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Ready, set, go! Evaluating readiness to implement competency-based medical education.

Warren J Cheung1,2, Andrew K Hall1,2, Alexandra Skutovich2

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Canadian postgraduate programs showed moderate readiness for Competence by Design (CBD), a Competency-Based Medical Education (CBME) model. While supportive of change, many programs found CBD implementation challenging.

Keywords:
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Area of Science:

  • Medical Education Research
  • Healthcare Management
  • Organizational Psychology

Background:

  • Successful innovation implementation hinges on organizational readiness.
  • Competence by Design (CBD) is a novel Competency-Based Medical Education (CBME) model.
  • Assessing readiness is crucial for effective CBME adoption in postgraduate training.

Purpose of the Study:

  • To evaluate the organizational readiness of Canadian postgraduate programs for implementing Competence by Design (CBD).
  • To identify specific areas of strength and challenge in program preparedness for CBME transition.
  • To inform future interventions aimed at enhancing program readiness for CBD.

Main Methods:

  • A survey assessing organizational readiness was distributed to program directors one month before CBD implementation in 2019.
  • The survey utilized the R = MC2 framework, examining program motivation, general change capacity, and innovation-specific capacity.
  • An ANOVA was employed to compare overall readiness scores across different medical disciplines.

Main Results:

  • The overall readiness score averaged 74%, with no significant differences between disciplines.
  • Most programs viewed CBD implementation as a priority (74%) and reported strong leadership (94%) and faculty/resident support (87%).
  • Fewer programs perceived CBD as a positive direction (58%) or a manageable change (53%); less than 50% engaged off-service disciplines.

Conclusions:

  • Canadian postgraduate programs demonstrated varied readiness for CBD implementation, excelling in some areas while facing common challenges.
  • Key areas for improvement include fostering the perception of CBD as a positive and manageable change.
  • Targeted interventions are needed to address specific challenges and enhance overall program readiness for successful CBME adoption.