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Can Geriatr J. 2016 Jun 29;19(2):50-7. doi: 10.5770/cgj.19.213. eCollection 2016 Jun.

Effectiveness of a Core-Competency-based Program on Residents' Learning and Experience.

Canadian geriatrics journal : CGJ

Lesley Charles, Jean Triscott, Bonnie Dobbs, Peter George Tian, Oksana Babenko

Affiliations

  1. Division of Care of the Elderly, Department of Family Medicine, University of Alberta, Edmonton, AB.

PMID: 27403213 PMCID: PMC4922368 DOI: 10.5770/cgj.19.213

Abstract

BACKGROUND: The Care of the Elderly (COE) Diploma Program is a six-to-twelve-month enhanced skills program taken after two years of core residency training in Family Medicine. In 2010, we developed and implemented a core-competency-based COE Diploma program (CC), in lieu of one based on learning objectives (LO). This study assessed the effectiveness of the core-competency-based program on residents' learning and their training experience as compared to residents trained using learning objectives.

METHODS: The data from the 2007-2013 COE residents were used in the study, with nine and eight residents trained in the LO and CC programs, respectively. Residents' learning was measured using preceptors' evaluations of residents' skills/abilities throughout the program (118 evaluations in total). Residents' rating of training experience was measured using the Graduate's Questionnaire which residents completed after graduation.

RESULTS: For residents' learning, overall, there was no significant difference between the two programs. However, when examined as a function of the four CanMEDS roles, there were significant increases in the CC residents' scores for two of the CanMEDS roles: Communicator/Collaborator/Manager and Scholar compared to residents in the LO program. With respect to residents' training experience, seven out of ten program components were rated by the CC residents higher than by the LO residents.

CONCLUSION: The implementation of a COE CC program appears to facilitate resident learning and training experience.

Keywords: care of the elderly; core competencies; diploma; enhanced skills; resident

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