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

Publication ,  Journal Article
Nousiainen, MT; Mironova, P; Hynes, M; Glover Takahashi, S; Reznick, R; Kraemer, W; Alman, B; Ferguson, P; CBC Planning Committee,
Published in: Med Teach
October 2018

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.

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Published In

Med Teach

DOI

EISSN

1466-187X

Publication Date

October 2018

Volume

40

Issue

10

Start / End Page

1042 / 1054

Location

England

Related Subject Headings

  • Program Evaluation
  • Pilot Projects
  • Orthopedics
  • Medical Informatics
  • Internship and Residency
  • Humans
  • Curriculum
  • Competency-Based Education
  • Clinical Competence
  • Canada
 

Citation

APA
Chicago
ICMJE
MLA
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Nousiainen, M. T., Mironova, P., Hynes, M., Glover Takahashi, S., Reznick, R., Kraemer, W., … CBC Planning Committee, . (2018). Eight-year outcomes of a competency-based residency training program in orthopedic surgery. Med Teach, 40(10), 1042–1054. https://doi.org/10.1080/0142159X.2017.1421751
Nousiainen, Markku T., Polina Mironova, Melissa Hynes, Susan Glover Takahashi, Richard Reznick, William Kraemer, Benjamin Alman, Peter Ferguson, and Peter CBC Planning Committee. “Eight-year outcomes of a competency-based residency training program in orthopedic surgery.Med Teach 40, no. 10 (October 2018): 1042–54. https://doi.org/10.1080/0142159X.2017.1421751.
Nousiainen MT, Mironova P, Hynes M, Glover Takahashi S, Reznick R, Kraemer W, et al. Eight-year outcomes of a competency-based residency training program in orthopedic surgery. Med Teach. 2018 Oct;40(10):1042–54.
Nousiainen, Markku T., et al. “Eight-year outcomes of a competency-based residency training program in orthopedic surgery.Med Teach, vol. 40, no. 10, Oct. 2018, pp. 1042–54. Pubmed, doi:10.1080/0142159X.2017.1421751.
Nousiainen MT, Mironova P, Hynes M, Glover Takahashi S, Reznick R, Kraemer W, Alman B, Ferguson P, CBC Planning Committee. Eight-year outcomes of a competency-based residency training program in orthopedic surgery. Med Teach. 2018 Oct;40(10):1042–1054.

Published In

Med Teach

DOI

EISSN

1466-187X

Publication Date

October 2018

Volume

40

Issue

10

Start / End Page

1042 / 1054

Location

England

Related Subject Headings

  • Program Evaluation
  • Pilot Projects
  • Orthopedics
  • Medical Informatics
  • Internship and Residency
  • Humans
  • Curriculum
  • Competency-Based Education
  • Clinical Competence
  • Canada