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A novel transition to practice curriculum for CCFP(EM) programs

  • Educational Innovation
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Canadian Journal of Emergency Medicine Aims and scope Submit manuscript

Abstract

We implemented a novel transition-to-practice curriculum incorporating four new processes to prepare CCFP(EM) residents for independent practice. These elements were: 1) explicit sequencing of competency progression; 2) establishment of coaching teams; 3) establishment of independent shifts; and 4) implementation of a transition-to-practice seminar series. Exit surveys of residents rated the new curriculum highly with 15/17 (88.2%) residents reporting they felt prepared for independent practice. All residents rated competency progression, coaching teams, independent shifts and transition-to-practice series favourably. This framework can be used by other 1-year enhanced skills or other fellowship programs to prepare their residents for independent practice.

Résumé

Nous avons mis en place un nouveau programme de transition vers la pratique qui intègre quatre nouveaux processus pour préparer les résidents du CCFP(EM) à la pratique indépendante. Ces éléments étaient : 1) l'enchaînement explicite de la progression des compétences ; 2) la mise en place d'équipes d'encadrement ; 3) la mise en place mise en place de quarts de travail indépendants ; et 4) la mise en œuvre d'une série de séminaires de transition vers la pratique. Les sondages de sortie des résidents ont donné une note élevée au nouveau programme avec 15/17 (88,2 %) les résidents déclarant qu’ils se sentaient prêts à pratiquer de façon indépendante. Tous les résidents ont accordé une note favorable à la progression des compétences, aux équipes d’encadrement, aux quarts de travail indépendants et à la transition vers la série de pratiques. Ce cadre peut être utilisé par d'autres programmes de perfectionnement des compétences d'un an ou d'autres programmes de bourses pour préparer leurs résidents à la pratique indépendante.

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References

  1. Shaw E, Oandasan I, Fowler N, editors. CanMEDS-FM 2017: a competency framework for family physicians across the continuum. Mississauga: The College of Family Physicians of Canada; 2017.

    Google Scholar 

  2. Tannenbaum D, Kerr J, Konkin J, Organek A, Parsons E, Saucier D, Shaw L, Walsh A. Triple C competency-based curriculum. Report of the working group on postgraduate curriculum review—Part 1. Mississauga, ON: College of Family Physicians of Canada; 2011.

  3. The Royal College of Physicians and Surgeons of Canada. Competence by Design (CBD) and exams; 2018. Available at: https://www.royalcollege.ca/rcsite/cbd/assessment/cbd-exams-e)(cbd-competence-continuum-diagram-legal-e.pdf (Accessed June 20, 2020).

  4. Nath A, Yadav K, Perry J. Describing CCFP(EM) programs in Canada: A national survey of program directors. CJEM. 2019;21(2):274–82. https://doi.org/10.1017/cem.2018.374.

    Article  PubMed  Google Scholar 

  5. Frank JR, Danoff D. TheCanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teach. 2007;29(7):642–7. https://doi.org/10.1080/01421590701746983.

    Article  PubMed  Google Scholar 

  6. Dillman DA. Mail and Internet surveys: the tailored design method. 2nd ed. Hoboken: Wiley; 2007.

    Google Scholar 

  7. Telio S, Regehr G, Ajjawi R. Feedback and the educational alliance: examining credibility judgements and their consequences. Med Educ. 2016;50(9):933–42.

    Article  Google Scholar 

  8. Caretta-Weyer H. Transition to practice: a novel life skills curriculum for emergency medicine residents. West J Emerg Med. 2019;20(1):100–4. https://doi.org/10.5811/westjem.2018.10.39868.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Stoneham E, Witt L, Paterson Q, Martin L, Thoma B. The development of entrustable professional activities reference cards to support the implementation of Competence by Design in emergency medicine. CJEM. 2019;21(6):803–6. https://doi.org/10.1017/cem.2019.395.

    Article  PubMed  Google Scholar 

  10. Lovell B. What do we know about coaching in medical education? A literature review. Med Educ. 2018;52:376–90. https://doi.org/10.1111/medu.13482.

    Article  PubMed  Google Scholar 

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Correspondence to Avik Nath.

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Nath, A., Cheung, W.J., Leppard, J. et al. A novel transition to practice curriculum for CCFP(EM) programs. Can J Emerg Med 23, 394–397 (2021). https://doi.org/10.1007/s43678-020-00046-y

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  • DOI: https://doi.org/10.1007/s43678-020-00046-y

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