Eight-year outcomes of a competency-based residency training program in orthopedic surgery.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Nousiainen, MT; Mironova, P; Hynes, M; Glover Takahashi, S; Reznick, R; Kraemer, W; Alman, B; Ferguson, P; CBC Planning Committee,

Published Date

  • October 2018

Published In

Volume / Issue

  • 40 / 10

Start / End Page

  • 1042 - 1054

PubMed ID

  • 29343150

Electronic International Standard Serial Number (EISSN)

  • 1466-187X

Digital Object Identifier (DOI)

  • 10.1080/0142159X.2017.1421751


  • eng

Conference Location

  • England