Markku T Nousiainen1, Polina Mironova1, Melissa Hynes2, Susan Glover Takahashi2, Richard Reznick3, William Kraemer1, Benjamin Alman4, Peter Ferguson1. 1. a Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine , University of Toronto , Toronto , ON , Canada. 2. b The Office of Postgraduate Medical Education, Faculty of Medicine , University of Toronto , Toronto , ON , Canada. 3. c Faculty of Health Sciences , Queen's University, Southeastern Ontario Academic Medical Organization , Kingston , ON , Canada. 4. d Department of Orthopaedics , Duke University, Sick Kids Research Institute, Hospital for Sick Children , Toronto , ON , Canada.
Abstract
Background: The Division of Orthopaedic Surgery at the University of Toronto implemented a pilot residency training program that used a competency-based framework in July of 2009. The competency-based curriculum (CBC) deployed an innovative, modularized approach that dramatically intensified both the structured learning elements and the assessment processes. Methods: This paper discusses the initial curriculum design of the CBC pilot program; the refinement of the curriculum using curriculum mapping that allowed for efficiencies in educational delivery; details of evaluating resident competence; feedback from external reviews by accrediting bodies; and trainee and program outcomes for the first eight years of the program's implementation. Results: Feedback from the residents, the faculty, and the postgraduate residency training accreditation bodies on the CBC has been positive and suggests that the essential framework of the program may provide a valuable tool to other programs that are contemplating embarking on transition to competency-based education. Conclusions: While the goal of the program was not to shorten training per se, efficiencies gained through a modular, competency-based program have resulted in shortened time to completion of residency training for some learners.
Background: The Division of Orthopaedic Surgery at the University of Toronto implemented a pilot residency training program that used a competency-based framework in July of 2009. The competency-based curriculum (CBC) deployed an innovative, modularized approach that dramatically intensified both the structured learning elements and the assessment processes. Methods: This paper discusses the initial curriculum design of the CBC pilot program; the refinement of the curriculum using curriculum mapping that allowed for efficiencies in educational delivery; details of evaluating resident competence; feedback from external reviews by accrediting bodies; and trainee and program outcomes for the first eight years of the program's implementation. Results: Feedback from the residents, the faculty, and the postgraduate residency training accreditation bodies on the CBC has been positive and suggests that the essential framework of the program may provide a valuable tool to other programs that are contemplating embarking on transition to competency-based education. Conclusions: While the goal of the program was not to shorten training per se, efficiencies gained through a modular, competency-based program have resulted in shortened time to completion of residency training for some learners.
Authors: Stephanie Treffert Lumpkin; Mia K Klein; Ashley N Battarbee; Paula D Strassle; Sara Scarlet; Meredith C Duke Journal: J Surg Res Date: 2019-04-29 Impact factor: 2.192
Authors: Daniel J Schumacher; Daniel C West; Alan Schwartz; Su-Ting Li; Leah Millstein; Elena C Griego; Teri Turner; Bruce E Herman; Robert Englander; Joni Hemond; Valera Hudson; Lauren Newhall; Kenya McNeal Trice; Julie Baughn; Erin Giudice; Hannah Famiglietti; Jonathan Tolentino; Kimberly Gifford; Carol Carraccio Journal: JAMA Netw Open Date: 2020-01-03
Authors: Adam Watson; Timothy Leroux; Darrell Ogilvie-Harris; Markku Nousiainen; Peter C Ferguson; Lucas Murnahan; Tim Dwyer Journal: JB JS Open Access Date: 2021-04-09