Eight-year outcomes of a competency-based residency training program in orthopedic surgery.

Abstract:

:Background: The Division of Orthopaedic Surgery at the University of Toronto implemented a pilot residency training program that used a competency-based framework in July of 2009. The competency-based curriculum (CBC) deployed an innovative, modularized approach that dramatically intensified both the structured learning elements and the assessment processes. Methods: This paper discusses the initial curriculum design of the CBC pilot program; the refinement of the curriculum using curriculum mapping that allowed for efficiencies in educational delivery; details of evaluating resident competence; feedback from external reviews by accrediting bodies; and trainee and program outcomes for the first eight years of the program's implementation. Results: Feedback from the residents, the faculty, and the postgraduate residency training accreditation bodies on the CBC has been positive and suggests that the essential framework of the program may provide a valuable tool to other programs that are contemplating embarking on transition to competency-based education. Conclusions: While the goal of the program was not to shorten training per se, efficiencies gained through a modular, competency-based program have resulted in shortened time to completion of residency training for some learners.

journal_name

Med Teach

journal_title

Medical teacher

authors

Nousiainen MT,Mironova P,Hynes M,Glover Takahashi S,Reznick R,Kraemer W,Alman B,Ferguson P,CBC Planning Committee.

doi

10.1080/0142159X.2017.1421751

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

1042-1054

issue

10

eissn

0142-159X

issn

1466-187X

journal_volume

40

pub_type

杂志文章
  • Criteria for good assessment: consensus statement and recommendations from the Ottawa 2010 Conference.

    abstract::In this article, we outline criteria for good assessment that include: (1) validity or coherence, (2) reproducibility or consistency, (3) equivalence, (4) feasibility, (5) educational effect, (6) catalytic effect, and (7) acceptability. Many of the criteria have been described before and we continue to support their i...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2011.551559

    authors: Norcini J,Anderson B,Bollela V,Burch V,Costa MJ,Duvivier R,Galbraith R,Hays R,Kent A,Perrott V,Roberts T

    更新日期:2011-01-01 00:00:00

  • Mechanisms involved in the formation of professional identity by medical students.

    abstract:BACKGROUND:Despite in-depth discussions regarding professional identity of doctors, there is still a gap in our understanding of how this professional identity actually evolves. OBJECTIVE:To outline some major mechanisms involved in formation of medical students' professional identity. METHODS:A qualitative study bas...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1854706

    authors: Yakov G,Riskin A,Flugelman AA

    更新日期:2020-12-08 00:00:00

  • Twelve tips on engaging learners in checking health care decisions.

    abstract:BACKGROUND:Checking diagnostic and management decisions can help reduce medical error, however, little literature explores how this is best taught. AIMS:To provide practical advice to direct teaching practices. METHODS:The authors conducted a literature review using Medline and PsychInfo using search terms: check or ...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.3109/0142159X.2013.847910

    authors: Sibbald M,de Bruin AB,van Merrienboer JJ

    更新日期:2014-02-01 00:00:00

  • The development of a scale to measure personal reflection in medical practice and education.

    abstract:AIM:Personal reflection is important for acquiring, maintaining and enhancing balanced medical professionalism. A new scale, the Groningen Reflection Ability Scale (GRAS), was developed to measure the personal reflection ability of medical students. METHOD:Explorative literature study was conducted to gather an initia...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701299272

    authors: Aukes LC,Geertsma J,Cohen-Schotanus J,Zwierstra RP,Slaets JP

    更新日期:2007-03-01 00:00:00

  • The year in a training practice: what has lasting value? Grounded theoretical categories and dimensions from a pilot study.

    abstract::Experienced General Practitioners were asked about lasting value from GP Registrar training. Grounded theory was used to construct eight categories of training behaviours. In each category, dimensions spanned between learner-preferred behaviours and those the learners perceived as less helpful. Learners valued teachin...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590020031138

    authors: Peile EB,Easton GP,Johnson N

    更新日期:2001-03-01 00:00:00

  • Interprofessional collaborative reasoning by residents and nurses in internal medicine: Evidence from a simulation study.

    abstract::Clinical reasoning has been studied in residents or nurses, using interviews or patient-provider encounters. Despite a growing interest in interprofessional collaboration, the notion of collaborative reasoning has not been well studied in clinical settings. Our study aims at exploring resident-nurse collaborative reas...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1286309

    authors: Blondon KS,Maître F,Muller-Juge V,Bochatay N,Cullati S,Hudelson P,Vu NV,Savoldelli GL,Nendaz MR

    更新日期:2017-04-01 00:00:00

  • Promoting resiliency for interprofessional faculty and senior medical students: Outcomes of a workshop using mind-body medicine and interactive reflective writing.

    abstract:BACKGROUND:Health care professions faculty/practitioners/students are at risk for stress and burnout, impacting well-being, and optimal patient care. AIMS:We conducted a unique intervention: an interprofessional, experiential, skills-based workshop (IESW) combining two approaches: mind-body medicine skills and interac...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2016.1150980

    authors: Wald HS,Haramati A,Bachner YG,Urkin J

    更新日期:2016-05-01 00:00:00

  • Problem-based learning: Where are we now? Guide supplement 36.2 - viewpoint.

    abstract::The educational principles of self-directed, collaborative, and life-long learning can be effectively inculcated into the curriculum where PBL is adopted as a major learning strategy instead of PBL as a whole-curriculum-concept. In developing countries, where the entry level of the majority of students is at the high-...

    journal_title:Medical teacher

    pub_type: 评论,杂志文章

    doi:10.3109/0142159X.2011.543200

    authors: Zuberi RW

    更新日期:2011-01-01 00:00:00

  • Use of traditional versus electronic medical-information resources by residents and interns.

    abstract:BACKGROUND:Little is known about the information-seeking behaviour of junior doctors, with regard to their use of traditional versus electronic sources of information. AIMS:To evaluate the amount of time junior doctors spent using various medical-information resources and how useful they perceived these resources to b...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701477456

    authors: Phua J,Lim TK

    更新日期:2007-05-01 00:00:00

  • The effect of testing and feedback on the forgetting curves for radiograph interpretation skills.

    abstract::Objectives: Forgetting curves plot skill decay over time. After exposure to a simulation-based radiograph interpretation learning system, we determined the rate of learning decay and how this was impacted by testing (with and without feedback). Further, we examined the association of initial learning parameters on the...

    journal_title:Medical teacher

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1080/0142159X.2019.1570098

    authors: Boutis K,Pecaric M,Carrière B,Stimec J,Willan A,Chan J,Pusic M

    更新日期:2019-07-01 00:00:00

  • The new and improved learning community at Johns Hopkins University School of Medicine resembles that at Hogwarts School of Witchcraft and Wizardry.

    abstract:BACKGROUND:In July 2005, a learning community was created at Johns Hopkins University School of Medicine (JHUSOM) to foster camaraderie, networking, advising, mentoring, professionalism, clinical skills, and scholarship--The Colleges. The cultural and structural changes that emerged with the creation of this program ha...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590701477423

    authors: Stewart RW,Barker AR,Shochet RB,Wright SM

    更新日期:2007-05-01 00:00:00

  • Mentoring up: Twelve tips for successfully employing a mentee-driven approach to mentoring relationships.

    abstract::Effective mentorship is critical for achieving professional success, influencing outcomes such as career selection and advancement, self-confidence and performance, and sense of community and fulfillment. Despite the established importance of mentorship, however, mentoring relationships can be challenging to develop a...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1795098

    authors: Manuel SP,Poorsattar SP

    更新日期:2020-07-27 00:00:00

  • A comparison of medical students' written expressions of emotion and coping and standardized patients' ratings of student professionalism and communication skills.

    abstract:UNLABELLED:Little is known about the relationship between medical students' expression of emotion when confronted with a traumatic medical event and their perceived communication skills and professionalism. METHOD:Eighty-nine second year medical students participated in an objective structured clinical examination (OS...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590400016431

    authors: Shapiro J,Lie D

    更新日期:2004-12-01 00:00:00

  • Long-term benefits by a mind-body medicine skills course on perceived stress and empathy among medical and nursing students.

