Abstract:
CONTEXT:Although competence committees (CCs) are most often conceptualised as group decision-making bodies, policy documents forward a more ambitious vision and outline several additional roles for CCs that support the continuous quality improvement of education programmes and promote formative feedback. However, whether these functions are encompassed in the everyday work of CCs is currently unknown. METHODS:This constructivist grounded theory study elaborates the range of roles taken up by CCs and illuminates the processes through which these roles are actualised. Two investigators observed 27 CC meetings (>80 hours) across seven diverse postgraduate programmes at a single Canadian institution. Following each observation, a semi-structured interview was conducted with one CC member. Data collection and analysis unfolded iteratively. RESULTS:In this study, CCs did much more than make summative decisions about progression and entrustment; they identified a variety of problems that arose at the levels of both the individual learner and the programme, and leveraged their knowledge of assessment data to develop solutions. The problem-solving work of CCs was enabled by the in-depth data review, synthesis and analysis work that occurred before scheduled meetings, outside protected academic or administrative time. Although this work often appeared invisible to those outside the committee, the insights gleaned from data review provided committee members with essential information about how their programme of assessment was unfolding in practice. CONCLUSIONS:Competence committees may be an untapped resource that can support assessment for learning, local evaluation of competency-based medical education (CBME) implementation and continuous quality improvement for programmes of assessment. However, the ability of CCs to engage in this work is fragile and is currently sustained by the willingness of faculty members to devote their time and energy to it. The resourcing of CCs may have profound implications for translation of the theory of programmatic assessment and CBME into practice.
journal_name
Med Educjournal_title
Medical educationauthors
Pack R,Lingard L,Watling C,Cristancho Sdoi
10.1111/medu.14072subject
Has Abstractpub_date
2020-06-01 00:00:00pages
517-527issue
6eissn
0308-0110issn
1365-2923journal_volume
54pub_type
杂志文章abstract::The housemanship performance of the first two classes of the University of Gezira Medical School was assessed on 107 occasions by using a questionnaire administered to the senior doctors (consultants) in the units in which they worked and the data, which covered 32% of all housemanship rotations taken by these graduat...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00159.x
更新日期:1992-05-01 00:00:00
abstract::The use of the epidemiological method in primary health care (PHC) has become an accepted part of the service. The team will utilize community-oriented data in order to assess the health needs of the population, perform continued surveillance of changes in the health of the people served and for service evaluation. Th...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb01091.x
更新日期:1983-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02415.x
更新日期:1981-11-01 00:00:00
abstract::The GMC's publications The New Doctor (GMC 1997) outlines an approach for the education of Pre-registration House Officers using designated educational supervisors. In order to establish appropriate means of training consultants to undertake this role, the Centre for Postgraduate and Continuing Medical Education at th...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00209.x
更新日期:1998-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03506.x
更新日期:2009-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1987.tb00671.x
更新日期:1987-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12969
更新日期:2016-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1997.tb02473.x
更新日期:1997-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01625.x
更新日期:2003-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.13532
更新日期:2018-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02725.x
更新日期:1994-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1999.00280.x
更新日期:1999-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb01111.x
更新日期:1983-03-01 00:00:00
abstract::This essay examines the background and implementation of the statutory requirement that each medical graduate in Great Britain must spend a pre-registration year in hospital training before full registration can be effected. It looks briefly at the French and USA 'internship', and then describes the British situation ...
journal_title:Medical education
pub_type: 历史文章,杂志文章
doi:10.1111/j.1365-2923.1997.tb02589.x
更新日期:1997-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00102.x
更新日期:1991-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.12129
更新日期:2013-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2923.2007.02914.x
更新日期:2007-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03183.x
更新日期:2008-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01538.x
更新日期:2003-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01437.x
更新日期:2003-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02735.x
更新日期:1994-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01530.x
更新日期:1979-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01350.x
更新日期:1985-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01259.x
更新日期:1982-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02798.x
更新日期:2007-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02500.x
更新日期:1981-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2004.02063.x
更新日期:2005-02-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1988.tb00419.x
更新日期:1988-03-01 00:00:00
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journal_title:Medical education
pub_type: 历史文章,杂志文章
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更新日期:1989-11-01 00:00:00