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An Ideal System of Assessment to Support Competency-Based Graduate Medical Education: Key Attributes and Proposed
Rebecca S Gates1, Kayla Marcotte2, Rebecca Moreci1
1Department of Surgery, Center for Surgical Training and Research, University of Michigan, Ann Arbor, Michigan.
Journal of Surgical Education
|December 29, 2023
Summary
High-quality assessment is crucial for competency-based medical education (CBME). Current general surgery training assessments are often unreliable and inconsistent, necessitating a more robust, standardized, and evidence-based system for evaluating surgical trainees.
Area of Science:
- Medical Education
- Surgical Training Assessment
- Competency-Based Medical Education (CBME)
Background:
- Competency-based medical education (CBME) is increasingly recognized as the future standard for medical training.
- Current assessment practices in general surgery graduate medical education programs often lack sufficient reliability and validity.
- Existing assessment methods exhibit low faculty engagement and significant inter-program variability.
Purpose of the Study:
- To highlight the critical need for improved assessment systems within CBME for general surgery.
- To identify the essential characteristics of an ideal assessment system for surgical trainee competency.
- To propose actionable steps for developing a superior assessment framework in general surgery.
Main Methods:
- Review of current assessment challenges in general surgery graduate medical education.
- Exploration of key characteristics for an effective CBME assessment system.
- Proposal of a standardized, evidence-based, comprehensive, integrated, and continuously improving assessment model.
Main Results:
- Current general surgery assessments are frequently subpar, lacking reliability and validity evidence.
- Faculty engagement in assessment processes is often low.
- Significant inconsistencies exist in assessment practices across different general surgery training programs.
Conclusions:
- A more robust and standardized assessment system is essential for effective competency-based medical education in general surgery.
- An ideal system should be evidence-based, comprehensive, integrated, and designed for continuous improvement.
- Implementing these principles will enhance the evaluation of surgical trainee competency.
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