The lived experience of Competence by Design: Canadian resident physicians’ perspectives
Authors' conclusion
This study highlights that the significant administrative and psychological burden of CBD detracts from clinical learning and enthusiasm for residency.
Study context
- Population
- Residents in Competence by Design postgraduate training programs in anesthesiology, internal medicine, or surgery at Dalhousie University (Halifax, NS, Canada)
- Outcome
- Lived experience of residents after Competence by Design implementation
Methodological detailssemistructured interviews, inductive thematic analysis
- Semistructured interviews
- Inductive thematic analysis
Main finding
As reported in the abstract
Residents' perspectives on Competence by Design
- Benefits: supportive peers and clinical supervisors, a roadmap for residency, formalized feedback opportunities, program evolution
- Drawbacks: lack of transparency, Competence by Design (CBD) not as advertised, lack of buy-in, increased administrative burden, difficulties obtaining evidence for entrustable professional activities (EPAs), onus on residents, inconsistent feedback, cumbersome technology, significant psychological burden
- Suggested improvements: fewer EPAs, streamlined EPA requirements, more transparency and communication with competence committees, incentives and continuous education for clinical supervisors, improved electronic interfaces, technology better suited to CBD
Original publication
The lived experience of Competence by Design: Canadian resident physicians’ perspectives. Can J Anaesth. Published 22 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →