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Establishing an Orthopedic Program-Specific, Comprehensive Competency-Based Education Program.

Patrick M Osborn1, Thomas C Dowd2, Matthew R Schmitz1

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The Journal of Surgical Research
|October 28, 2020
PubMed
Summary
This summary is machine-generated.

Competency-based education (CBE) effectively assessed orthopedic residents' clinic and surgical skills during a sports medicine rotation. This initiative standardized feedback and improved resident education, with most residents achieving independence.

Keywords:
Competency-based educationEntrustable professional activitiesOrthopedic resident assessment

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Area of Science:

  • Orthopedic Surgery
  • Medical Education
  • Competency-Based Education

Background:

  • Competency-based education (CBE) aims to ensure residents achieve proficiency for independent patient care.
  • Few studies integrate both technical skills and direct patient care assessments in orthopedic rotations.
  • This study details a comprehensive CBE initiative using formative assessments in clinic and operating room settings during a sports medicine rotation.

Purpose of the Study:

  • To implement and evaluate a competency-based education (CBE) program for orthopedic residents on a sports medicine rotation.
  • To assess resident proficiency in both clinical and surgical skills using validated formative assessments.
  • To compare resident performance across different postgraduate year (PGY) levels.

Main Methods:

  • Utilized validated formative assessments for clinic encounters and surgical entrustable professional activities (EPAs) during a sports medicine rotation.
  • Defined specific EPAs for junior (PGY 1-2) and senior (PGY 5) residents, including arthroscopic procedures and complex reconstructions.
  • Compared assessment scores between individual residents and PGY groups.

Main Results:

  • Conducted 66 clinical skills (CS) and 106 surgical skills assessments for 22 residents.
  • Significant differences in surgical skills assessments were observed between PGY groups (P < 0.01).
  • All PGY2 and PGY5 residents achieved independence in evaluated EPAs, with PGY5s scoring higher in CS assessments (P < 0.01).

Conclusions:

  • The CBE program successfully differentiated resident performance by PGY level in both clinical and surgical assessments.
  • The initiative fostered a structured feedback environment, enhancing resident education and promoting a culture of improvement.
  • The majority of residents (21/22) achieved clinical skills independence by the rotation's end.