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Does direct observation happen early in a new competency-based residency program?

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  • 1Department of Emergency Medicine University of Ottawa Ottawa Ontario Canada.

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PubMed
Summary
This summary is machine-generated.

Direct observation is frequently used in emergency medicine residency programs, with indirect observation also playing a role. Certain professional activities may influence the preferred observation method in workplace-based assessments.

Keywords:
competency‐based medical educationobservationworkplace‐based assessment

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Competency-Based Assessment

Background:

  • Workplace-based assessment, including direct and indirect observation, is crucial for competency-based medical education.
  • Challenges exist in adopting direct observation, and current usage patterns are unclear.
  • This study examines observation patterns in an emergency medicine program two years after implementing competency-based education.

Purpose of the Study:

  • To describe the patterns of direct and indirect observation used in a competency-based emergency medicine residency program.
  • To analyze the frequency and context of different observation types in workplace-based assessments.

Main Methods:

  • Emergency medicine residents (n=19) recorded observation types (direct/indirect) after entrustable professional activity (EPA) assessments.
  • Data collected from December 2019 to April 2020.
  • Assessment forms were reviewed to analyze observation patterns.

Main Results:

  • 74.6% of 1,070 EPA assessments recorded observation type.
  • Direct observation accounted for 68.4% (546) of recorded observations, while indirect observation was 31.6% (252).
  • No significant differences in comment length or associations with resident gender/training stage were found; however, certain EPAs showed a preference for specific observation types.

Conclusions:

  • Direct observation is readily adopted as a primary assessment method in this program.
  • Indirect observation represents a significant minority and may be underutilized.
  • The nature of specific entrustable professional activities influences the choice between direct and indirect observation.