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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Defining competency-based evaluation objectives in family medicine: key-feature approach.

Kathrine Lawrence1, Tim Allen, Carlos Brailovsky

  • 1Department of Family Medicine, University of Saskatchewan, Regina, Canada. k.lawrence@sasktel.net

Canadian Family Physician Medecin De Famille Canadien
|October 15, 2011
PubMed
Summary

This study defined key features for family medicine competence, focusing on higher-order cognitive skills in diagnosis. The findings provide a foundation for competency-based assessment in family medicine.

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Area of Science:

  • Medical Education
  • Family Medicine Assessment

Background:

  • The College of Family Physicians of Canada identified priority topics for family medicine.
  • Describing competence requires integrating skill dimensions and clinical encounter phases.

Purpose of the Study:

  • To develop key features for priority topics in family medicine.
  • To broadly describe competence in family medicine using key features, skill dimensions, and clinical encounter phases.

Main Methods:

  • A modified nominal group technique and Delphi process were used.
  • An expert group of 8 family medicine specialists and educators participated.
  • The iterative process involved 3-4 meetings annually from 2000 to 2007.

Main Results:

  • 99 topics were analyzed, generating 773 key features.
  • An average of 7.8 key features were identified per topic.
  • 63% of key features pertained to the diagnostic phase of the clinical encounter.

Conclusions:

  • This work expands on generating key features for assessment beyond written exams.
  • Key-features analysis emphasizes higher-order cognitive processes in clinical competence.
  • The study provides a foundation for a competency-based definition of family medicine for assessment.