Systematic review and narrative synthesis of competency-based medical education in anaesthesia

Show simple item record Weller, Jennifer en Viren, NN en San Diego, Ryan Jim en 2020-04-08T02:20:17Z en 2020-01-30 en
dc.identifier.issn 0007-0912 en
dc.identifier.uri en
dc.description.abstract Background: Competency-based medical education (CBME) addresses the accountability of postgraduate training programmes to graduate specialists capable of independent practice. Methods: We undertook a systematic review and narrative synthesis of the published CBME literature in anaesthesia training programmes to identify current practices and areas requiring further exploration. Results: We grouped the 23 studies that met our inclusion criteria into the following categories: demonstrating outcomes of CBME, developing a consensus on an achievable CBME curriculum, CBME curriculum framework, design and implementation of workplace-based assessment (WBA) tools, trainee self-assessment, perceptions of trainees and supervisors on WBA tools, and technological solutions for assessment and feedback. Included studies reported variable success in reaching consensus in competency outcome frameworks for sequenced progression and limited research on approaches to curriculum delivery, whilst the majority of studies focused on workplace assessment. Studies supported the use of entrustment scales, where assessors make a judgement on the extent to which the trainee can manage a case independently. While evidence supported the reliability of WBA tools, and predicted the numbers needed for high-stakes decisions, areas of concern related to factors influencing the value WBA tools in promoting trainee learning, and variable perceptions of their value in making decisions on progression. Conclusions: Evidence on outcomes of CBME was limited to acquisition of specific competencies during training. The large number of unanswered questions and the dearth of studies across the core components of CBME suggest that we need a collaborative approach to create the evidence required to implement CBME wisely and cost effectively, to have positive impacts on patients, trainees, and healthcare systems. en
dc.publisher Elsevier en
dc.relation.ispartofseries British Journal of Anaesthesia en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.title Systematic review and narrative synthesis of competency-based medical education in anaesthesia en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.bja.2019.10.025 en
dc.rights.holder Copyright: The author en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 793463 en Medical and Health Sciences en Population Health en Social & Community Health en School of Medicine en Cent Medical & Hlth Sci Educat en
pubs.record-created-at-source-date 2020-02-03 en 2020-01-30 en
pubs.dimensions-id 32008702 en

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