ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2025
Five years of competency-based medical education in Canadian urology A national survey of senior resident and faculty satisfaction and perspectives.
Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- CUAJ at 20.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026Article
- Implementing the 5 Core Components of Competency-Based Medical Education in US Emergency Medicine Residency Programs.Journal of graduate medical education · 2025Article
- Is competence by design any better than excellence by accident?Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIn 2018, competency-based medical education (CBME) was introduced to Canadian urology residency training. We examined learner and faculty experiences with CBME five years post-implementation.
methodsTwo online surveys were developed from a scoping review of CBME literature and expert consultation. They covered aspects including unintended consequences, satisfaction, and challenges. They were distributed to Canadian urology residency program directors, faculty, and senior residents from January to June 2023. Respondents rated agreement/satisfaction using a five-point Likert scale. Descriptive analyses considered scores of 4-5 as agreement/satisfaction and 1-2 as disagreement/dissatisfaction.
resultsTwenty-nine faculty members (including 10/13 [77%] program directors) and 33/63 (53%) senior residents responded. Overall, 69% of respondents are unsatisfied with CBME, 19% are neutral, and 11% are satisfied. Anxiety and/or fatigue with CBME are reported by 76% of faculty and 66% of residents. CBME is seen as burdensome: 61% of residents frequently trigger assessment requests, while 66% of faculty feel overwhelmed by the volume of requested assessments. Faculty members (83%) and residents (73%) find CBME time-consuming. Over 50% of respondents believe CBME failed to de-emphasize time-based learning, individualize progression, rapidly identify struggling residents, or improve feedback quality. Over 60% agree that CBME has clarified learning expectations and training stages.
conclusionsThere is prevailing dissatisfaction with CBME within Canadian urology training programs, impacting the well-being of both faculty and residents while falling short of delivering personalized training; however, CBME has provided a structured and transparent framework for trainee advancement. Improvements to CBME are needed beyond its initial five years.
Identifiers
What OpenQuestion holds
Registered trials
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.