Evidence map›Paper›PMID 42010630›Full record

ArticleBMC medical education2026

A qualitative study of evaluators of Canadian postgraduate medical education programs: challenges and recommendations.

Jenna D Milosek, Katherine A Moreau

Abstract read
In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Jenna D MilosekFaculty of Education, University of Ottawa, 145 Jean-Jacques-Lussier Private, Ottawa, ON, K1N 9A8, Canada. jmilosek@uottawa.ca.
Katherine A MoreauFaculty of Education, University of Ottawa, 145 Jean-Jacques-Lussier Private, Ottawa, ON, K1N 9A8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Canada, postgraduate medical education has transitioned to Competence by Design, a form of competency-based medical education. Program evaluation can help us learn more about the efficiency and effectiveness of Competence by Design and the transition to it. While most Canadian postgraduate medical education programs conduct program evaluations to support improvement and accreditation, the quality of these evaluation activities is questionable. Program evaluation within these contexts is challenging due to limited time, a lack of knowledge of program evaluation, and limited resources. The purpose of this study is to investigate how evaluators support postgraduate medical education programs and how they can help build the capacity of these programs to conduct evaluations and utilize the findings.

methodsUsing a qualitative study design, we employed purposeful sampling to interview evaluators with knowledge and experience in evaluating postgraduate medical education programs. We conducted interviews with 12 evaluators. We thematically coded the data using a deductive and inductive process.

resultsEvaluators can support postgraduate medical education programs as temporary and external consultants or as internal evaluation experts employed by the universities where the programs reside. Evaluators can help programs build their capacities to do program evaluation and use the findings by suggesting evaluation approaches and methods, leveraging existing data, interpreting the findings, encouraging programs to share conclusions, co-developing a manageable follow-up plan, and establishing quality assurance that supports accreditation.

conclusionsThis study presents empirical research on program evaluation in medical education, as well as information for evaluators embarking on evaluations of medical education programs. While this study confirmed that some programs leverage qualified evaluators, the limited internal evaluation units within Canadian medical education universities are concerning. If the potential of evaluation is to be realized and sustainable in medical education, allocating adequate resources is essential. Selecting the appropriate evaluation type, questions, and approaches can support program directors and evaluators in continuing to transform medical education.

Indexed as

Competency-Based EducationEducation, Medical, GraduateProgram EvaluationAccreditationCanadaClinical CompetenceHumansQualitative ResearchPostgraduate medical educationProgram evaluation to support accreditation

Identifiers

PMID42010630
PMCPMC13227703

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LicenceCC BY-NC-ND
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Registered trials

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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.