Competency-based medical education is an outcomes-based approach that involves identifying the abilities required of physicians and then designing the curriculum to support the achievement and assessment of these predefined competencies. This paradigm defies the assumption that competence is achieved based on time spent on rotations and instead requires residents to demonstrate their competence (Stodel et al., 2015).
Our Otolaryngology – Head and Neck Surgery residency program has transitioned to CBME on July 1, 2017. According to their Program Director Dr. Jean-Phillippe Vaccani, the teaching goals in the clinical environment are much clearer in CBME. Rather than teaching “what comes through the door”, faculty will be assigned EPAs they are responsible for teaching. He is excited that resident assessments will become more important and viewed through a coaching lens with the focus on learning and improvement.
CBME relies on the regular assessment of learners and provision of high quality feedback to help learners meet the defined milestones. We recognize that many faculty members find it challenging to provide constructive feedback to residents. We created the following resources to help clinical teachers improve their feedback skills.
- Giving feedback: Why and How? (online module)
- Tips for Giving Feedback Following Poor Performance (video)
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