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Developing a Competency-Based Learning and Assessment System for Residency Training: Analysis Study of User

Cheng-Ting Hsiao1,2,3, Fremen ChihChen Chou4,5,6, Chih-Cheng Hsieh7

  • 1Department of Emergency Medicine, Chang Gung Memorial Hospital, Puzi City, Chiayi County, Taiwan.

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Summary

A new electronic platform, the Competency-Based Learning and Assessment System (CBLAS), was developed to support resident physicians in competency-based medical education (CBME). The CBLAS enhances learning and assessment by integrating milestones and entrustable professional activities (EPAs).

Keywords:
assessmentcompetency-based learningentrustable professional activitieslearning platformmilestones

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Area of Science:

  • Medical Education Technology
  • Competency-Based Medical Education (CBME)
  • Digital Health Platforms

Background:

  • The complexity of modern healthcare necessitates robust systems for competency-based medical education (CBME).
  • Effective management and synthesis of assessment data are crucial for CBME, requiring digital solutions.
  • Systems facilitating real-time feedback are vital for in-situ learning and coaching in clinical settings.

Purpose of the Study:

  • To develop an electronic platform system for competency-based learning and assessment tailored for resident physicians.
  • To enhance trainee learning experiences through integrated clinical assessments.
  • To reduce the administrative burden associated with resident assessments.

Main Methods:

  • Design, development, and evaluation of a Competency-Based Learning and Assessment System (CBLAS).
  • Needs assessments conducted via opinion interviews and focus groups with trainees, clinical teachers, and staff.
  • Surveys assessing clinical teachers' acceptance of CBME assessments and overall user satisfaction with the CBLAS.

Main Results:

  • The CBLAS was designed based on nine themes identified from user needs assessments.
  • A significant improvement in clinical teachers' attitudes towards CBME assessments was observed post-implementation (P=.02).
  • 87.2% of users reported satisfaction with the CBLAS, citing positive information, system, and service qualities.

Conclusions:

  • The CBLAS is a user-centered platform supporting assessments, learning, and administration in residency training.
  • The system fosters a more positive attitude among clinical teachers towards milestones and EPAs.
  • The CBLAS provides a model for developing digital systems to execute milestone- and EPA-based assessments for CBME.