First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology

Abstract Background Competency-based medical education (CBME) has revolutionized approaches to training by making expectations more concrete, visible, and relevant for trainees. Designing, applying, and updating CBME requirements challenges residency programs, which must address many aspects of trai...

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Autores principales:	Clément Buléon, Reuben Eng, Jenny W. Rudolph, Rebecca D. Minehart
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Residency Curriculum Clinical competences Education Standards Anesthesia Special aspects of education LC8-6691 Medicine R
Acceso en línea:	https://doaj.org/article/ca0015a677364fad98b27a5268047aab
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spelling	oai:doaj.org-article:ca0015a677364fad98b27a5268047aab2021-11-14T12:43:07ZFirst steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology10.1186/s12909-021-03007-w1472-6920https://doaj.org/article/ca0015a677364fad98b27a5268047aab2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12909-021-03007-whttps://doaj.org/toc/1472-6920Abstract Background Competency-based medical education (CBME) has revolutionized approaches to training by making expectations more concrete, visible, and relevant for trainees. Designing, applying, and updating CBME requirements challenges residency programs, which must address many aspects of training simultaneously. This challenge also exists for educational regulatory bodies in creating and adjusting national competencies to standardize training expectations. We propose that an international approach for mapping residency training requirements may provide a baseline for assessing commonalities and differences. This approach allows us to take our first steps towards creating international competency goals to enhance sharing of best practices in education and clinical work. Methods We chose anesthesiology residency training as our example discipline. Using two rounds of content analysis, we qualitatively compared published anesthesiology residency competencies for the European Union (The European Training Requirement), United States (ACGME Milestones), and Canada (CanMEDS Competence By Design), focusing on similarities and differences in representation (round one) and emphasis (round two) to generate hypotheses on practical solutions regarding international educational standards. Results We mapped the similarities and discrepancies between the three repositories. Round one revealed that 93% of competencies were common between the three repositories. Major differences between European Training Requirement, US Milestones, and Competence by Design competencies involved critical emergency medicine. Round two showed that over 30% of competencies were emphasized equally, with notable exceptions that European Training Requirement emphasized Anaesthesia Non-Technical Skills, Competence by Design highlighted more granular competencies within specific anesthesiology situations, and US Milestones emphasized professionalism and behavioral practices. Conclusions This qualitative comparison has identified commonalities and differences in anesthesiology training which may facilitate sharing broader perspectives on diverse high-quality educational, clinical, and research practices to enhance innovative approaches. Determining these overlaps in residency training can prompt international educational societies responsible for creating competencies to collaborate to design future training programs. This approach may be considered as a feasible method to build an international core of residency competency requirements for other disciplines.Clément BuléonReuben EngJenny W. RudolphRebecca D. MinehartBMCarticleResidencyCurriculumClinical competencesEducationStandardsAnesthesiaSpecial aspects of educationLC8-6691MedicineRENBMC Medical Education, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Residency Curriculum Clinical competences Education Standards Anesthesia Special aspects of education LC8-6691 Medicine R
spellingShingle	Residency Curriculum Clinical competences Education Standards Anesthesia Special aspects of education LC8-6691 Medicine R Clément Buléon Reuben Eng Jenny W. Rudolph Rebecca D. Minehart First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
description	Abstract Background Competency-based medical education (CBME) has revolutionized approaches to training by making expectations more concrete, visible, and relevant for trainees. Designing, applying, and updating CBME requirements challenges residency programs, which must address many aspects of training simultaneously. This challenge also exists for educational regulatory bodies in creating and adjusting national competencies to standardize training expectations. We propose that an international approach for mapping residency training requirements may provide a baseline for assessing commonalities and differences. This approach allows us to take our first steps towards creating international competency goals to enhance sharing of best practices in education and clinical work. Methods We chose anesthesiology residency training as our example discipline. Using two rounds of content analysis, we qualitatively compared published anesthesiology residency competencies for the European Union (The European Training Requirement), United States (ACGME Milestones), and Canada (CanMEDS Competence By Design), focusing on similarities and differences in representation (round one) and emphasis (round two) to generate hypotheses on practical solutions regarding international educational standards. Results We mapped the similarities and discrepancies between the three repositories. Round one revealed that 93% of competencies were common between the three repositories. Major differences between European Training Requirement, US Milestones, and Competence by Design competencies involved critical emergency medicine. Round two showed that over 30% of competencies were emphasized equally, with notable exceptions that European Training Requirement emphasized Anaesthesia Non-Technical Skills, Competence by Design highlighted more granular competencies within specific anesthesiology situations, and US Milestones emphasized professionalism and behavioral practices. Conclusions This qualitative comparison has identified commonalities and differences in anesthesiology training which may facilitate sharing broader perspectives on diverse high-quality educational, clinical, and research practices to enhance innovative approaches. Determining these overlaps in residency training can prompt international educational societies responsible for creating competencies to collaborate to design future training programs. This approach may be considered as a feasible method to build an international core of residency competency requirements for other disciplines.
format	article
author	Clément Buléon Reuben Eng Jenny W. Rudolph Rebecca D. Minehart
author_facet	Clément Buléon Reuben Eng Jenny W. Rudolph Rebecca D. Minehart
author_sort	Clément Buléon
title	First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
title_short	First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
title_full	First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
title_fullStr	First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
title_full_unstemmed	First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
title_sort	first steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ca0015a677364fad98b27a5268047aab
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First steps towards international competency goals for residency training: a qualitative comparison of 3 regional standards in anesthesiology

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