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2. CBD and Workplace Assessment in Residency June 26, 2015 Hosted by: Andre St-Pierre MBA & Farhan Bhanji MD, MSc (Ed), FRCPC, FAHA

3. Ground Rules…
Opportunity to learn from each other.
Interrupt when you have questions.
Chances are someone else has the same.
A dumb question is one that was not asked.

4. Today’s Training
21st Century Training

5. Competency-Based Medical Education (CBME)
…is an outcomes-based approach to the design, implementation, assessment and evaluation of a medical education program using an organizing framework of competencies
© 2009 Royal College and The International CBME Collaborators

6. CBME: Improving Training
Ultimately, a move to CBME is about a better way to train health professionals.

8. Milestones and EPAs
Progression of Competence
Authentic Assessment
Comprehensive Curriculum
Faculty guidance
Learner transparency
Failure to fail

9. Question Period

10. Importance of an Assessment Program
It’s a fan!
It’s a wall!
It’s a rope!
It’s a spear!
It’s a tree!
It’s a snake!

11. Assessment Needs to be ‘Multi-Modal’
There is no single ‘best’ Assessment tool
Need to use multiple tools to get an overall impression of the learner

12. Blueprinting

13. Need an Organizing Framework
Leader

14. Miller’s Pyramid
It is only in the “does” triangle that the doctor truly performs.
Miller's prism of clinical competence (aka Miller's pyramid). Based on the work by Miller GE, The Assessment of Clinical Skills/Competence/Performance; Acad. Med. 1990; 65(9): 63–67. Adapted by Drs. R. Mehay and R. Burns, UK (Jan 2009).

15. What Drives Learning?
Curriculum
Teacher
The teacher’s perspective

16. What Drives Learning con’t…?
Curriculum
Teacher
Assessment
Student
The teacher’s perspective
The student’s perspective

17. What Needs to Happen
Curriculum
Teacher
Assessment
Student

18. Question Period

19. Wisdom of crowds in developing optimal assessment strategies.
The Wisdom of Crowds
Wisdom of crowds in developing optimal assessment strategies.
This can’t fall to the individual Program Director.
Wisdom of crowds in making decisions about individual learners.
Able to speak out better.
Handover of learners.

20. The Achilles heel of CBD????
Faculty Development
The Achilles heel of CBD????

21. Promoting Reflection

22. Can an External Lens Help to Support CBME Assessment?
Private
Public

23. Can we Embrace the Subjective? Use of Narrative?

24. Windows to Competence
Caverzagie and Lobst

25. Simulation

26. The Holy Grail
Moving CBME into CPD
Photo: hilaritan.com

27. The FUTURE…Towards CBME
Questions? Comments?

28. Thank you for participating!!
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