Competency-based continuing professional development

Medical Teacher

Volumn 32, Issue 8, 2010, Pages 657-662

  Campbell, Craig ^a,d   Silver, Ivan ^b   Sherbino, Jonathan ^c,d   Cate, Olle Ten ^e   Holmboe, Eric S ^f  

^a UNIVERSITY OF OTTAWA   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c MCMASTER UNIVERSITY   (Canada)

^d ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA   (Canada)

^e UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^f AMERICAN BOARD OF INTERNAL MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; CURRICULUM; HUMAN; MEDICAL EDUCATION; ORGANIZATION AND MANAGEMENT; STANDARD;

CLINICAL COMPETENCE; COMPETENCY-BASED EDUCATION; EDUCATION, MEDICAL, CONTINUING; HUMANS;

EID: 77955077944     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/0142159X.2010.500708     Document Type: Article

References (44)

1. Academy of Medical Royal Colleges [UK]. n.d. Revalidation. Available from: http://www.aomrc.org.uk/introduction.html (Accessed 6 June 2010).
2. Armstrong EC. 1999. The well-built clinical question: The key to finding the best evidence efficiently. WMJ 98(2):25-28.
3. Audet AM, Raiu R, Jacobs CM, Schick JF, Aviles AD. 2008. Transparency as a pillar of a quality and safety culture: The experience of the New York City Health and Hospitals Corporation. Jt Comm J Qual Patient Saf 34(12):707-712.
4. Bandiera G, Sherbino J, Frank JR, editors. 2006. The CanMEDS assessment tool handbook: An introductory guide to assessment methods for the CanMEDS competencies. Ottawa: Royal College of Surgeons and Physicians of Canada.
5. Barrie AR, Ward AM. 1997. Questioning behaviour in general practice: A pragmatic study. BMJ 315(7121):1512-1515.
6. Batalden PB, Davidoff F. 2007. What is "quality improvement" and how can it transform healthcare? Qual Saf Health Care 16(1):2-3.
7. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR. 1999. Why don't physicians follow clinical practice guidelines? JAMA 282(15):1458-1465.
8. Candy PC. 1991. Self-direction for lifelong learning: A comprehensive guide to theory and practice. San Francisco: Jossey-Bass.
9. Choudhry NK, Fletcher RH, Soumerai SB. 2005. Systematic review: The relationship between clinical experience and quality of health care. Ann Intern Med 142(4):260-273.
10. Coppus SF, Emparanza JI, Hadley J, Kulier R, Weinbrenner S, Arvanitis TN, Burls A, Cabello JB, Decsi T, Horvath AR, et al. 2007. A clinically integrated curriculum in evidence-based medicine for just-in-time learning through on-the job-training: The EU-EBM project. BMC Med Educ 7:46.
11. Covell DG, Uman GC, Manning PR. 1985. Information needs in office practice: Are they being met? Ann Intern Med 103(4):596-599.
12. Davidoff F, Florance V. 2000. The informationist: A new health profession? Ann Intern Med 132(12):996-998.
13. Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. 2006. Accuracy of physician self-assessment compared with observed measures of competence: A systematic review. JAMA 296(9):1094-1102.
14. Del Bigio MR. 2007. Please slow down the CanMEDS express [letter]. CMAJ 176(6):812.
15. Dreyfus HL, Dreyfus SE. 1986. Mind over machine: The power of human intuition and expertise in the era of the computer. Oxford: Blackwell.
16. Ellaway R, Evans P, McKillip J, Cameron H, Morrison J, McKenzie H, Mires G, Pippard M, Simpson J, Cumming A, et al. 2007. Cross-referencing the Scottish Doctors and Tomorrow's Doctors learning outcome frameworks. Med Teach 29(7):630-635.
17. Embell M. 1999. Information at the point of care: Answering clinical questions. J Am Board Fam Pract 12(3):225-235.
18. Eva KW, Regehr G. 2008. "I'll never play professional football" and other fallacies of self-assessment. J Contin Educ Health Prof 28(1):14-19.
19. Federation of Medical Regulatory Authorities of Canada. 2008. Physician revalidation. Available from: http://www.fmrac.ca/policy/revalidation- eng.html (Accessed 6 June 2010).
