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Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents

The objective of our study was to scrutinize the learning experiences of Korean neurology residents, with an emphasis on the implications of the novel competency-based curriculum implemented in 2021. We hypothesized that this revised curriculum could modulate residents’ cognitive conduct, primarily...

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Autores principales: Choi, Hojin, Oh, Jeeyoung, Kim, Chi Kyung, Ryu, Hokyoung, Ryu, Youngji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553350/
https://www.ncbi.nlm.nih.gov/pubmed/37796843
http://dx.doi.org/10.1371/journal.pone.0290503
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author Choi, Hojin
Oh, Jeeyoung
Kim, Chi Kyung
Ryu, Hokyoung
Ryu, Youngji
author_facet Choi, Hojin
Oh, Jeeyoung
Kim, Chi Kyung
Ryu, Hokyoung
Ryu, Youngji
author_sort Choi, Hojin
collection PubMed
description The objective of our study was to scrutinize the learning experiences of Korean neurology residents, with an emphasis on the implications of the novel competency-based curriculum implemented in 2021. We hypothesized that this revised curriculum could modulate residents’ cognitive conduct, primarily the manifestation of overconfidence, in distinctive ways across different stages of training. Our investigative framework was three-fold. Initially, we began with a qualitative inquiry involving in-depth interviews with a purposively selected cohort of eight residents from four training sites. This approach facilitated comprehensive insight into their perceptions of their competence and confidence across the continuum of a four-year residency program. Subsequently, we incorporated the K-NEPA13 assessment instrument, administered to the residents and their overseeing supervisors. This stage aimed to dissect potential cognitive biases, particularly overconfidence and consistency, within the resident population. The final study involved a comprehensive survey administered to a group of 97 Korean neurology residents, allowing us to consolidate and validate our preceding findings. Our findings revealed that junior residents portrayed heightened confidence in their clinical capabilities compared to their senior peers. Intriguingly, junior residents also displayed a stronger inclination towards reevaluating their clinical judgments, a behavior we hypothesize is stimulated by the recently introduced competency-based curriculum. We identified cognitive divergence between junior and senior residents, with the latter group favoring more consistent and linear cause-and-effect reasoning, while the former demonstrated receptiveness to introspection and reconsideration. We speculate this adaptability might be engendered by the supervisor assignment protocol intrinsic to the new curriculum. Our study highlights the essentiality of incorporating cognitive behaviors when devising medical education strategies. Acknowledging and addressing these diverse cognitive biases, and instilling a spirit of adaptability, can nurture a culture that persists in continuous learning and self-reflection among trainee doctors.
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spelling pubmed-105533502023-10-06 Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents Choi, Hojin Oh, Jeeyoung Kim, Chi Kyung Ryu, Hokyoung Ryu, Youngji PLoS One Research Article The objective of our study was to scrutinize the learning experiences of Korean neurology residents, with an emphasis on the implications of the novel competency-based curriculum implemented in 2021. We hypothesized that this revised curriculum could modulate residents’ cognitive conduct, primarily the manifestation of overconfidence, in distinctive ways across different stages of training. Our investigative framework was three-fold. Initially, we began with a qualitative inquiry involving in-depth interviews with a purposively selected cohort of eight residents from four training sites. This approach facilitated comprehensive insight into their perceptions of their competence and confidence across the continuum of a four-year residency program. Subsequently, we incorporated the K-NEPA13 assessment instrument, administered to the residents and their overseeing supervisors. This stage aimed to dissect potential cognitive biases, particularly overconfidence and consistency, within the resident population. The final study involved a comprehensive survey administered to a group of 97 Korean neurology residents, allowing us to consolidate and validate our preceding findings. Our findings revealed that junior residents portrayed heightened confidence in their clinical capabilities compared to their senior peers. Intriguingly, junior residents also displayed a stronger inclination towards reevaluating their clinical judgments, a behavior we hypothesize is stimulated by the recently introduced competency-based curriculum. We identified cognitive divergence between junior and senior residents, with the latter group favoring more consistent and linear cause-and-effect reasoning, while the former demonstrated receptiveness to introspection and reconsideration. We speculate this adaptability might be engendered by the supervisor assignment protocol intrinsic to the new curriculum. Our study highlights the essentiality of incorporating cognitive behaviors when devising medical education strategies. Acknowledging and addressing these diverse cognitive biases, and instilling a spirit of adaptability, can nurture a culture that persists in continuous learning and self-reflection among trainee doctors. Public Library of Science 2023-10-05 /pmc/articles/PMC10553350/ /pubmed/37796843 http://dx.doi.org/10.1371/journal.pone.0290503 Text en © 2023 Choi et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Choi, Hojin
Oh, Jeeyoung
Kim, Chi Kyung
Ryu, Hokyoung
Ryu, Youngji
Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents
title Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents
title_full Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents
title_fullStr Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents
title_full_unstemmed Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents
title_short Residents need competence not confidence: A retrospective evaluation of the new competency education program for Korean neurology residents
title_sort residents need competence not confidence: a retrospective evaluation of the new competency education program for korean neurology residents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10553350/
https://www.ncbi.nlm.nih.gov/pubmed/37796843
http://dx.doi.org/10.1371/journal.pone.0290503
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