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Competency based medical education (CBME) in CCFP(EM) programs

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Canadian Journal of Emergency Medicine Aims and scope Submit manuscript

Abstract

Introduction

It is postulated that implementation of Competency by Design (CBD) in Royal College of Physicians and Surgeons of Canada (RCPSC) programs has helped enhanced skills programs in emergency medicine (CCFP(EM)) move towards a more competency-based residency. The objectives of the study were to identify major competency-based medical educational (CBME) components of CCFP(EM) programs across the country; and determine how programs are delivering these components.

Methods

After a rigorous development process (expert content development, and pilot testing), a survey questionnaire was administered to all 17 CCFP(EM) program directors using a modified Dillman technique. Questions were structured and framed using the core components framework of CBME. The final survey included a total of 44 questions under six sections.

Results

There was a 100% response rate. Only 65% of programs currently map their program’s curriculum to an explicit outcomes-based framework. All but one program plan to map their program’s curriculum to Core Professional Activities that were released by the College of Family Physicians of Canada (CFPC) in May 2021. In 35% of programs, a curriculum is organized around developmental competencies that support resident progression. Individual coaches or a coaching team follow residents longitudinally in 65% of programs. In 81% of programs, the program meets with a resident at regular, pre-defined intervals to discuss their progression. In terms of assessment: data from direct observations are incorporated 94% of the time; 29% of programs have specific criteria for advancement; and all programs have a Competence Committee. With the introduction of CBD in RCPSC programs, 71% of program directors felt there was less understanding of the unique needs of CCFP(EM) residents.

Conclusion

This study summarizes the current state of CBME in CCFP(EM) programs. While many components of CBME are incorporated, further development and innovation is needed to fully adapt CBME to a 1-year training program.

Résumé

Introduction

Il est postulé que la mise en œuvre de la méthode " Compétence par conception " (CPC) dans les programmes du Collège royal des médecins et chirurgiens du Canada (CRMCC) a aidé les programmes de compétences améliorées en médecine d'urgence (CCMF(MU)) à évoluer vers une résidence davantage axée sur les compétences. Les objectifs de l'étude étaient d'identifier les principales composantes de la formation médicale fondée sur les compétences (FMFC) des programmes CCMF(EM) à travers le pays et de déterminer comment les programmes offrent ces composantes.

Méthodes

Après un processus de développement rigoureux (élaboration du contenu par des experts et essai pilote), un questionnaire d'enquête a été administré aux 17 directeurs de programme du CCMF(MU) en utilisant une technique Dillman modifiée. Les questions ont été structurées et encadrées en utilisant le cadre des composantes essentielles de la CBME. L'enquête finale comprenait un total de 44 questions réparties en six sections.

Résultats

Le taux de réponse a été de 100 %. Seulement 65 % des programmes font actuellement correspondre le curriculum de leur programme à un cadre explicite basé sur les résultats. Tous les programmes sauf un prévoient d'adapter le curriculum de leur programme aux activités professionnelles de base qui ont été publiées par le Collège des médecins de famille du Canada (CMFC) en mai 2021. Dans 35 % des programmes, un programme d'études est organisé autour des compétences de développement qui soutiennent la progression des résidents. Des coachs individuels ou une équipe de coachs suivent les résidents de manière longitudinale dans 65 % des programmes. Dans 81 % des programmes, le programme rencontre un résident à intervalles réguliers et prédéfinis pour discuter de sa progression. Pour ce qui est de l’évaluation : les données issues des observations directes sont intégrées dans 94 % des cas ; 29 % des programmes ont des critères spécifiques pour l'avancement ; et tous les programmes ont un comité de compétence. Avec l'introduction du CBD dans les programmes du CRMCC, 71 % des directeurs de programme ont estimé que les besoins uniques des résidents du CCMF(MU) étaient moins bien compris.

Conclusion

Cette étude résume l’état actuel du FMFC dans les programmes du CCMF(MU). Bien que de nombreux éléments de FMFC soient incorporés, un développement et une innovation supplémentaires sont nécessaires pour adapter pleinement FMFC à un programme de formation d'un an.

Mots clés

Médecine familiale/médecine d'urgence, compétences avancées, programme de médecine d'urgence, CCMF(MU), formation médicale fondée sur les compétences, FMFC, compétence par conception, CFC

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Funding

This was funded by a University of Ottawa Department of Emergency Medicine internal grants program.

Author information

Authors and Affiliations

  1. Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada

    Avik Nath, Krishan Yadav, Nicolas Chagnon & Warren J. Cheung

  2. Ottawa Hospital Research Institute, Ottawa, ON, Canada

    Krishan Yadav & Warren J. Cheung

  3. Department of Emergency Medicine, Montfort Hospital and University of Ottawa, Ottawa, ON, Canada

    Nicolas Chagnon

Authors
  1. Avik Nath
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  2. Krishan Yadav
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  3. Nicolas Chagnon
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  4. Warren J. Cheung
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Contributions

All authors contributed to the writing of the manuscript.

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Correspondence to Avik Nath.

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Nath, A., Yadav, K., Chagnon, N. et al. Competency based medical education (CBME) in CCFP(EM) programs. Can J Emerg Med 24, 599–605 (2022). https://doi.org/10.1007/s43678-022-00345-6

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  • DOI: https://doi.org/10.1007/s43678-022-00345-6

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