4.5 Article

Implementation of competence committees during the transition to CBME in Canada: A national fidelity-focused evaluation

Journal

MEDICAL TEACHER
Volume 44, Issue 7, Pages 781-789

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/0142159X.2022.2041191

Keywords

Competency-based medical education; program evaluation; competence committees; implementation

Funding

  1. Royal College of Physicians and Surgeons of Canada Intramural Grant Program

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This study evaluated the fidelity of competence committee implementation in Canadian postgraduate specialist training programs during the transition to competency-based medical education. The results showed heterogeneity in committee size, review of assessment data, and determination of entrustable professional activity achievement, which may contribute to the variable challenges faced by programs during the transition to CBME.
Purpose This study evaluated the fidelity of competence committee (CC) implementation in Canadian postgraduate specialist training programs during the transition to competency-based medical education (CBME). Methods A national survey of CC chairs was distributed to all CBME training programs in November 2019. Survey questions were derived from guiding documents published by the Royal College of Physicians and Surgeons of Canada reflecting intended processes and design. Results Response rate was 39% (113/293) with representation from all eligible disciplines. Committee size ranged from 3 to 20 members, 42% of programs included external members, and 20% included a resident representative. Most programs (72%) reported that a primary review and synthesis of resident assessment data occurs prior to the meeting, with some data reviewed collectively during meetings. When determining entrustable professional activity (EPA) achievement, most programs followed the national specialty guidelines closely with some exceptions (53%). Documented concerns about professionalism, EPA narrative comments, and EPA entrustment scores were most highly weighted when determining resident progress decisions. Conclusions Heterogeneity in CC implementation likely reflects local adaptations, but may also explain some of the variable challenges faced by programs during the transition to CBME. Our results offer educational leaders important fidelity data that can help inform the larger evaluation and transformation of CBME.

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