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E. C. Tolman emphasized the purposiveness of behavior — the idea that much of our behavior is goal-directed. For instance, employees who aim for a promotion work diligently to meet their targets. Tolman argued that when classical conditioning and operant conditioning occur, the organism acquires certain expectations. In classical conditioning, a child might fear a dog because they expect it to bite. In operant conditioning, a person might consistently work overtime because they expect a...
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Related Experiment Video

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Mechanical Ventilation Boot Camp Curriculum
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Effectiveness of a Core-Competency-based Program on Residents' Learning and Experience.

Lesley Charles1, Jean Triscott1, Bonnie Dobbs1

  • 1Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB.

Canadian Geriatrics Journal : CGJ
|July 13, 2016
PubMed
Summary

The core-competency-based (CC) Care of the Elderly (COE) Diploma program improved resident learning and training experiences compared to the learning objectives (LO) program. CC residents showed enhanced skills in communication, collaboration, management, and scholarship.

Keywords:
care of the elderlycore competenciesdiplomaenhanced skillsresident

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Area of Science:

  • Geriatric Medicine Education
  • Medical Residency Training
  • Competency-Based Education

Background:

  • The Care of the Elderly (COE) Diploma Program is an enhanced skills training for Family Medicine residents.
  • A core-competency-based (CC) program was implemented in 2010, replacing a learning objectives (LO) based program.
  • This study compares the effectiveness of the CC program versus the LO program on resident learning and training experience.

Purpose of the Study:

  • To assess the impact of a core-competency-based (CC) Care of the Elderly (COE) Diploma program on resident learning.
  • To evaluate the CC program's effect on residents' overall training experience.
  • To compare the CC program's outcomes against a traditional learning objectives (LO) based program.

Main Methods:

  • Data from 2007-2013 COE residents (9 in LO, 8 in CC) were analyzed.
  • Resident learning was assessed via 118 preceptor evaluations of skills and abilities.
  • Resident training experience was measured using post-graduation Graduate's Questionnaires.

Main Results:

  • No overall significant difference in resident learning between CC and LO programs.
  • CC residents showed significant improvements in Communicator/Collaborator/Manager and Scholar CanMEDS roles.
  • CC residents rated seven out of ten training experience components higher than LO residents.

Conclusions:

  • The core-competency-based (CC) Care of the Elderly (COE) program enhances resident learning.
  • The CC program appears to improve the overall training experience for residents.
  • Competency-based medical education models show promise in specialized training programs.