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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
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.
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.
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