Review
Veterinary Sciences
Kristin P. Chaney, Jennifer L. Hodgson
Summary: In recent years, veterinary education has been transitioning to competency-based models, inspired by medical education. Implementing competency-based veterinary education is important but challenging, and maintaining educational quality is crucial during the implementation process.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Review
Radiology, Nuclear Medicine & Medical Imaging
Helena Bentley, Kathryn E. Darras, Bruce B. Forster, Anto Sedlic, Cameron J. Hague
Summary: This article introduces the first electric truck launched by German manufacturer OEMAN, which has the features of environmental protection and energy saving.
ACADEMIC RADIOLOGY
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Andrew D. Chung, Benjamin Y. M. Kwan, Natalie Wagner, Heather Braund, Tessa Hanmore, Andrew Koch Hall, Laura McEwan, Nancy Dalgarno, Jeffrey Damon Dagnone
Summary: The study evaluated the Queen's University diagnostic radiology residency program after transitioning to a competency-based medical education (CBME) curriculum using Rapid Evaluation methodology. Strengths of CBME implementation included more frequent and timely feedback and the role of the Academic Advisor, but frontline faculty felt unsupported in theory and practical implementation of the new curriculum. Improvement areas identified were additional faculty and resident education workshops and changes to assessment tools for increased clarity. Residents overall viewed the changes favorably, with a desire for increased feedback among traditional stream residents.
EUROPEAN JOURNAL OF RADIOLOGY
(2022)
Article
Veterinary Sciences
Jared A. Danielson
Summary: This perspective explores six key assumptions of a competency-based approach to medical-sciences education, as they relate to veterinary medical education. While available research does not unequivocally support all six assumptions, overall the potential benefits of adopting a competency-based approach seem promising for veterinary medical education.
FRONTIERS IN VETERINARY SCIENCE
(2021)
Article
Education, Scientific Disciplines
Warren J. Cheung, Andrew K. Hall, Alexandra Skutovich, Stacey Brzezina, Timothy R. Dalseg, Anna Oswald, Lara J. Cooke, Elaine Van Melle, Stanley J. Hamstra, Jason R. Frank
Summary: This study evaluated the readiness of Canadian postgraduate training programs to implement Competence by Design (CBD), a model of Competency-Based Medical Education (CBME). The majority of respondents were supportive of successful CBD implementation, but there were also challenges that need to be addressed for future improvement.
Article
Education, Scientific Disciplines
Daniel J. Schumacher, Benjamin Kinnear, Carol Carraccio, Eric Holmboe, Jamiu O. Busari, Cees van der Vleuten, Lorelei Lingard
Summary: High-value care is not often delivered in healthcare, but medical education can provide the spark for change by embracing competency-based medical education (CBME) and centering the patient. The authors argue that medical educators must adopt a new approach, treat CBME as an adaptive challenge, and prioritize genuine engagement and discussion.
Article
Education, Scientific Disciplines
Michael S. Ryan, William Iobst, Eric S. Holmboe, Sally A. Santen
Summary: The study investigates the alignment between CBME frameworks used in undergraduate medical education (UME) and graduate medical education (GME) settings in the US. It highlights the challenges of creating alignment in assessment frameworks across the continuum of training and suggests four next steps to improve educational continuity.
Article
Education & Educational Research
Jane McKenzie-White, Aloysius G. Mubuuke, Sara Westergaard, Ian G. Munabi, Robert C. Bollinger, Robert Opoka, Scovia N. Mbalinda, David Katete, Yukari C. Manabe, Sarah Kiguli
Summary: This study evaluated whether the assessment methods within the MBChB curriculum at Makerere University College of Health Sciences addressed the stated competencies. The study found that CBME was successfully implemented, with almost all established competencies being assessed. Faculty members acknowledged the importance of CBME but expressed the need for further training to improve the implementation of competency-based assessments.
BMC MEDICAL EDUCATION
(2022)
Article
Education & Educational Research
Yan Zhou, Thomas H. Wieringa, Jasperina Brouwer, Agnes D. Diemers, Nicolaas A. Bos
Summary: The University of Groningen Medical Center's G2020 curriculum combines thematic learning communities with competency-based medical education and problem-based learning. The study found that students in different learning programs within the curriculum had similar learning outcomes in terms of competency and knowledge assessments, with some differences in the obtained levels.
BMC MEDICAL EDUCATION
(2023)
Article
Education & Educational Research
Christen Rachul, Benjamin Collins, Ming-Ka Chan, Ganesh Srinivasan, Joanne Hamilton
Summary: This study used a realist evaluation approach to explore how multiple initiatives in the academic health sciences system can impact the implementation of competency-based medical education (CBME). The findings suggest that concurrent implementation of a new curriculum management system (CMS) may lead to change fatigue and unmet expectations for the use of assessment data.
