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Lightning Round Competency-based Medical Education: Making It Work For You Authors: Dr. Janice Chisholm and Dr. Robyn Doucet Date: Friday October 20, 2017

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Page 1: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Lightning Round

Competency-based Medical Education: Making It Work For You Authors: Dr. Janice Chisholm and Dr. Robyn Doucet

Date: Friday October 20, 2017

Delete this box before presenting:

Four title slide options have been provided with different feature

images, select one for use in your presentation.

Page 2: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

We do not have an affiliation (financial or otherwise) with a

pharmaceutical, medical device or communications organization.

Nous n’ai aucune affiliation (financière ou autre) avec une

entreprise pharmaceutique, un fabricant d’appareils

médicaux ou un cabinet de communication.

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Delete this box before presenting:

Please keep only the applicable statement, shown above is Option 1

with Option 2 to follow on next slide.

Note: Speakers who have no involvement with industry should

inform the audience that they cannot identify any conflict of interest.

Supprimez cette boîte avant de faire votre présentation : Veuillez conserver uniquement l’énoncé pertinent; ci-dessus se trouve l’option 1, l’option 2 paraissant à la diapo suivante. Note: Les conférenciers qui n’ont aucun lien avec l’industrie doivent aviser leur auditoire qu’ils n’ont aucun conflit d’intérêts à déclarer.

Page 3: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Objectives:

• By the end of this session the participant will be able to:

1. Develop an implementation plan for their program including the

required faculty development and resources required

2. Translate the RCPSC CBD initiative into a practical curriculum and

resources to allow residents and staff to thrive in this new

educational environment

3. Recognize the potential challenges and pitfalls of implementing

CBME along with proposing some solutions.

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Page 4: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

The Stages of Change

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Precontemplation

Contemplation

Preparation

Action

Maintenance

Relapse

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Pre-Contemplation/

Contemplation Stage

Page 6: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Faculty Development

• Who?

Identify your groups

• What?

Basics of CBME

Assessment and Feedback

• When?

Start early and often

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Page 7: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Faculty Development

• Where?

Take it to the people

• Why?

Focus on the team

• How?

Grand Rounds

Email blasts/Newsletters

Rolling PowerPoint

Workshops – Section 3 credits!!!

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Page 8: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Resources

• Project coordinator

• Extra physician admin days

• Simulation time and instructors

• Information Technology support

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Page 9: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

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Preparation

Page 10: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Don’t wait

• Introduce elements as soon as you

are ready

Assessments

» Entrustment scales

» Direct observations

» Multi-source feedback

» OSCE

Academic Advisors

Competence committees

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Page 11: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Build your team

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https://toughmudder.com/assemble-your-team

Page 12: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Map your EPAs

• To rotations

• To assessments

Ensure a variety of

evidence

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Page 13: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

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THINK OUTSIDE

THE BOX

Page 14: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

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Action

Page 15: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Provide a roadmap

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Page 16: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Set expectations

• Residents must drive

their own learning

• Deadlines

• Portfolio upkeep

16 Photo Credit to Roland Tanglao via flickr

Page 17: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Competence Committees

• Start early

• Allow time for member

education

• Iterative process

• Develop reporting mechanism

What will you report?

Who will do it?

How is it recorded?

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Maintenance/Relapse

Page 19: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Continuous Improvement

• Make it an iterative project

• Meet CBME residents regularly for feedback

• Ask for feedback from staff

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Page 21: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Ongoing Challenges

• Project evaluation

• Scheduling 2 cohorts

• E-Portfolio

• Increased costs

• Maintaining momentum

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Page 22: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

Summary

• Pre-

Contemplation/Contemplation

Faculty Development

Resources

• Preparation

Early introduction

Build your team

Map EPAs

Think ”Outside the Box”

• Action

Roadmap for residents (and

staff!)

Set expectations

Competence Committee

implementation

• Maintenance/Relapse

Ongoing evaluation

Keep it simple

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Page 24: Lightning Round Competency-based Medical Education: …...• Extra physician admin days • Simulation time and instructors • Information Technology support 8 . 9 Preparation

• Download the ICRE App,

• Visit the evaluation area in Videotron Hall, near Registration, or

• Go to: http://www.royalcollege.ca

/icre-evaluations to complete the session evaluation.

Help us improve. Your input matters.

• Téléchargez l’application de la CIFR

• Visitez la zone d’évaluation qui se trouve dans l’aire Vidéotron, près du comptoir d’inscription, ou

• Visitez le http://www.collegeroyal.ca

/evaluationscifr afin de remplir une évaluation de la séance.

Aidez-nous à nous améliorer. Votre opinion compte!

You could be entered to win 1 of 3 $100 gift cards.

Vous courrez la chance de gagner l’un des trois chèques-cadeaux d’une valeur de 100.

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