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Consensus-Derived Recommended Skills for Transition to Residency Courses
Matthew Rustici1, M Kathryn Mutter2, K Meredith Atkins3
1M. Rustici is associate professor, Department of Pediatrics, University of Colorado, Denver Health Medical Center, Denver, Colorado.
Summary
Medical educators established core skills and entrustment levels for transition to residency (TTR) courses. This consensus framework aims to standardize TTR curricula and optimize training for medical students entering residency programs.
Area of Science:
- Medical Education
- Graduate Medical Education
- Health Professions Education
Background:
- Transition to residency (TTR) courses are crucial for preparing medical students for residency.
- Standardizing TTR curricula ensures consistent skill development for incoming residents.
- Defining expected entrustment levels clarifies training objectives.
Purpose of the Study:
- To establish a consensus set of essential skills for TTR courses.
- To define the expected level of entrustment for each skill upon TTR course completion.
Main Methods:
- A modified Delphi approach with 3 survey iterations (2020-2022) was employed.
- Experts and a stakeholder panel (educators, program directors, residents) participated.
- Consensus was defined as >75% positive inclusion response; entrustment levels ranged from 1 (observe) to 6 (independent performance).
Main Results:
- 54 skills met consensus, consolidated into 37 final skills across clinical, communication, personal/professional, and procedural domains.
- Key skills include inpatient assessment, delivering serious news, prioritization, and mask ventilation.
- 19 skills achieved an expected entrustment level of 4 (perform independently with double-checking).
Conclusions:
- The consensus skills provide a foundation for a standardized national TTR curriculum.
- Entrustment guidance aids in optimizing TTR curriculum development and resource allocation.
- This framework supports effective medical student-to-resident transition training.
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