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Competency-Based Time-Variable Anesthesiology Residency Training: Identification of Problems and Solutions.

Skylar L Fuller1, Aditee P Ambardekar2, Carol Ann B Diachun3

  • 1From the Department of Anesthesiology and Perioperative Medicine, Oregon Health & Science University, Portland, Oregon.

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Summary
This summary is machine-generated.

Competency-based time-variable training (CB-TVT) in anesthesiology residency presents challenges, with many identified problems being important and difficult to solve. Future pilots should document solutions and outcomes to justify CB-TVT implementation.

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Area of Science:

  • Medical Education
  • Anesthesiology Training
  • Competency-Based Education

Background:

  • Global medical education is shifting towards Competency-Based Education (CBE).
  • Competency-Based Time-Variable Training (CB-TVT) is an advanced stage of CBE, replacing fixed training durations with competency-based progression.
  • US residency programs are exploring CB-TVT, encouraged by the ACGME and ABMS, but implementation challenges exist.

Purpose of the Study:

  • Identify potential problems in implementing CB-TVT for anesthesiology residency.
  • Rank the importance and difficulty of solving these identified problems.
  • Develop proposed solutions for the challenges of CB-TVT implementation.

Main Methods:

  • Conducted a two-phase study involving 36 key stakeholders in anesthesiology education.
  • Phase 1 utilized iterative surveys to identify and rank problems related to CB-TVT implementation.
  • Phase 2 surveys focused on generating solutions for the problems identified in Phase 1.

Main Results:

  • 39 potential problems were identified and grouped into 7 categories.
  • Nearly half (48.7%) of the problems were deemed important, and over 60% of these important problems were considered difficult to solve.
  • Stakeholders proposed 165 solutions to address the identified implementation challenges.

Conclusions:

  • CB-TVT offers a promising model for anesthesiology residency, enhancing learner flexibility and personalized curricula.
  • Addressing the identified problems is crucial for successful CB-TVT adoption.
  • Future pilot programs should meticulously document challenges, solution efficacy, and educational outcomes to validate CB-TVT's benefits.