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Strategies identified by program directors to improve adoption of the CanMEDS framework

BACKGROUND: Challenges associated with the use of the CanMEDS physician competency framework (CanMEDS) have been the subject of several studies. Most of these have focused on the adoption of specific roles in an Anglophone context. This study aims to investigate how Francophone postgraduate medical...

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Autores principales: Gaboury, Isabelle, Ouellet, Kathleen, Xhignesse, Marianne, St-Onge, Christina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Medical Education Journal 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260515/
https://www.ncbi.nlm.nih.gov/pubmed/30498541
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author Gaboury, Isabelle
Ouellet, Kathleen
Xhignesse, Marianne
St-Onge, Christina
author_facet Gaboury, Isabelle
Ouellet, Kathleen
Xhignesse, Marianne
St-Onge, Christina
author_sort Gaboury, Isabelle
collection PubMed
description BACKGROUND: Challenges associated with the use of the CanMEDS physician competency framework (CanMEDS) have been the subject of several studies. Most of these have focused on the adoption of specific roles in an Anglophone context. This study aims to investigate how Francophone postgraduate medical education (PGME) program directors have integrated the CanMEDS framework into their programs. METHODS: We invited Francophone PGME program directors to participate in group interviews aimed at exploring their experiences using the CanMEDS framework. We used an open-ended interview guide and realized a thematic analysis of the transcripts. RESULTS: We held five group interviews between February and December 2014 with 17 Francophone program directors representing 13 out of a maximum of 62 different specialties/subspecialties. Although program directors endorsed the framework, its integration was seen as challenging, particularly the assessment of non-medical expert roles. To overcome these challenges, they relied on common strategies including a longitudinal approach to the framework, improving inter-program collaboration, and subcontracting the teaching of certain roles. CONCLUSION: While integrating the CanMEDS framework into their programs, Francophone program directors struggled with teaching and assessing non-medical expert roles and ensuring their longitudinal integration over time. Directors relied on various strategies, some of which (e.g., subcontracting) may ultimately limit the adoption of the framework as a whole. ___
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spelling pubmed-62605152018-11-29 Strategies identified by program directors to improve adoption of the CanMEDS framework Gaboury, Isabelle Ouellet, Kathleen Xhignesse, Marianne St-Onge, Christina Can Med Educ J Major Contributions and Research Articles BACKGROUND: Challenges associated with the use of the CanMEDS physician competency framework (CanMEDS) have been the subject of several studies. Most of these have focused on the adoption of specific roles in an Anglophone context. This study aims to investigate how Francophone postgraduate medical education (PGME) program directors have integrated the CanMEDS framework into their programs. METHODS: We invited Francophone PGME program directors to participate in group interviews aimed at exploring their experiences using the CanMEDS framework. We used an open-ended interview guide and realized a thematic analysis of the transcripts. RESULTS: We held five group interviews between February and December 2014 with 17 Francophone program directors representing 13 out of a maximum of 62 different specialties/subspecialties. Although program directors endorsed the framework, its integration was seen as challenging, particularly the assessment of non-medical expert roles. To overcome these challenges, they relied on common strategies including a longitudinal approach to the framework, improving inter-program collaboration, and subcontracting the teaching of certain roles. CONCLUSION: While integrating the CanMEDS framework into their programs, Francophone program directors struggled with teaching and assessing non-medical expert roles and ensuring their longitudinal integration over time. Directors relied on various strategies, some of which (e.g., subcontracting) may ultimately limit the adoption of the framework as a whole. ___ Canadian Medical Education Journal 2018-11-12 /pmc/articles/PMC6260515/ /pubmed/30498541 Text en © 2018 Gaboury, Ouellet, Xhignesse, St-Onge; licensee Synergies Partners http://creativecommons.org/licenses/by/2.0 This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Major Contributions and Research Articles
Gaboury, Isabelle
Ouellet, Kathleen
Xhignesse, Marianne
St-Onge, Christina
Strategies identified by program directors to improve adoption of the CanMEDS framework
title Strategies identified by program directors to improve adoption of the CanMEDS framework
title_full Strategies identified by program directors to improve adoption of the CanMEDS framework
title_fullStr Strategies identified by program directors to improve adoption of the CanMEDS framework
title_full_unstemmed Strategies identified by program directors to improve adoption of the CanMEDS framework
title_short Strategies identified by program directors to improve adoption of the CanMEDS framework
title_sort strategies identified by program directors to improve adoption of the canmeds framework
topic Major Contributions and Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260515/
https://www.ncbi.nlm.nih.gov/pubmed/30498541
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