What competencies should community
Transcription
What competencies should community
What competencies should community-based rotations address? A Delphi study in Endocrinology and Metabolism Adam Millar, MD, MScCH Supervisor: Rene Wong, MD, MMEd University of Toronto October 19, 2012 I had an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. I have acted as a consultant to Paladin Labs. J’ai (ou j’ai eu) une affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d’appareils médicaux ou un cabinet de communication. Adam Millar, MD, MScCH Supervisor: Rene Wong, MD, MMEd University of Toronto October 19, 2012 What competencies should community-based rotations address? | Adam Millar Take-home point • Community-based rotations may have better opportunities in which to learn CanMEDS Manager Roles The International Conference on Residency Education | La conférence internationale sur la formation des résidents 3 What competencies should community-based rotations address? | Adam Millar Background • Royal College – “Community Experience” • No consensus on what this entails • Heterogeneity of community experience • Delphi Method – Consensus-gathering tool • Both qualitative and quantitative portions The International Conference on Residency Education | La conférence internationale sur la formation des résidents 4 What competencies should community-based rotations address? | Adam Millar Our Representation • Endo. Program Director: 6 • Community endocrinologist: 3 • Recent endo. Grad.: 3 3 1 • Endo. resident: 6 The International Conference on Residency Education | La conférence internationale sur la formation des résidents 11 3 5 What competencies should community-based rotations address? | Adam Millar Qualitative Round “Please list the competencies/skills for which you think community endocrine rotations would provide the best learning opportunities over that of an academic centre” The International Conference on Residency Education | La conférence internationale sur la formation des résidents 6 What competencies should community-based rotations address? | Adam Millar Quantitative Rounds • “Rate the extent to which a community endocrine rotation would provide better learning opportunities over that of an academic centre” Not learned in a community rotation (best learned in academic centre) ( score = 1/5) … Best learned in a community rotation (score = 5/5) The International Conference on Residency Education | La conférence internationale sur la formation des résidents 7 What competencies should community-based rotations address? | Adam Millar Results – After 5 Survey Rounds • Of original 44 competencies, 34 deemed essential by panel • Highest rated items – “Manager” role The International Conference on Residency Education | La conférence internationale sur la formation des résidents 8 What competencies should community-based rotations address? | Adam Millar Results – Highest Rated Competencies • Describe what to look for in a potential office space for an outpatient endocrinology practice • Discuss principles of how to negotiate a lease for office space • Describe strategies to advertise your practice to referring physicians when starting a practice The International Conference on Residency Education | La conférence internationale sur la formation des résidents 9 What competencies should community-based rotations address? | Adam Millar An opportunity exists • Literature - teaching of “Manager” roles deficient across Canadian training programs: » Internal medicine (Card, Snell & O'Brien 2006) » Pediatrics (Lieberman, Hilliard 2006) • American training programs - only 3% of medicine subspecialties respondents believed preparation to “manage business aspects of practice” was good/excellent (Cantor, Baker & Hughes 1993) The International Conference on Residency Education | La conférence internationale sur la formation des résidents 10 What competencies should community-based rotations address? | Adam Millar Conclusions 1. Manager Roles often not learned effectively 2. Many “Manager” competencies may better be learned in community setting 3. Results can be extrapolated towards development of community rotations in other subspecialties The International Conference on Residency Education | La conférence internationale sur la formation des résidents 11 What competencies should community-based rotations address? | Adam Millar Take-home point • Community-based rotations may have better opportunities in which to learn CanMEDS Manager Roles The International Conference on Residency Education | La conférence internationale sur la formation des résidents 12 What competencies should community-based rotations address? | Adam Millar Next Steps • Has been shared with Canadian Endocrine PDs – use this info for curriculum mapping • Use this information about Manager Role towards faculty development: » Teaching » Assess performance The International Conference on Residency Education | La conférence internationale sur la formation des résidents 13 What competencies should community-based rotations address? | Adam Millar Thank you! • [email protected] • Full list of 34 competencies http://www.royalcollege.ca/portal/page/portal/rc/canmeds The International Conference on Residency Education | La conférence internationale sur la formation des résidents 14 Help us improve. 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