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.
References
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.
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.
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).
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.
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.
Dillman DA. Mail and Internet surveys: the tailored design method. 2nd ed. Hoboken: Wiley; 2007.
Telio S, Regehr G, Ajjawi R. Feedback and the educational alliance: examining credibility judgements and their consequences. Med Educ. 2016;50(9):933–42.
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.
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.
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.
Funding
None.
Author information
Authors and Affiliations
Contributions
All authors contributed to the writing of the manuscript.
Corresponding author
Ethics declarations
Conflict of interest
None.
Rights and permissions
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s43678-020-00046-y