    abstract:BACKGROUND:A significant number of medical students suffer from burnout symptoms and reduced empathy. This controlled, quasi-experimental study aimed to investigate whether a mind-body medicine (MBM) skills course could reduce perceived stress and increase empathy and self-reflection in medical and nursing students. M...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1309374

    authors: van Vliet M,Jong M,Jong MC

    更新日期:2017-07-01 00:00:00

  • Medical students' perceptions of the factors influencing their academic performance: an exploratory interview study with high-achieving and re-sitting medical students.

    abstract:BACKGROUND:Little is known about medical students' perceptions of the factors that influence their academic performance. AIM:To detect factors medical students, in the final years of their undergraduate medical studies, believe affect their academic performance. METHODS:We conducted semi-structured interviews with hi...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.668626

    authors: Todres M,Tsimtsiou Z,Sidhu K,Stephenson A,Jones R

    更新日期:2012-01-01 00:00:00

  • A cardiological web as an adjunct to medical teaching: prospective analysis.

    abstract::The aim of the study was to deliver and evaluate an educational web for medical students. A web of the complete cardiovascular course was prepared as an adjunct educational material for the classes. The use and utility of the web was assessed through a questionnaire (frequency of use, impact on in-class attendance and...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590310001653991

    authors: Gómez-Arbonés X,Ferreira A,Piqué M,Roca J,Tomás J,Frutos JL,Vinyas J,Prat J,Ballester M

    更新日期:2004-03-01 00:00:00

  • Training medical students for the twenty-first century: Rationale and development of the Utrecht curriculum "CRU+".

    abstract:AIM:The aim of this report, written for the 40th anniversary issue of Medical Teacher, is to document 20 years of development of the Utrecht undergraduate medical curriculum, as both to exhibit accountability and to inform the community of the process and choices that can be made in long-term curriculum development. M...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2018.1435855

    authors: Ten Cate O,Borleffs J,van Dijk M,Westerveld T,numerous faculty members and students involved in the subsequent Utrecht curricular reforms.

    更新日期:2018-05-01 00:00:00

  • Curriculum Navigator: aspiring towards a comprehensive package for curriculum planning.

    abstract:BACKGROUND:Insightful frameworks for curriculum development were described in the literature. There is a need, however, to outline the approach we prefer, sometime unconsciously, in curriculum planning. AIMS:This article describes a novel conceptual framework called Curriculum Navigator, to explore our attitudes towar...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2012.689445

    authors: Al-Eraky MM

    更新日期:2012-01-01 00:00:00

  • The clinical educator's guide to fostering learner motivation: AMEE Guide No. 137.

    abstract::Motivation theory and research remain underused by health professions educators. Some educators say it can seem too abstract. To address this, we applied health care language to learner motivation theories. Using a familiar metaphor, we examined the indications, mechanism of action, administration, and monitoring of l...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2020.1837764

    authors: Lyons KM,Cain JJ,Haines ST,Gasevic D,Brock TP

    更新日期:2020-11-02 00:00:00

  • A comprehensive checklist for reporting the use of OSCEs.

    abstract:BACKGROUND:The Objective Structured Clinical Examination (OSCE) has experienced an explosion of use which has rarely been accompanied by systematic investigations on its validity, reliability and feasibility. A systematic review of OSCE was undertaken as part of Best Evidence Medical Education at the Centre for Evidenc...

    journal_title:Medical teacher

    pub_type: 杂志文章,评审

    doi:10.1080/01421590802578277

    authors: Patricio M,Juliao M,Fareleira F,Young M,Norman G,Vaz Carneiro A

    更新日期:2009-02-01 00:00:00

  • The Problem with POMR.

    abstract::In this article, Dr Michael Simpson argues the case against unquestioning acceptance of problem orientated medical records, in reply to the article which appeared in the last issue of Medicd Teacher (1979, 1, 147-1511. ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421597909012600

    authors: Simpson MA

    更新日期:1979-01-01 00:00:00

  • Is it worth it? A look at the costs and benefits of an OSCE for second-year medical students.

