Advancing Competency-Based Medical Education Through Assessment and Feedback in Breast Imaging

Holbrook, Anna I.; Kasales, Claudia J.

doi:10.1016/j.acra.2019.04.017

Cited by 8 publications

(2 citation statements)

References 31 publications

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“…The advantage is the opportunity to track performance and skill mastery longitudinally. 23,24 However, a challenge associated with rating scales is that they can be interpreted differently by different evaluators. For example, the scale for assessments of milestones in most of the radiology assessments, is ''Not observed,'' ''Needs attention,'' ''Developing,'' and ''Achieved.''…”

Section: Faculty Feedbackmentioning

confidence: 99%

Creating a Competency-Based Medical Education Curriculum for Canadian Diagnostic Radiology Residency (Queen’s Fundamental Innovations in Residency Education)-Part 2: Core of Discipline Stage

et al. 2021

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Purpose: All postgraduate residency programs in Canada are transitioning to a competency-based medical education (CBME) model divided into 4 stages of training. Queen’s University has been the first Canadian institution to mandate transitioning to CBME across all residency programs, including Diagnostic Radiology. This study describes the implementation of CBME with a focus on the third developmental stage, Core of Discipline, in the Diagnostic Radiology residency program at Queen’s University. We describe strategies applied and challenges encountered during the adoption and implementation process in order to inform the development of other CBME residency programs in Diagnostic Radiology. Methods: At Queen’s University, the Core of Discipline stage was developed using the Royal College of Physicians and Surgeons of Canada’s (RCPSC) competence continuum guidelines and the CanMEDS framework to create radiology-specific entrustable professional activities (EPAs) and milestones for assessment. New committees, administrative positions, and assessment strategies were created to develop these assessment guidelines. Currently, 2 cohorts of residents (n = 6) are enrolled in the Core of Discipline stage. Results: EPAs, milestones, and methods of evaluation for the Core of Discipline stage are described. Opportunities during implementation included tracking progress toward educational objectives and increased mentorship. Challenges included difficulty meeting procedural volume requirements, inconsistent procedural tracking, improving feedback mechanisms, and administrative burden. Conclusion: The transition to a competency-based curriculum in an academic Diagnostic Radiology residency program is significantly resource and time intensive. This report describes challenges faced in developing the Core of Discipline stage and potential solutions to facilitate this process.

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Section: Faculty Feedbackmentioning

confidence: 99%

Creating a Competency-Based Medical Education Curriculum for Canadian Diagnostic Radiology Residency (Queen’s Fundamental Innovations in Residency Education)-Part 2: Core of Discipline Stage

et al. 2021

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“…Earlier models had used turkey breasts, 6 modeling clay 7 and eggplants injected with barium sulphate mixture (cost US$ 20) for stereotactic breast biopsy; 8 all of which are more difficult to work with for many reasons, including concerns about contamination, excessive preparation time and expense.…”

Section: Resumémentioning

confidence: 99%

A Low-cost model of breast biopsy for the training of surgical residents during COVID-19 pandemic

et al. 2021

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We describe a low-cost simulation model for teaching core needle biopsy to surgical trainees in Low- and Middle-income countries (LMICs). Pre-session and post-session surveys showed that correct core sampling (ability to hit the beetroot) after training was 91.4% compared to 75.7% before demonstration and improved adequacy (68.5% before v. 85.7% after). This low-cost model using locally available products is designed to simulate a palpable breast lump and can easily be incorporated into surgical training in LMICs, where a palpable breast lump is the commonest presentation of breast cancer.

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Affecting Change: Enhancing Feedback Interactions with Radiology Trainees

et al. 2022

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Advancing Competency-Based Medical Education Through Assessment and Feedback in Breast Imaging

Cited by 8 publications

References 31 publications

Creating a Competency-Based Medical Education Curriculum for Canadian Diagnostic Radiology Residency (Queen’s Fundamental Innovations in Residency Education)-Part 2: Core of Discipline Stage

Creating a Competency-Based Medical Education Curriculum for Canadian Diagnostic Radiology Residency (Queen’s Fundamental Innovations in Residency Education)-Part 2: Core of Discipline Stage

A Low-cost model of breast biopsy for the training of surgical residents during COVID-19 pandemic

Affecting Change: Enhancing Feedback Interactions with Radiology Trainees

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