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Teaching and assessing systems-based competency in ophthalmology residency training programs.

Andrew G Lee1, Hilary A Beaver, Emily Greenlee

  • 1Department of Ophthalmology at the University of Iowa Hospital and Clinics, Iowa City, Iowa 52242, USA.

Survey of Ophthalmology
|November 22, 2007
PubMed
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Ophthalmology residency programs must teach systems-based learning. This review recommends best practices and tools for assessing this competency, emphasizing reliability, practicality, and fairness for effective medical education.

Area of Science:

  • Medical Education
  • Ophthalmology Training
  • Healthcare Systems

Background:

  • The Accreditation Council for Graduate Medical Education (ACGME) mandates competency-based education for residency programs.
  • Systems-based learning is a key competency requiring specific teaching and assessment strategies.

Purpose of the Study:

  • To review the literature on systems-based learning in ophthalmology.
  • To recommend "good practices" for meeting ACGME requirements.
  • To identify ideal characteristics of educational tools for this competency.

Main Methods:

  • Literature review of systems-based learning in ophthalmology.
  • Analysis of ACGME competency requirements.
  • Synthesis of recommendations for educational practices and tools.

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Main Results:

  • Effective tools must simultaneously teach and assess systems-based learning.
  • Ideal tools should be reliable, valid, practical, affordable, and fair.
  • Low faculty burden is a critical factor for tool implementation.

Conclusions:

  • Implementing systems-based learning requires specific educational strategies and validated tools.
  • Future research should focus on demonstrating improved educational and patient outcomes.
  • Evidence of competence in systems-based learning for residents and practicing clinicians is needed.