Competency Based Logbook In Obstetrics And Gynecology For Mbbs

Author : Milena Garofalo
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (119 download)

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Download or read book Defining a Competency-based Simulation Training Curriculum for Obstetrics & Gynecology Residents written by Milena Garofalo and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "INTRODUCTION In the last decade, competency-based medical education (CBME) has become the predominant teaching method used in residency training, preparing young physicians to become competent graduates. Due to new challenges in the 21st century, such as work hour reforms, increased breadth of knowledge required, new technology, and increased awareness of patient safety, CBME has supplemented the historical Apprenticeship and Halstedian models of medical education. It focuses on outcomes (attainment of competencies), and promotes active learning, requiring more frequent observations and assessments of learners. Simulation represents a valuable tool in the era of CBME as it allows for both teaching and assessments to take place and promotes deliberate practice; all in a safe and controlled environment with no consequences for patients. The role of CBME and simulation in the specialty of Obstetrics and Gynecology (OBGYN) will be further explored within three manuscripts, with the goal of helping to define a national competency-based simulation training curriculum for OBGYN residents.METHODS First, a comprehensive review of literature was undertaken to compare curricula from five countries, on an international level, including Canada. Second, a list of entrustable professional activities (EPAs) for OBGYN was defined via a Delphi consensus method. Each EPA was quantified for its importance in residency training and for simulation in addition to setting benchmarks. Third, the role of simulation in OBGYN, including its current use and effectiveness, was further elaborated via a systematic review on the subject.RESULTS Five countries recognized CBME as a valuable tool in medical education, but there remains a need to develop more assessment tools, including the use of simulation. The review of curricula allowed for item analysis to take place, which yielded 15 EPAs for OBGYN. Although it was clear for experts surveyed that all outlined EPAs were important/essential and that there is a stepwise increase in competence, based on stage of residency, the role that simulation plays remained uncertain. However, the systematic review, which yielded 316 eligible studies, highlighted that simulation does in fact play a very important role in OBGYN residency training and that both its use and the number of high-quality studies involving simulation has been increasing over the years. CONCLUSION The introduction of “Competence by Design” in 2019 within Canadian residency training programs has increased the need for more adequate teaching and assessment tools in order to ensure that all graduating residents are ready for practice. This thesis demonstrated that simulation plays an integral role in filling this gap, with many studies showing that it increases assessed knowledge and skills which then translate to the workplace. Thus, a national competency-based simulation training curriculum for OBGYN residents, has the potential to increase the quality of training and patient care"--