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Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training

The growing international adoption of competency-based medical education has created a desire for descriptions of innovative assessment approaches that generate appropriate and sufficient information to allow for informed, defensible decisions about learner progress. In this article, the authors pro...

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Autores principales: Ross, Shelley, Lawrence, Kathrine, Bethune, Cheri, van der Goes, Theresa, Pélissier-Simard, Luce, Donoff, Michel, Crichton, Thomas, Laughlin, Thomas, Dhillon, Kiran, Potter, Martin, Schultz, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855760/
https://www.ncbi.nlm.nih.gov/pubmed/35671407
http://dx.doi.org/10.1097/ACM.0000000000004750
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author Ross, Shelley
Lawrence, Kathrine
Bethune, Cheri
van der Goes, Theresa
Pélissier-Simard, Luce
Donoff, Michel
Crichton, Thomas
Laughlin, Thomas
Dhillon, Kiran
Potter, Martin
Schultz, Karen
author_facet Ross, Shelley
Lawrence, Kathrine
Bethune, Cheri
van der Goes, Theresa
Pélissier-Simard, Luce
Donoff, Michel
Crichton, Thomas
Laughlin, Thomas
Dhillon, Kiran
Potter, Martin
Schultz, Karen
author_sort Ross, Shelley
collection PubMed
description The growing international adoption of competency-based medical education has created a desire for descriptions of innovative assessment approaches that generate appropriate and sufficient information to allow for informed, defensible decisions about learner progress. In this article, the authors provide an overview of the development and implementation of the approach to programmatic assessment in postgraduate family medicine training programs in Canada, called Continuous Reflective Assessment for Training (CRAFT). CRAFT is a principles-guided, high-level approach to workplace-based assessment that was intentionally designed to be adaptable to local contexts, including size of program, resources available, and structural enablers and barriers. CRAFT has been implemented in all 17 Canadian family medicine residency programs, with each program taking advantage of the high-level nature of the CRAFT guidelines to create bespoke assessment processes and tools appropriate for their local contexts. Similarities and differences in CRAFT implementation between 5 different family medicine residency training programs, representing both English- and French-language programs from both Western and Eastern Canada, are described. Despite the intentional flexibility of the CRAFT guidelines, notable similarities in assessment processes and procedures across the 5 programs were seen. A meta-evaluation of findings from programs that have published evaluation information supports the value of CRAFT as an effective approach to programmatic assessment. While CRAFT is currently in place in family medicine residency programs in Canada, given its adaptability to different contexts as well as promising evaluation data, the CRAFT approach shows promise for application in other training environments.
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spelling pubmed-98557602023-01-27 Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training Ross, Shelley Lawrence, Kathrine Bethune, Cheri van der Goes, Theresa Pélissier-Simard, Luce Donoff, Michel Crichton, Thomas Laughlin, Thomas Dhillon, Kiran Potter, Martin Schultz, Karen Acad Med Articles The growing international adoption of competency-based medical education has created a desire for descriptions of innovative assessment approaches that generate appropriate and sufficient information to allow for informed, defensible decisions about learner progress. In this article, the authors provide an overview of the development and implementation of the approach to programmatic assessment in postgraduate family medicine training programs in Canada, called Continuous Reflective Assessment for Training (CRAFT). CRAFT is a principles-guided, high-level approach to workplace-based assessment that was intentionally designed to be adaptable to local contexts, including size of program, resources available, and structural enablers and barriers. CRAFT has been implemented in all 17 Canadian family medicine residency programs, with each program taking advantage of the high-level nature of the CRAFT guidelines to create bespoke assessment processes and tools appropriate for their local contexts. Similarities and differences in CRAFT implementation between 5 different family medicine residency training programs, representing both English- and French-language programs from both Western and Eastern Canada, are described. Despite the intentional flexibility of the CRAFT guidelines, notable similarities in assessment processes and procedures across the 5 programs were seen. A meta-evaluation of findings from programs that have published evaluation information supports the value of CRAFT as an effective approach to programmatic assessment. While CRAFT is currently in place in family medicine residency programs in Canada, given its adaptability to different contexts as well as promising evaluation data, the CRAFT approach shows promise for application in other training environments. Lippincott Williams & Wilkins 2022-06-08 2023-02 /pmc/articles/PMC9855760/ /pubmed/35671407 http://dx.doi.org/10.1097/ACM.0000000000004750 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of American Medical Colleges. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Articles
Ross, Shelley
Lawrence, Kathrine
Bethune, Cheri
van der Goes, Theresa
Pélissier-Simard, Luce
Donoff, Michel
Crichton, Thomas
Laughlin, Thomas
Dhillon, Kiran
Potter, Martin
Schultz, Karen
Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training
title Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training
title_full Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training
title_fullStr Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training
title_full_unstemmed Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training
title_short Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training
title_sort development, implementation, and meta-evaluation of a national approach to programmatic assessment in canadian family medicine residency training
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9855760/
https://www.ncbi.nlm.nih.gov/pubmed/35671407
http://dx.doi.org/10.1097/ACM.0000000000004750
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