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CBME and CanMEDS 2015

CBME and CanMEDS 2015. Susan Glover Takahashi, MA, PhD Laura Leigh Murgaski, MScCH Lisa St. Amant Jesse Montgomery Kim O’Hearn. OVERVIEW. Welcome & Introductions Competency Based Medical Education 101 CanMEDS 2015 Roles Roles Worksheet CanMEDS 2015 Tools Tools Worksheet. Objectives.

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CBME and CanMEDS 2015

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  1. CBME and CanMEDS 2015 Susan Glover Takahashi, MA, PhD Laura Leigh Murgaski, MScCH Lisa St. Amant Jesse Montgomery Kim O’Hearn

  2. OVERVIEW Welcome & Introductions Competency Based Medical Education 101 CanMEDS 2015 Roles Roles Worksheet CanMEDS 2015 Tools Tools Worksheet

  3. Objectives • Orientation to Competency Based Medical Education • Explore CanMEDS 2015 roles • Become familiar with the CanMEDS Teaching and Assessment Tools Guide • Identify opportunities for and the logistical implications of integrating CanMEDS tools into residency training

  4. Competency Based Medical Education CBME 101

  5. Map view from 30,000 feet What is REALLY different in CBE or CBD?

  6. What is Competency-based education (CBE)? • CBE is an educational modelthatis: • orientedtooutcomes • tracks learners progress and performance • basedontheneedsofthe learner,moreaccountabilityandflexibility • focusedonachievingskillsandperformance (vs. time spent in training)

  7. CANMEDS 2015 – WHAT’S NEW • 80 – 90% SAME • 10 – 20% changes • Simpler, more direct language • Competence as a continuum • Overlapping areas minimized • Added SAMPLE ‘milestones’ toward competencies • Leader (vs Manager) • More emphasis on patient safety, physician health, leadership

  8. What is competency by Design (CBD)? • Royal College application of CME principles • A hybrid model of CME • Specialty by specialty roll out

  9. CBD Competence Continuum 13

  10. Milestones • Milestones are descriptions of the abilities expected of a trainee or physician at a defined stage of professional development. • PURPOSE • Marking the progression of competence • Defined targets to guide learning and assessment • Can be used to develop benchmarks for progress or promotion

  11. Entrustable Professional Activities (EPAs) ‘a critical part of professional work that can be identified as a unit to be entrusted to a trainee once sufficient competence has been reached’ (ten Cate, 2006)

  12. CONCEPTS FOR CBD1. ROLE OF ASSESSMENTASSESSMENTS FOR LEARNING ASSESSMENTS OF LEARNING2. COACHING AND FEEDBACK

  13. Cases • Orthopedic Surgery • Palliative Medicine • Psychiatry • Diagnostic Radiology • ObGYN • Surgical Foundations • Family Medicine

  14. Implementation at U of T • Communication-residents, faculty, PGME office • Policy review- • Support to program- • Faculty development & admin support • Alignment & refinement

  15. 6 MOST ESSENTIAL FEATURES OF SUCCESSFUL CURRICULAR CHANGES Bland et al, June 2000

  16. CanMEDS 2015 Roles CanMEDS 2015

  17. Connection to what you already know Improvements not reinvention Emphasis on overall coherence Simpler, more direct, language to help clarify what is being taught and what is being assessed Some concepts are re-framed or changed i.e. Manager to Leader, focus on stewardship WHAT YOU WILL FIND …

  18. Integration of New Themes: Focus on outcomes Clinical and health system quality improvement Patient Safety E-Health Handover and care-transition competencies WHAT YOU WILL FIND …

  19. Why the Role matters What the Role looks like in daily practice Preparing to teach the Role Hints, tips, and tools for teaching the Role Hints, tips, and tools for assessing the Role Suggested resources Other resources Sample tools (directory of teaching and assessment Tools) Standardized Chapter Anatomy

  20. What you will find Ready-to-use resources: Photocopy information and tools Need a different context? Quickly customize through accessing word documents on the Royal College website

  21. The Start of your Journey

  22. CanMEDS 2015 Roles CanMEDS 2015Roles Worksheet

  23. Worksheet 1 Instructions • Review your assigned role in the CanMEDS 2015 Framework and the summary sheet provided. • Select a recorder from your group to take notes. • Complete the handout with 2-3 points in each section • Present back to the larger group

  24. CanMEDS 2015 Questions?

  25. CanMEDS 2015 Tools Teaching and Assessment Tools

  26. Tools Resources • Teaching and assessment tools organized by role • Teaching vs. Assessment tools • Encounter Forms • Multisource Feedback Forms • Case reports • OSCEs • Coaching Tools • Guided reflection

  27. Tools Resources • Teaching and assessment tools organized by role • Teaching vs. Assessment tools • Mix and match roles in one tool

  28. Tools Resources • Entrustable Professional Activities will require new and more frequent assessments • Assessments will occur at specific points • Collection of data to make promotion decisions

  29. CanMEDS Teaching & Assessment Tools Guide Tools Worksheet

  30. WORKSHEET 2 Instructions Review samples & instructions Brainstorming questions Present your ideas to the larger group

  31. Questions?

  32. Questions about accreditation contact pgmecoordinator@utoronto.ca Questions about CBME contact cbme.pgme@utoronto.ca Thanks!

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