What have your colleagues been up to?

Competency Based Medical Education (CBME) activity in postgraduate medical education is visible everywhere, and the progress that everyone is making is very impressive. 

Otolaryngology – Head and Neck Surgery and Anesthesia were the two early adopters of CBME, and Drs. Brian Rotenberg and Jennifer Vergel de Dios were pleased to provide us with an update on how things are going with the transition with their Programs. Drs. Rotenberg and Vergel del Dios have only compliments and kudos for the residents, faculty, staff and leadership who have been engaged, committed and willing to adapt. 

Third- and fourth-year residents in Otolarynoglogy – Head and Neck Surgery were involved in piloting entrustable professional activities (EPAs) prior to the official launch in July 2017. They recognized the benefits to their education and have requested to complete the remainder of their training based on the CBME model.

The assessment feedback has been actionable and specific, and, most importantly, informative for resident learning and development. However, both agree that work remains to be done on the technology to increase the efficiency of the platform and enable the work of the Competence Committees.

These system challenges must and will be addressed so that programs are readily able to collate reports, review resident dashboards and progress to date and facilitate the work of Competence Committees. 

In the meantime, the School will be using One45. Sylvia Mioduszewski has set up training courses and workshops with more in the planning stages to assist administrators and directors. Mioduszewski and Program Administrator Corey Hilliard believe there is a great deal of opportunity in One45 that many have yet to explore. Training information is now available.

Surgical Foundations, Medical Oncology and Urology have their implementation approaches well in hand as they look to their launch in July 2018. Each of the programs have implemented innovative pilot projects.  

Faculty development remains a hot topic as programs, divisions and departments look for ways to inform and engage their faculty, teachers and residents, as well as mitigate stress. For example:

  • Keep an eye out for the CBME Surgery Grand Rounds in the spring. We hear that one of the invited surgeons will be from Queen’s University, bringing their launch and implementation experiences.
  • Oncology is introducing FRED (Faculty Resource and Educational Development committee) spanning the learning continuum and identifying undergraduate and PGME champions, CBME leads and residents from Medical Oncology and Radiation Oncology. We look forward to hearing more about this innovative approach.
  • After consultation with residents and faculty, Urology will roll out CBME for all years of the program. As part of readiness, there will be a series of Faculty Development meetings during the next six months; including invited speaker Dr. Brian Rotenberg to share lessons learned to date.
None of this work can happen without the dedication of the clinical and education teams. A huge shout out to Program Directors Drs. Julie Ann Van Koughnett, Kylea Potvin, and Alp Sener, to CBME leads Drs. Karin Hahn and Sumit Dave, and to Terri MacDougall, Kimberly Trudgeon and Kim Nitz.