Competency-based education in general surgery: Are Canadian residents ready?


Journal

Canadian journal of surgery. Journal canadien de chirurgie
ISSN: 1488-2310
Titre abrégé: Can J Surg
Pays: Canada
ID NLM: 0372715

Informations de publication

Date de publication:
01 09 2021
Historique:
entrez: 1 9 2021
pubmed: 2 9 2021
medline: 1 12 2021
Statut: epublish

Résumé

Competency-based education (CBE) is currently being implemented by the Royal College of Physicians and Surgeons of Canada across all residency programs. This shift away from time-based residency is proposed to be the answer to maximize training opportunity in the era of work hour restrictions and growing concerns regarding accountability in medical education. A Web-based survey was conducted to obtain feedback from Canadian general surgery residents on their experience and perception of competence within core procedures, as well as attitudes toward CBE. A total of 244 residents completed the survey. For most procedures, more than 50% of residents felt they could perform the procedure with no guidance after completing 11-30 cases. Generally, residents were welcoming of CBE; however, medium-sized programs reported some concerns regarding inadequate exposure to cases and risk of training less well-rounded surgeons. This is valuable resident feedback for programs to consider during the implementation process.

Identifiants

pubmed: 34467749
doi: 10.1503/cjs.011520
pmc: PMC8526137
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

E473-E475

Informations de copyright

© 2021 CMA Joule Inc. or its licensors.

Déclaration de conflit d'intérêts

None declared.

Références

Ann Surg. 2009 May;249(5):719-24
pubmed: 19387334
JSLS. 2008 Jul-Sep;12(3):288-91
pubmed: 18765054
Surg Endosc. 2018 Dec;32(12):5012-5020
pubmed: 30043167
Instr Course Lect. 2013;62:565-9
pubmed: 23395058
Med Teach. 2010;32(8):638-45
pubmed: 20662574

Auteurs

Gabrielle Gauvin (G)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Kathryn Hay (K)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Wilma Hopman (W)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Scott Hurton (S)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Stephanie Lim (S)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Boris Zevin (B)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Diederick Jalink (D)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

Sulaiman Nanji (S)

From the Department of Surgery, Queen's University, Kingston, Ont. (Gauvin, Hay, Zevin, Jalink, Nanji); the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Hopman); the Department of Surgery, University of Manitoba, Winnipeg, Man. (Hurton, Lim); and the Department of Surgery, CISSS de l'Outaouais, Gatineau, Que. (Gauvin).

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