BMC MEDICAL EDUCATION
(2022)
Article
Surgery
Karen J. Brasel, Brenessa Lindeman, Andrew Jones, George A. Sarosi, Rebecca Minter, Mary E. Klingensmith, James Whiting, David Borgstrom, Jo Buyske, John D. Mellinger
Summary: This study aimed to determine the feasibility and utility of Entrustable Professional Activities (EPAs) in general surgery resident training. By collecting microassessments on common procedures and activities and utilizing the clinical competency committee's summative entrustment decisions, the study found that widespread implementation of EPAs is possible and graduating residents are entrusted to perform common surgical procedures independently without supervision.
Article
Education, Scientific Disciplines
Kimberly A. Gifford, Lynn Thoreson, Ann E. Burke, Tai M. Lockspeiser, Laura Z. Lockwood, Suzanne Reed, Daniel J. Schumacher, John D. Mahan
Summary: This study explores individualized education in pediatric residency through the lens of formal and implicit goals of individualized curriculum (IC), providing a pragmatic framework for implementation and further study. The IC goals, aligned with self-determination theory (SDT), focus on relatedness, autonomy, and competence domains, helping residents cultivate professional identity and skills for their desired career paths. The framework could guide improvements in IC structure and extend to other disciplines for enhancing individual education experiences.
TEACHING AND LEARNING IN MEDICINE
(2021)
Article
Medicine, General & Internal
Rashmi Ramanathan, Jeevithan Shanmugam, Sridhar M. Gopalakrishnan, Kalaniti T. Palanisamy, Seetharaman Narayanan
Summary: This study aims to understand the challenges faced by medical teachers in implementing competency-based medical education in India. The survey results show that the majority of teachers believe that making incremental changes to the old curriculum would have been better than a complete overhaul. They also feel that more input from faculty should have been taken before implementing the new curriculum. Additionally, many teachers express concerns about the inadequate training and preparation for the implementation of competency-based medical education.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Education & Educational Research
Patricia A. Carney, Stefanie S. Sebok-Syer, Martin V. Pusic, Colleen C. Gillespie, Marjorie Westervelt, Mary Ellen J. Goldhamer
Summary: Graduate medical education and Clinical Competency Committees are using competency-based medical education principles to monitor trainee progression, but evidence suggests that CCCs are not meeting this goal effectively. Challenges include incomplete and conflicting evaluation data, as well as difficulties organizing, analyzing, and integrating data elements. Learning analytics have the potential to improve CCC decision making, but their use is not widespread.
MEDICAL EDUCATION ONLINE
(2023)
Article
Education, Scientific Disciplines
Jolanta Karpinski, Jason R. Frank
Summary: EPAs have become an important framework for competency-based medical education, and the authors describe how they created a unique system for all accredited training programs under the Royal College of Physicians and Surgeons of Canada. Others looking to implement EPAs for large-scale health professions education systems may want to consider this design approach.
Article
Health Care Sciences & Services
Leslie Carstensen Floren, Amy Louise Pittenger, Olle ten Cate, David M. Irby
Summary: This paper describes the development and preliminary validity evidence for a Tool for Observing Construction of Knowledge in Interprofessional teams (TOCK-IP). The tool showed fair agreement among faculty raters and high agreement between raters' scores and consensus rating. Faculty supported the feasibility and utility of the tool.
JOURNAL OF INTERPROFESSIONAL CARE
(2023)
Article
Anesthesiology
Sarah Chibane, Talia Ryan, Francoise Nizeyimana, Onica Gill, Ananya Abate, Joel Hamstra, Ana Crawford, Julian Barnbrook, M. Dylan Bould
Summary: International partnerships in global health play an important role in capacity building, but often involve travel and contribute to carbon emissions. An internal audit of the Canadian Anesthesiology Society's International Education Fund (CASIEF) found that these partnerships resulted in high levels of CO2 emissions, but also provided opportunities for volunteers to work on the ground.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Article
Education, Scientific Disciplines
Timo de Raad, Fraukje Wiersma, Luppo Kuilman, Olle ten Cate
Summary: This study investigates the use of EPAs among alumni of Master Physician Assistant programs in the Netherlands. The results show that 60% of respondents added new competencies and skills after graduation. EPA-trained PAs overwhelmingly support the continuous use of the EPA framework for decision-making after graduation.
JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
(2023)
Article
Education, Scientific Disciplines
Inge Pool, Saskia Hofstra, Marieke van der Horst, Olle ten Cate
Summary: Healthcare has become highly specialized, with specialists playing a crucial role in delivering high-quality care. However, this specialization has also led to fragmentation, with professionals often trained in separate postgraduate programs and facing challenges in collaboration. The concept of transdisciplinary entrustable professional activities (EPAs) has been proposed to enhance collaboration and flexibility in healthcare education. This paper discusses the practical and conceptual issues surrounding transdisciplinary EPAs and their potential impact on professional identity.
