residency training program in orthopaedic 2015:...
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Residency Training Program in Orthopaedic 2015: revised curriculum
Chiroj Soorapanth, MD, FRCOST, FACS, MMedEdSubcommittee for Training and Licensing Thai Board of Orthopaedics
Royal College of Orthopaedic Surgeons of [email protected]
Harden RM et al. AMEE Guide No.14. Med Teach 1999, 21(1):7-14.2C. Soorapanth
What is Competency ?
A set of defined behaviors that provide a structured guide enabling the identification, evaluation and development of the behaviors in individual employees
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https://en.wikipedia.org/wiki/Competence_(human_resources)
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Outcomes / Competencies
1. สมรรถนะของความเปนแพทย
2. สมรรถนะของความเปนแพทยออรโธปดกส
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สมรรถนะของความเปนแพทย
1. เจตคต พฤตนสย คณธรรม และจรยธรรมแหงวชาชพ(Attitude, professional habits, moral and ethics)
2. ทกษะชวตและสงคม (Social and life skills)3. การบรหารและจดการ (Administration and management)4. การสรางสรรค (Creativity)5. ความรทวไป (General knowledge)
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สมรรถนะของความเปนแพทยออรโธปดกส
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File MS Excel
Course Organization
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หวขอ ระยะเวลา (สปดาห)
ความเปนวชาชพแพทยวทยาศาสตรพนฐาน
ตลอดหลกสตร
สาขาพยาธวทยา อายรศาสตรโรคขอ วสญญวทยา เวชศาสตรฟนฟ ไมนอยกวา 4 สปดาห/สาขา
การบาดเจบทางออรโธปดกสทงเดกและผใหญ ไมนอยกวา 50 สปดาห
การดแลรกษาผปวยผใหญทางออรโธปดกส ไมนอยกวา 38 สปดาห
การดแลรกษาผปวยเดกทางออรโธปดกส ไมนอยกวา 20 สปดาห
การดแลรกษาผปวยทมโรคและการบาดเจบทางมอ ไมนอยกวา 15 สปดาห
การดแลรกษาผปวยเนองอกทางออรโธปดกส ไมนอยกวา 4 สปดาห
สาขาวชาเลอก ไมนอยกวา 12 สปดาห
การอบรมความรพนฐานดานการวจย
Training Methods• Lecture• Small-group teaching• Academic presentation• Participating journal club• Practicing case audit• Practicing in simulated situation• On-the-job / Practice-based / Work-based training• Self-directed learning• Inquiry-based learning
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Academic activities : quality improvement conference, interesting case conference, journal club, lecture/topic review, ward/grand round, interhospital/interdepartmental conference, small-group learning, case audit, practicing in simulated situation
Training Methods• Lecture• Small-group teaching• Academic presentation• Participating journal club• Practicing case audit• Practicing in simulated situation• On-the-job / Practice-based / Work-based training• Self-directed learning• Inquiry-based learning
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Clinical activities
Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Factual knowledge
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Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Ability to manipulate/apply
knowledge
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Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does Performance in simulated situation
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Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Performance in actual situation
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Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Knowledge
Competence
Performance
Action
L1
L2
L3
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Assessment• Knowledge test• OSCE• Oral examination• Portfolio• Direct observation• Chart audit• Incident report review• Assessing assignment and research
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Assessment (cont.)
Formative assessment:
Summative assessment1. In-training examination by institution and RCOST
2. Licensing examination :
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Assessment in Y1
หวขอ วธการประเมน สดสวนส าหรบ Board exam.
Basic science in surgery Written examination e.g. multiple choice question
3 %
Basic science in research Written examination e.g. multiple choice question
2 %
Research proposal Oral examination 4 %
ACLS (Advanced Cardiovascular Life Support)
Certification -
ATLS (Advanced Trauma Life Support)* (Y1/Y2/Y3Y4)
Certification -
18
Assessment in Y2
หวขอ วธการประเมนเกณฑส าหรบBoard exam.
Basic science in orthopedics Written examination e.g. multiple choice question
7 %
Clinical skills- Basic trauma management
(AO course)- Key surgical and procedural
skills#
- Direct observation of procedural skills (DOPS)
- Portfolio
-
In-training examination (generic and orthopaedic competencies)
Written examination e.g. multiple choice question
-
ATLS* (Y1/Y2/Y3/Y4) Certification - 19
Assessment in Y3
หวขอ วธการประเมนเกณฑส าหรบ Board exam.
Clinical skills- Cadaveric workshop** (Y3/Y4)- Surgical case reports- Key surgical and procedural
skills#
- Objective Structured Clinical Examination (OSCE)
- Direct observation of procedural skills (DOPS)
- Portfolio- Long case examination#
-
In-training examination (generic and orthopaedic competencies)
Written examination e.g. multiple choice question
-
Board examination - Written examination (part 1) e.g. multiple choice question, short essay question
20 %
20
Assessment in Y4หวขอ วธการประเมน
เกณฑส าหรบ Board exam.
Attitude, professional habits, moral and ethics Direct observation S / U
Clinical skills- Cadaveric workshop** (Y3/Y4)- Surgical case reports- Key surgical and procedural skills
- Objective Structured Clinical Examination (OSCE)
- Direct observation of procedural skills (DOPS)- Portfolio
-
In-training examination (generic and orthopaediccompetencies)
Written examination e.g. multiple choice question -
Research manuscript Manuscript audit or letter of publication approval or proceeding
4 %
Board examination - Written examination (part 2) ประกอบดวย multiple choice question, short essay question
- Objective Structured Clinical Examination (OSCE)
- Oral examination
40 %
10 %
10 % 21
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