Related Experiment Video
Updated: Jul 26, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
The Assessment Burden in Competency-Based Medical Education: How Programs Are Adapting
Adam Szulewski1, Heather Braund2, Damon J Dagnone3
1A. Szulewski is associate professor, Departments of Emergency Medicine and Psychology, and educational scholarship lead, Postgraduate Medical Education, Queen's University, Kingston, Ontario, Canada; ORCID: https://orcid.org/0000-0002-3076-6221 .
Summary
Competency-based medical education (CBME) assessment burdens were addressed through targeted adaptations. These strategies improved faculty development, workplace assessments, and decision-making processes for resident progress.
Area of Science:
- Medical Education
- Assessment in Healthcare
Background:
- Competency-based medical education (CBME) implementation faces assessment burdens impacting its benefits.
- Early adopters of CBME require practical adaptations to mitigate these challenges.
Purpose of the Study:
- To describe adaptations made by postgraduate programs to address assessment burdens within CBME.
- To identify common themes and effective strategies for managing assessment challenges in CBME.
Main Methods:
- Analysis of an early Canadian pan-institutional CBME adopter's experience (June 2019-September 2022).
- Utilized a Rapid Evaluation guided by the Core Components Framework (CCF) with 60 interviews and 18 focus groups.
- Abductive analysis of transcripts comparing ideal vs. enacted implementation, followed by adaptation development.
Main Results:
- Identified three key themes: disparate mental models of assessment, challenges in workplace-based assessments, and difficulties in performance review/decision-making.
- Adaptations included revising entrustment scales, enhancing faculty development, formalizing resident roles, implementing alternative assessment strategies, and improving assessment platforms.
Conclusions:
- Developed adaptations directly address the identified assessment burdens in CBME.
- These strategies offer valuable insights for other programs navigating CBME implementation and assessment challenges.
Related Concept Videos
01:23Methods of Documentation V: CBE
933
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
933
01:15Methods of Documentation VI: Case Management Model
600
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
600
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.6K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.6K
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
01:25Strategies for Assessing and Addressing Confounding
122
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
122
01:26Metacognition
233
Metacognition is a conscious process where individuals are aware of their cognitive and executive processes, such as planning before solving a problem or self-monitoring during reading. For instance, a writer may need help with composing a piece. The situation involves a writer who is working on a piece of writing, but while doing so, they realize that something is missing. They notice that their characters lack depth or details. This realization occurs because the writer is reflecting on their...
233