    abstract::For the past two years, the Bowman Gray School of Medicine has used an Objective Structured Clinical Exam (OSCE) to measure the performance of 117 first- and second-year medical students at the end of introductory courses on differential and physical diagnosis. Given the surprisingly high costs of conducting the OSCE ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/01421598909146415

    authors: Frye AW,Richards BF,Philp EB,Philp JR

    更新日期:1989-01-01 00:00:00

  • Medical education in Turkey: past to future.

    abstract::Although medical education in the Republic of Turkey appears to be relatively new, there is almost 500 years of background development within the Anatolian region. Turkey has faced many difficulties in its past and present times, related to its vast and diverse geography, its crowded population, and the many ethnic gr...

    journal_title:Medical teacher

    pub_type: 历史文章,杂志文章

    doi:10.1080/01421590802232834

    authors: Kurdak H,Altintas D,Doran F

    更新日期:2008-01-01 00:00:00

  • Prevalence of lapses in academic integrity in two Pakistani medical colleges.

    abstract:OBJECTIVE:To determine prevalence of professionalism lapses related to academic integrity by students Pakistani medical colleges. SUBJECTS:520 students. STUDY DESIGN:Cross sectional. DATA COLLECTION:A validated and customized version of Dundee Polyprofessional Inventory-1 for use in Pakistani medical schools was use...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2014.947928

    authors: Shukr I,Roff S

    更新日期:2015-05-01 00:00:00

  • Twelve tips for medical students to make the best use of ward-based learning.

    abstract:BACKGROUND:With a multitude of healthcare professionals willing to teach, a placement on a ward is an invaluable learning opportunity; yet as students, we often struggle to maximize this placements' potential. AIM:This article provides 12 tips for medical students to optimize their learning in a ward-based environment...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1327707

    authors: Bharamgoudar R,Sonsale A

    更新日期:2017-11-01 00:00:00

  • Interactive large-group teaching in a dermatology course.

    abstract::This is a prospective study to find out whether an interactive large-group case-based teaching approach combined with small-group bedside teaching improves student satisfaction and learning outcome in a practical dermatology course. During two consecutive terms a rotating system of large-group interactive case-study-m...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590601034241

    authors: Ochsendorf FR,Boehncke WH,Sommerlad M,Kaufmann R

    更新日期:2006-12-01 00:00:00

  • Assessing the head-to-toe physical examination skills of medical students.

    abstract::Second-year medical students performed a head-to-toe screening physical examination on trained patient instructors (PIs) as a high-stakes examination before beginning clinical clerkships. PIs completed a 138-item checklist and instructed the students in the proper performance of any incorrectly executed or omitted ite...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590410001696452

    authors: Yudkowsky R,Downing S,Klamen D,Valaski M,Eulenberg B,Popa M

    更新日期:2004-08-01 00:00:00

  • Teaching by hospitalist physicians: a practical approach.

    abstract::This article discusses an approach to the teaching of residents and medical students by hospitalist physicians on a general pediatric unit. It focuses on three basic principles of teaching and describes how these can be operationalized in a practical way. If this approach is followed, hospitalist physicians can be mor...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/01421590220145833

    authors: Bellet PS

    更新日期:2002-07-01 00:00:00

  • Creating a test blueprint for a progress testing program: A paired-comparisons approach.

    abstract:CONTEXT:Creating a new testing program requires the development of a test blueprint that will determine how the items on each test form are distributed across possible content areas and practice domains. To achieve validity, categories of a blueprint are typically based on the judgments of content experts. How experts ...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.1080/0142159X.2017.1403015

    authors: von Bergmann H,Childs RA

    更新日期:2018-03-01 00:00:00

  • Encouraging an environment to nurture lifelong learning: an Asian experience.

    abstract:INTRODUCTION:Within an Asian context, this study examines the effect of changing from traditional course grades to a distinction/pass/fail (D/P/F) grading system on medical student self-perceived stress levels and on student exam performance. METHODS:At the end of the 2010-2011 academic year, the Perceived Stress Scal...

    journal_title:Medical teacher

    pub_type: 杂志文章

    doi:10.3109/0142159X.2013.852168

    authors: Jacobs JL,Samarasekera DD,Shen L,Rajendran K,Hooi SC

    更新日期:2014-02-01 00:00:00