Skill A task or group of tasks performed to a specific level of proficiency which use motor functions and typically require manipulation of instruments and equipment 1. Central Line, ABG 2. Counseling
Competency A skill performed to a specific standard and under specific conditions
CBT Competencies to be achieved are carefully: 1. Identified 2. V erified 3. M ade public in advance
CBT Assessment criteria are: 1. Explicitly stated 2. Made public in advance
CBT Instructional program provides for individual development and evaluation of each of the competencies specified.
CBT Actual performance of the competency as the primary source of evidence is required (t ake into account knowledge and attitude of participant)
CBT Participants progress through the instructional program at their own rate by demonstrating the attainment of the specified competencies
1. Competencies are carefully selected 2. Essential knowledge is learned to support skill performance 3. Detailed training materials are keyed to the competencies to be achieved and are designed to support the acquisition of knowledge and skills
Characteristics of a CBT Curriculum 4. Premise that all participants can master the required knowledge or skill, provided sufficient time and appropriate training methods are used. 5. Knowledge and skills are assessed as interns enter a program and those with satisfactory knowledge and skills may bypass training or competencies already attained.
Characteristics of a CBT Curriculum 6. Learning should be self paced 7. Use flexible training methods 1. Large and small group activities 2. Individual study components 8. Use a variety of support materials 1. Print 2. Audiovisual 3. Simulations
Characteristics of a CBT Curriculum 9. Satisfactory completion of training is based on achievement of all specified competencies
Advantages of CBT 1. Achieve competencies required in clinical job performance 2. Build confidence as success is demonstrated and measured in mastering specific competencies 3. Interns receive a transcript or list of competencies achieved
Advantages of CBT 4. More efficient use of training time 5. Trainer is a facilitator of learning rather than a provider of information 6. More time devoted to interns individually or in small groups 7. More time devoted to evaluation and an individuals ability to perform essential job skills
Disadvantages of CBT 1. Need to train the trainers (tendency to teach as we were taught). 2. CBT is only as effective as the process used to identify competencies
CBT A course may be called CBT, but unless specific CBT materials and training approaches are designed and used, it is unlikely that the resulting course will be truly competency-based.