Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?

Background: With the transition to a Competence by Design (CBD) curriculum, Fellow of the Royal College of Physicians in Emergency Medicine (FRCP-EM) training has created guidelines on experiences residents should have before progressing. We sought to quantify adult medical resuscitations and clini...

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Autores principales:	Michael Crickmer, Tobi Lam, Walter Tavares, Nazanin Meshkat
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2021
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4225d0f57f114caeab432621db47c898
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spelling	oai:doaj.org-article:4225d0f57f114caeab432621db47c8982021-12-01T22:35:57ZDo PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?10.36834/cmej.709211923-1202https://doaj.org/article/4225d0f57f114caeab432621db47c8982021-06-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/70921https://doaj.org/toc/1923-1202 Background: With the transition to a Competence by Design (CBD) curriculum, Fellow of the Royal College of Physicians in Emergency Medicine (FRCP-EM) training has created guidelines on experiences residents should have before progressing. We sought to quantify adult medical resuscitations and clinical procedures completed by PGY1 FRCP-EM residents to compare them to CBD requirements with the aim to identify areas of limited exposure requiring curriculum revisions prior to nation-wide CBD implementation. Methods: Twenty-two PGY1 residents from four FRCP-EM programs recorded their activities from July 2017 to June 2018 in an online log that tracked resuscitations and procedures along with role assumed, supervision, and level of comfort. Results: In total 515 resuscitations were logged with the median number per resident 15 (range 0 to 98). The most frequent resuscitation was altered mental status and the least was unstable dysrhythmia. 557 total procedures were logged with the median number 75 (range 8 to 273). The most frequent procedure done was simple laceration repair and the least frequent was intraosseous access. Conclusions: Unstable dysrhythmias and cardiorespiratory arrest along with intraosseous access and arthrocentesis are low event clinical exposures. In the era of CBD, the misalignment of entrustrable professional activity (EPA) targets and curriculum delivery should be monitored/reviewed to ensure expectations are realistic and that sufficient exposures are available. Michael CrickmerTobi LamWalter TavaresNazanin MeshkatCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 12, Iss 3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Michael Crickmer Tobi Lam Walter Tavares Nazanin Meshkat Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?
description	Background: With the transition to a Competence by Design (CBD) curriculum, Fellow of the Royal College of Physicians in Emergency Medicine (FRCP-EM) training has created guidelines on experiences residents should have before progressing. We sought to quantify adult medical resuscitations and clinical procedures completed by PGY1 FRCP-EM residents to compare them to CBD requirements with the aim to identify areas of limited exposure requiring curriculum revisions prior to nation-wide CBD implementation. Methods: Twenty-two PGY1 residents from four FRCP-EM programs recorded their activities from July 2017 to June 2018 in an online log that tracked resuscitations and procedures along with role assumed, supervision, and level of comfort. Results: In total 515 resuscitations were logged with the median number per resident 15 (range 0 to 98). The most frequent resuscitation was altered mental status and the least was unstable dysrhythmia. 557 total procedures were logged with the median number 75 (range 8 to 273). The most frequent procedure done was simple laceration repair and the least frequent was intraosseous access. Conclusions: Unstable dysrhythmias and cardiorespiratory arrest along with intraosseous access and arthrocentesis are low event clinical exposures. In the era of CBD, the misalignment of entrustrable professional activity (EPA) targets and curriculum delivery should be monitored/reviewed to ensure expectations are realistic and that sufficient exposures are available.
format	article
author	Michael Crickmer Tobi Lam Walter Tavares Nazanin Meshkat
author_facet	Michael Crickmer Tobi Lam Walter Tavares Nazanin Meshkat
author_sort	Michael Crickmer
title	Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?
title_short	Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?
title_full	Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?
title_fullStr	Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?
title_full_unstemmed	Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?
title_sort	do pgy-1 residents in emergency medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a competence by design curriculum?
publisher	Canadian Medical Education Journal
publishDate	2021
url	https://doaj.org/article/4225d0f57f114caeab432621db47c898
work_keys_str_mv	AT michaelcrickmer dopgy1residentsinemergencymedicinehaveenoughexperiencesinresuscitationsandotherclinicalprocedurestomeettherequirementsofacompetencebydesigncurriculum AT tobilam dopgy1residentsinemergencymedicinehaveenoughexperiencesinresuscitationsandotherclinicalprocedurestomeettherequirementsofacompetencebydesigncurriculum AT waltertavares dopgy1residentsinemergencymedicinehaveenoughexperiencesinresuscitationsandotherclinicalprocedurestomeettherequirementsofacompetencebydesigncurriculum AT nazaninmeshkat dopgy1residentsinemergencymedicinehaveenoughexperiencesinresuscitationsandotherclinicalprocedurestomeettherequirementsofacompetencebydesigncurriculum
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Do PGY-1 residents in Emergency Medicine have enough experiences in resuscitations and other clinical procedures to meet the requirements of a Competence by Design curriculum?

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