Evidence map›Paper›PMID 38525203›Full record

ArticlePerspectives on medical education2024

Competence By Design: a transformational national model of time-variable competency-based postgraduate medical education.

Jason R Frank, Jolanta Karpinski, Jonathan Sherbino, Linda S Snell, Adelle Atkinson, Anna Oswald, Andrew K Hall, Lara Cooke, Susan Dojeiji, Denyse Richardson and 21 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Perspectives on medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Jason R FrankCentre for Innovation in Medical Education and Professor, Department of Emergency Medicine, Faculty of Medicine, University of Ottawa, ON, Canada.ORCID 0000-0002-6076-0146
Jolanta KarpinskiDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-4729-9965
Jonathan SherbinoMcMaster University, Hamilton, ON, Canada.
Linda S SnellRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0002-1686-5207
Adelle AtkinsonRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0002-7604-5964
Anna OswaldRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0002-3510-4294
Andrew K HallRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0003-1227-5397
Lara CookeDivision of Neurology, Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0001-5417-571X
Susan DojeijiPhysical Medicine and Rehabilitation, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-9861-6254
Denyse RichardsonRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0001-6113-158X
Warren J CheungRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0002-2730-8190
Rodrigo B CavalcantiDepartment of Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-8980-159X
Timothy R DalsegRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0003-0208-4925
Brent ThomaRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0003-1124-5786
Leslie FlynnRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.
Wade GoftonDepartment of Surgery (Division of Orthopedic Surgery), The Ottawa Hospital and University of Ottawa, Ottawa, ON, Canada.
Nancy DudekDepartment of Medicine (Division of Physical Medicine & Rehabilitation) and The Ottawa Hospital, University of Ottawa, Ottawa, Ontario, Canada.ORCID 0000-0002-6178-406X
Farhan BhanjiRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.
Brian M-F WongCentre for Quality Improvement and Patient Safety, University of Toronto, Toronto, Canada.
Saleem RazackCentre for Health Education Scholarship, University of British Columbia and BC Children's Hospital, Vancouver, BC, Canada.
Robert AndersonRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.ORCID 0000-0002-2009-2980
Daniel DuboisDepartment of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-7088-5110
Andrée BoucherDepartment of Medicine (Division of Endocrinology), Universitéde Montréal, Montréal, QC, Canada.
Marcio M GomesDepartment of Pathology and Laboratory Medicine, University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-4941-6133
Sarah TaberOffice of Standards and Assessment, Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.
Lisa J GormanRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.
Jane FulfordCanadian Internet Registration Authority, Canada.
Viren NaikDepartment of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.
Kenneth A HarrisRoyal College of Physicians and Surgeons of Canada, Canada.
Rhonda St CroixLearning and Connecting at the Royal College of Physicians and Surgeons of Canada, Canada.
Elaine van MelleRoyal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postgraduate medical education is an essential societal enterprise that prepares highly skilled physicians for the health workforce. In recent years, PGME systems have been criticized worldwide for problems with variable graduate abilities, concerns about patient safety, and issues with teaching and assessment methods. In response, competency based medical education approaches, with an emphasis on graduate outcomes, have been proposed as the direction for 21st century health profession education. However, there are few published models of large-scale implementation of these approaches. We describe the rationale and design for a national, time-variable competency-based multi-specialty system for postgraduate medical education called Competence by Design. Fourteen innovations were bundled to create this new system, using the Van Melle Core Components of competency based medical education as the basis for the transformation. The successful execution of this transformational training system shows competency based medical education can be implemented at scale. The lessons learned in the early implementation of Competence by Design can inform competency based medical education innovation efforts across professions worldwide.

Indexed as

Education, MedicalMedicineClinical CompetenceCompetency-Based EducationHumansPublications

Identifiers

PMID38525203
PMCPMC10959143

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.