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Competence committees decision-making; an interplay of data, group orientation, and intangible impressions

BACKGROUND: The implementation of competency-based medical education and utilization of competence committees (CC) represents a paradigm shift in residency education. This qualitative study aimed to explore the methods used by two operational CC and their members to make decisions about progression...

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Autores principales: Curtis, Colleen, Kassam, Aliya, Lord, Jason, Cooke, Lara J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565978/
https://www.ncbi.nlm.nih.gov/pubmed/37817152
http://dx.doi.org/10.1186/s12909-023-04693-4
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author Curtis, Colleen
Kassam, Aliya
Lord, Jason
Cooke, Lara J.
author_facet Curtis, Colleen
Kassam, Aliya
Lord, Jason
Cooke, Lara J.
author_sort Curtis, Colleen
collection PubMed
description BACKGROUND: The implementation of competency-based medical education and utilization of competence committees (CC) represents a paradigm shift in residency education. This qualitative study aimed to explore the methods used by two operational CC and their members to make decisions about progression and competence of their residents. METHODS: An instrumental case study methodology was used to study the CC of two postgraduate training programs. Transcripts from observed CC meetings, member interviews, and guiding documents were analyzed using a constructivist grounded theory approach to reveal themes explaining the decision-making process. RESULTS: Our study found that the CC followed a process that began within a social decision schema model and evolved to a discussion that invoked social influence theory, shared mental models, and social judgment scheme to clarify the points of contention. We identified that the CC decision-making was at risk of bias, primarily influenced by the group composition, the group orientation and individual members’ mindset, as well as their personal experiences with the trainees. CONCLUSIONS: Increased awareness of the sources of bias in CC functioning and familiarity with the CC role in competency-based medical education would enable committees to provide valuable feedback to all trainees regardless of their trajectory. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-023-04693-4.
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spelling pubmed-105659782023-10-12 Competence committees decision-making; an interplay of data, group orientation, and intangible impressions Curtis, Colleen Kassam, Aliya Lord, Jason Cooke, Lara J. BMC Med Educ Research BACKGROUND: The implementation of competency-based medical education and utilization of competence committees (CC) represents a paradigm shift in residency education. This qualitative study aimed to explore the methods used by two operational CC and their members to make decisions about progression and competence of their residents. METHODS: An instrumental case study methodology was used to study the CC of two postgraduate training programs. Transcripts from observed CC meetings, member interviews, and guiding documents were analyzed using a constructivist grounded theory approach to reveal themes explaining the decision-making process. RESULTS: Our study found that the CC followed a process that began within a social decision schema model and evolved to a discussion that invoked social influence theory, shared mental models, and social judgment scheme to clarify the points of contention. We identified that the CC decision-making was at risk of bias, primarily influenced by the group composition, the group orientation and individual members’ mindset, as well as their personal experiences with the trainees. CONCLUSIONS: Increased awareness of the sources of bias in CC functioning and familiarity with the CC role in competency-based medical education would enable committees to provide valuable feedback to all trainees regardless of their trajectory. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-023-04693-4. BioMed Central 2023-10-10 /pmc/articles/PMC10565978/ /pubmed/37817152 http://dx.doi.org/10.1186/s12909-023-04693-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Curtis, Colleen
Kassam, Aliya
Lord, Jason
Cooke, Lara J.
Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
title Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
title_full Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
title_fullStr Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
title_full_unstemmed Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
title_short Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
title_sort competence committees decision-making; an interplay of data, group orientation, and intangible impressions
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10565978/
https://www.ncbi.nlm.nih.gov/pubmed/37817152
http://dx.doi.org/10.1186/s12909-023-04693-4
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