Article
Education, Scientific Disciplines
Adrian Philipp Marty, Machelle Linsenmeyer, Brian George, John Q. Young, Jan Breckwoldt, Olle ten Cate
Summary: With the rise of competency-based medical education and workplace-based assessment, assessment methods have been extensively discussed. Direct observation and other sources of information have become standard in many clinical programs. Entrustable professional activities have become a central focus in clinical workplace assessment. The use of digital technology has rendered paper and pencil observation obsolete, and mobile technology has become indispensable for documentation and assessment at the point of care.
Article
Multidisciplinary Sciences
Susan Humphrey-Murto, Seung Ho Lee, Michael Gottlieb, Tanya Horsley, Bev Shea, Karine J. Fournier, Christopher Tran, Teresa Chan, Timothy Wood, Olle ten Cate
Summary: This study aims to explore the use of virtual NGT in research. The study will use literature review and online interviews to answer questions about the extent of virtual NGT usage, modifications made to accommodate the online format, and the advantages and disadvantages compared to face-to-face mode.
Article
Health Care Sciences & Services
Fury Maulina, Mubasysyir Hasanbasri, Fedde Scheele, Jamiu O. Busari
Summary: This study investigated doctors' perceptions of physician leadership competencies based on their experiences in low-resource rural and remote areas of Indonesia. The findings revealed that good physician leaders in these settings should possess cultural sensitivity skills, a strong character, and creativity and flexibility skills.
News Item
Education, Scientific Disciplines
Prachi Shah, Shelley Ross, Jill Konkin, Lillian Au, Ann Lee
Letter
Education, Scientific Disciplines
Deena M. Hamza, Karen E. Hauer, Anna Oswald, Elaine van Melle, Zeenat Ladak, Ines Zuna, Mekdes E. Assefa, Diana Keto-Lambert, Shelley Ross
Review
Medicine, General & Internal
Daniel Nel, Eduard Jonas, Vanessa Burch, Amy Nel, Lydia Cairncross, Adnan Alseidi, Brian George, Olle ten Cate
Summary: This scoping review aims to provide an overview of the current use of EPAs in general surgery, and to guide surgeon-educators on implementing CBME. The review will include peer-reviewed journal publications and an extensive review of grey literature sources. The results will be disseminated through publication in peer-reviewed journals and presentation at international conferences.
Article
Computer Science, Interdisciplinary Applications
Terence Ma, Olle Ten Cate
Summary: This paper discusses a job activity framework called entrustable professional activities (EPAs) used in medical education, and explores its potential application in other industries to provide employers with information about a prospective employee's ability to perform required job activities.
INTERNATIONAL JOURNAL OF INFORMATION AND LEARNING TECHNOLOGY
(2023)
Article
Health Care Sciences & Services
Fury Maulina, Mubasysyir Hasanbasri, Jamiu O. Busari, Fedde Scheele
Summary: Globally, rural/remote health systems struggle due to infrastructure limitations, lack of resources, healthcare professionals, and cultural barriers. Leadership plays a crucial role in addressing these challenges, especially in low-income and middle-income countries like Indonesia. Effective communication, trust-building, collaboration facilitation, connection-making, and coalition-building are deemed essential for doctors working in rural/remote communities. Culture-based leadership training should be provided to doctors in Indonesia and other similar settings to better prepare them for the specific demands of rural practice.
Editorial Material
Health Care Sciences & Services
Jan C. Frich, Dominique Allwood, Jamiu O. Busari, Ming-Ka Chan, Amelia Compagni, Rachel Gemine, Indra Joshi, Robert Klaber, Benjamin Laker, Erwin Loh, Oscar Lyons, Aoife Molloy, James Mountford, Amit Nigam, Rachael Moses, Julie-Lyn Noel, Iain Smith, Janice St John-Matthews, Catherine Stoddart, Charlotte Emily Williams
Article
Education & Educational Research
Marjel van Dam, Hanneke van Hamersvelt, Lisette Schoonhoven, Reinier G. G. Hoff, Olle ten Cate, Marije P. P. Hennus
Summary: This study aims to explore the nature, aspects, and key features of supervision under highly demanding circumstances among certified and redeployed healthcare professionals on COVID-19 ICUs. The study found that efforts should primarily focus on factors that are within a supervisor or trainee's span of control to ensure good clinical supervision.
MEDICAL EDUCATION ONLINE
(2023)
Article
Education, Scientific Disciplines
Indra Ganesan, Breana Cham, Pim W. Teunissen, Jamiu O. Busari
Summary: This study explores the influence of assessment stakes on self-regulated learning during and after residency through interviews with 18 early career specialists. The findings show that as the stakes of assessments increase, learners engage more in co-regulated learning with peers and supervisors, which positively affects their self-regulated learning during residency and continued learning in their careers.
PERSPECTIVES ON MEDICAL EDUCATION
(2023)