Eight-year outcomes of a competency-based residency training program in orthopedic surgery

Nousiainen, Markku; Mironova, Polina; Hynes, Melissa Kennedy; Takahashi, Susan Glover; Reznick, Richard; Kraemer, William J.; Alman, Benjamin A.; Ferguson, Peter C.

doi:10.1080/0142159x.2017.1421751

Cited by 68 publications

(75 citation statements)

References 18 publications

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“…11,[17][18][19][20][21][22][23][24] There is limited but promising evidence that EPAs can be used to assess trainees and make advancement decisions on a small scale in both undergraduate medical education and GME. [25][26][27][28][29][30] However, it is unknown whether EPAs can be implemented on a large scale in diverse clinical training environments to measure the progress of trainees over time or be used to make summative, end-of-training decisions about readiness to practice outside of a training environment. 25,[31][32][33] Filling this gap is important given the potential of EPAs to serve as a CBME framework that is intuitive to trainees and assessors and could guide curricula and assessment across the continuum of medical education to produce physicians who better meet the needs of society.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Assessment of Resident Performance Using Entrustable Professional Activities

et al. 2020

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Section: Introductionmentioning

confidence: 99%

Longitudinal Assessment of Resident Performance Using Entrustable Professional Activities

et al. 2020

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“…S4) was previously used by Nousiainen et al. in a competency based residency training programme in orthopaedic surgery.…”

Section: Resultsmentioning

confidence: 99%

Development and content validation of the Urethroplasty Training and Assessment Tool (UTAT) for dorsal onlay buccal mucosa graft urethroplasty

et al. 2020

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ObjectivesTo develop and validate the Urethroplasty Training and Assessment Tool (UTAT) using Healthcare Failure Mode and Effect Analysis (HFMEA) for training and assessment of urology trainees learning this urethral reconstruction technique, as urethroplasty is the 'gold standard' treatment for long and recurrent urethral strictures and with a variety of techniques and a lack of standardised reconstructive curricula, there is a need for procedurespecific training tools to improve surgeon training and patient safety. Materials and MethodsThis international observational study was performed over an 11-month period. The HFMEA was used to identify and evaluate hazardous stages of urethroplasty to develop the UTAT. Hazard scores were calculated for the included steps of urethroplasty. Content validation was performed by 12 expert surgeons and multidisciplinary teams from international tertiary centres. ResultsThe HFMEA process resulted in an internationally validated UTAT. Hazard scores ≥4 and single point weaknesses were included to implement actions and outcome measures. Content validation was achieved by circulating the process map, hazard analysis table, and developed tools. Changes were implemented based on the feedback received from expert surgeons. The content validated dorsal onlay buccal mucosa graft bulbar UTAT contained five phases, 10 processes and 23 sub-processes. ConclusionsThe modular UTAT offers a comprehensive validated training tool developed via a detailed HFMEA protocol. This may be utilised to standardise the training and assessment of urology trainees.

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“…It is difficult to make further comparisons between the United States and Canada, given that Canada's Employment Insurance affords at least 17 weeks of paid parental leave. 19 Currently, in the United States, ACGME continues to investigate and implement CBME, which could enhance capacity for additional leave policy flexibility. Future work will need to address potential and unforeseen downsides to CBME, such as extensively prolonged training and the vulnerability of trainees.…”

Section: Discussionmentioning

confidence: 99%

Fellowship or Family? A Comparison of Residency Leave Policies With the Family and Medical Leave Act

Lumpkin

Klein

Battarbee

et al. 2019

Journal of Surgical Research

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Background: In 1993, the Family and Medical Leave Act (FMLA) mandated 12 weeks of unpaid, job-protected leave. The current impact of taking 12 weeks of leave during residency has not been evaluated. Methods: We examined the 2018 Accreditation Council for Graduate Medical Education (n ¼ 24) specialty leave policies to determine the impact of 6-and 12-week leave on residency training, board eligibility, and fellowship training. We compared our findings with a 2006 study. Results: In 2018, five (21%) specialties had policy language regarding parental leave during residency, and four (16%) had language regarding medical leave. Median leave allowed was 4 weeks (IQR 4-6). Six specialties (25%) decreased the number of weeks allowed for leave from 2006 to 2018. In 2006, a 6-week leave would cause a 1-year delay in board eligibility in six specialties; in 2018, it would not cause delayed board eligibility in any specialty. In 2018, a 12-week (FMLA) leave would extend training by a median of 6 weeks (mean 4.1, range 0-8), would delay board eligibility by 6-12 months in three programs (mean 2.25, range 0-12), and would delay fellowship training by at least 1 year in 17 specialties (71%). The impact of a 12-week leave was similar between medical and surgical specialties. Conclusions: While leave policies have improved since 2006, most specialties allow for 6 weeks of leave, less than half of what is mandated by the FMLA. Moreover, a 12-week,

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Eight-year outcomes of a competency-based residency training program in orthopedic surgery

Abstract: While the goal of the program was not to shorten training per se, efficiencies gained through a modular, competency-based program have resulted in shortened time to completion of residency training for some learners.

Cited by 68 publications

References 18 publications

Longitudinal Assessment of Resident Performance Using Entrustable Professional Activities

Longitudinal Assessment of Resident Performance Using Entrustable Professional Activities

Development and content validation of the Urethroplasty Training and Assessment Tool (UTAT) for dorsal onlay buccal mucosa graft urethroplasty

Fellowship or Family? A Comparison of Residency Leave Policies With the Family and Medical Leave Act

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