient contact. In laboratory medicine, the role of the physician is to promote and enhance patient diagnostics by managing and overseeing the functions of a diagnostic laboratory.
This phenomenographic study explores the lived experiences of biochemistry, microbiology, and pathology residency program directors to better understand how they utilize the CanMEDS competencies. Eight laboratory medicine program directors from across Canada were individually interviewed using a semi-structured interview, and the data was analysed using inductive thematic analysis.
The findings show that the current framework is disconnected from the unique context of laboratory medicine with some competencies appearing unrelatable using the current standardized definitions and expectations. Nevertheless, participants considered the framework to be an appropriate blueprint of the competencies necessary for their professional environment, but to make it accessible more autonomy is required to adapt the framework to their needs.
Newer renditions of the CanMEDS Competency Framework should better consider the realities of non-clinical disciplines.
CanMEDS 能力框架是一个国际认可的模型，用于概述医生的专业能力。它主要在临床环境中进行研究，但并非所有医学专业都参与直接的患者接触。在检验医学中，医生的角色是通过管理和监督诊断实验室的功能来促进和增强患者的诊断。
本现象学研究探讨了生物化学、微生物学和病理学住院医师培训项目主任的生活经历，以更好地了解他们如何利用 CanMEDS 能力。来自加拿大各地的 8 名检验医学项目主任分别接受了半结构化访谈，使用归纳主题分析对数据进行了分析。
研究结果表明，目前的框架与检验医学的独特背景脱节，一些能力使用当前的标准化定义和期望似乎无法关联。然而，参与者认为该框架是他们专业环境所需能力的适当蓝图，但为了使其易于理解，需要更多的自主权来使框架适应他们的需求。
CanMEDS 能力框架的新版本应更好地考虑非临床学科的实际情况。
