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Towards developing a consensus assessment framework for global emergency medicine fellowships.

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  • 1FRCPCH Belfast Health and Social Trust, Belfast, UK.

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Summary

Global Emergency Medicine fellowship training lacks standardized assessments. A consensus framework was developed to guide the creation of new, competency-aligned assessment tools for trainees worldwide.

Keywords:
AssessmentCurriculumEvaluationFellowshipsGlobal emergency medicineGlobal healthMedical educationPostgraduate medical education

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Area of Science:

  • Global Health
  • Medical Education
  • Emergency Medicine

Background:

  • Global Emergency Medicine (GEM) fellowship programs are expanding globally.
  • Current assessment methods for GEM trainees lack standardization and consensus.
  • This variability hinders consistent evaluation of fellowship training.

Purpose of the Study:

  • To investigate current assessment practices in GEM fellowship programs.
  • To identify existing assessment tools and frameworks.
  • To develop a consensus-based framework for GEM trainee assessment.

Main Methods:

  • A working group was formed by the International EM Fellowship Consortium (IEMFC) and IFEM.
  • A needs assessment survey was distributed to IEMFC members.
  • A review of existing assessment tools and frameworks was conducted.

Main Results:

  • 80% of GEM fellowships responded to the survey, revealing significant variability in assessment.
  • Only 34% of programs used structured assessments, with few using validated instruments.
  • Most programs relied on informal assessments and regular meetings, with limited international partner feedback.

Conclusions:

  • There is a critical need for standardized assessment frameworks in GEM fellowship training.
  • Recommendations include developing competency-aligned assessments with stakeholder input.
  • Future research should focus on the validity and reliability of proposed assessment frameworks.