Transitioning towards senior medical resident: identification of the required competencies using consensus methodology

Background: Residency programs are facing significant restructuring through the “Competence by Design” (CBD) framework proposed by the Royal College of Physicians and Surgeons of Canada (RCPSC). Our goal was to establish the competencies to be acquired during the transition to a senior role within I...

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Autores principales: Roy Khalife, Carol Gonsalves, Catherine Code, Samantha Halman
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Lenguaje:EN
Publicado: Canadian Medical Education Journal 2018
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spelling oai:doaj.org-article:950d7ded101d40ffa12136ccad7160c52021-12-01T22:44:22ZTransitioning towards senior medical resident: identification of the required competencies using consensus methodology10.36834/cmej.421631923-1202https://doaj.org/article/950d7ded101d40ffa12136ccad7160c52018-07-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/42163https://doaj.org/toc/1923-1202Background: Residency programs are facing significant restructuring through the “Competence by Design” (CBD) framework proposed by the Royal College of Physicians and Surgeons of Canada (RCPSC). Our goal was to establish the competencies to be acquired during the transition to a senior role within Internal Medicine (IM) training.      Methods: Using a modified Delphi technique, practicing IM physicians and recent graduates were polled to develop consensus on the required competencies to effectively transition from junior to senior medical resident. Participants rated each competency on a three-point Likert scale. Each competency was linked to an Entrustable Professional Activity (EPA) identified by the RCPSC IM Specialty Committee. Results: A total of eighteen participants took part in item generation (16% response rate) and nineteen in the initial ranking with seventeen completing all three iterations (89% completion rate). Eighty-three competencies were identified during questionnaire development. A final list of seventy-seven competencies reached consensus after three rounds. Most competencies matched to core of discipline EPAs. Conclusion: This consensus-based list of competencies will help create a framework and tools for the assessment of junior residents as they prepare to transition to the role of senior in the new CBD curricula for IM trainees at our institution.  Roy KhalifeCarol GonsalvesCatherine CodeSamantha HalmanCanadian Medical Education Journalarticlemedical educationtransitioninternal medicinecompetency based medical educationEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 9, Iss 3 (2018)
institution DOAJ
collection DOAJ
language EN
topic medical education
transition
internal medicine
competency based medical education
Education (General)
L7-991
Medicine (General)
R5-920
spellingShingle medical education
transition
internal medicine
competency based medical education
Education (General)
L7-991
Medicine (General)
R5-920
Roy Khalife
Carol Gonsalves
Catherine Code
Samantha Halman
Transitioning towards senior medical resident: identification of the required competencies using consensus methodology
description Background: Residency programs are facing significant restructuring through the “Competence by Design” (CBD) framework proposed by the Royal College of Physicians and Surgeons of Canada (RCPSC). Our goal was to establish the competencies to be acquired during the transition to a senior role within Internal Medicine (IM) training.      Methods: Using a modified Delphi technique, practicing IM physicians and recent graduates were polled to develop consensus on the required competencies to effectively transition from junior to senior medical resident. Participants rated each competency on a three-point Likert scale. Each competency was linked to an Entrustable Professional Activity (EPA) identified by the RCPSC IM Specialty Committee. Results: A total of eighteen participants took part in item generation (16% response rate) and nineteen in the initial ranking with seventeen completing all three iterations (89% completion rate). Eighty-three competencies were identified during questionnaire development. A final list of seventy-seven competencies reached consensus after three rounds. Most competencies matched to core of discipline EPAs. Conclusion: This consensus-based list of competencies will help create a framework and tools for the assessment of junior residents as they prepare to transition to the role of senior in the new CBD curricula for IM trainees at our institution. 
format article
author Roy Khalife
Carol Gonsalves
Catherine Code
Samantha Halman
author_facet Roy Khalife
Carol Gonsalves
Catherine Code
Samantha Halman
author_sort Roy Khalife
title Transitioning towards senior medical resident: identification of the required competencies using consensus methodology
title_short Transitioning towards senior medical resident: identification of the required competencies using consensus methodology
title_full Transitioning towards senior medical resident: identification of the required competencies using consensus methodology
title_fullStr Transitioning towards senior medical resident: identification of the required competencies using consensus methodology
title_full_unstemmed Transitioning towards senior medical resident: identification of the required competencies using consensus methodology
title_sort transitioning towards senior medical resident: identification of the required competencies using consensus methodology
publisher Canadian Medical Education Journal
publishDate 2018
url https://doaj.org/article/950d7ded101d40ffa12136ccad7160c5
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AT catherinecode transitioningtowardsseniormedicalresidentidentificationoftherequiredcompetenciesusingconsensusmethodology
AT samanthahalman transitioningtowardsseniormedicalresidentidentificationoftherequiredcompetenciesusingconsensusmethodology
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