Competency-Based Training for Orthopedic Surgery: An Evaluation of the Australian Orthopedic Association Training...

Area of Science:

• Medical Education
• Surgical Training
• Competency-Based Education

Background:

• Global surgical training systems are shifting towards competency-based education.
• Evidence on effective implementation and evaluation of these curricula is limited.

Purpose of the Study:

• To evaluate the impact of transitioning the Australian Orthopedic Association's national surgical training program to a competency-based model.
• To identify strengths and challenges in the implementation of this new training paradigm.

Main Methods:

• Mixed-methods research approach.
• Quantitative analysis of in-training portfolio data.
• Qualitative thematic analysis of surveys and focus groups with trainees, graduates, and faculty.

Main Results:

• Alignment on most aspects, but divergent opinions on others between stakeholders.
• Strengths identified: national core curriculum, programmatic assessment, formal syllabus, supervision.
• Challenges noted: variability in curriculum delivery, assessment tool usage, and perceived burden of assessment.

Conclusions:

• Many aims of the competency-based training redesign were met.
• Challenges in implementation and engagement mirror global issues in healthcare change projects.
• Recommendations include improved faculty development and participant engagement for better buy-in and assessment.