20. Frank JR, Snell S, ten Cate O, Holmboe ES, Carraccio C, Swing SR, Harris P, Glasgow NJ, Campbell C, Dath D, et al. 2010. Competency-based medical education: Theory to practice. Med Teach 32(8):638-645.
21. Galbraith RM, Hawkins RE, Holmboe ES. 2008. Making self-assessment more effective. J Contin Edu Health Prof 28(1):20-24.
22. General Medical Council [UK]. 2010. Good Medical Practice. Available: http://www.gmc-uk.org/guidance/good-medical-practice/ contents.asp (Accessed 6 June 2010).
23. Green ML, Aagaard EM, Caverzagie KJ, Chick DA, Holmboe E, Kane G, Smith CD, Lobst W. 2009. Charting the road to competence: Developmental milestones for internal medicine residency training. J Grad Med Educ 1:5-20.
24. Hammond ME, Filling CM, Neumann AR, Homburger HA, Education Committee, College of American Pathologists. 2005. Addressing the maintenance of certification challenge: The College of American Pathologists Response. Arch Path Lab Med 129(5):666-675.
25. Haynes RB, Cotoi C, Holland J, Walters L, Wilczynski N, Jedraszewski D, McKinlay J, Parrish R, McKibbon KA, McMaster Premium Literature Service (PLUS) Project. 2006. Second-order peer review of the medical literature for clinical practitioners. JAMA 295(15):1801-1808.
26. Ho K, Bloch R, Gondocz T, Laprise R, Perrier L, Ryan D, Thivierge R, Wenghofer E. 2004. Technology-enabled knowledge translation: Frameworks to promote research and practice. J Contin Edu Health Prof 24(2):90-99.
27. Huang X, Lin J, Demner-Fushman D. 2006. Evaluation of PICO as a knowledge representation for clinical questions AMIA. Annu Symp Proc 2006:359-363.
28. Jamtvedt G, Young JM, Kristoffersen DT, O'Brien MA, Oxman AD. 2006. Audit and feedback: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev Issue 2. No CD000259.
29. Kramer W, Alman B, Reznick R. 2009. Resident training in 2009: It's the quality of time and not the quantity that matters. Canadian Orthopaedic Association Bulletin Issue 85. Available from: http://www.coa-aco.org/ coa-bulletin/issue-85/forum-resident-training-in-2009-its-the-qualityof-time- and-not-the-quantity-that-matters.html (Accessed 6 June 2010).
30. Kruger J, Dunning D. 1999. Unskilled and unaware of it: How difficulties in recognizing one's own incompetence lead to inflated self-assessments. J Pers Soc Psych 77(6):1121-1134.
31. Klass D. 2009. A performance-based conception of competence is changing the regulation of physicians' professional behavior. Acad Med 82(6):529-535.
32. McGlynn EA, Asch SM, Adams J, Keesey J, DeCristofaro A, Kerr EA. 2003. The quality of health care delivered to adults in the United States. N Engl J Med 348(26):2635-2645.
33. McKibbon KA, Wilczynski NL, Haynes RB. 2004. What do evidence-based secondary journals tell us about the publication of clinically important articles in primary healthcare journals? BMC Med 2:33.
34. Mann K, Gordon J, MacLeod A. 2007. Reflection and reflective practice in health professions education: A systematic review. Adv Health Sci Educ Theory Pract 14(4):595-621.
35. Mansouri M, Lockyer J. 2007. A meta-analysis of continuing medical education effectiveness. J Contin Edu Health Prof 27(1):6-15.
36. Marinopoulos SS, Dorman T, Ratanawongsa N, Wilson LM, Ashar BH, Magaziner JL, Miller RG, Thomas PA, Prokopowicz GP, Qayyum R, et al. 2007. Effectiveness of continuing medical education. Evid Rep Technol Assess (Full Rep). Jan(149):1-69.
37. Miller SH. 2005. American Board of Medical Specialties and repositioning for excellence in lifelong learning: Maintenance of certification. J Contin Educ Health Prof 25(3):151-156.
38. Moore DE Jr.. 2003. A framework for outcomes evaluation in the continuing professional development of physicians. In: Davis D, Barnes BE, Fox R, editors. The continuing professional development of physicians: From research to practice. Chicago: AMA Press. pp 249-274.
39. Moore DR Jr, Green JS, Gallis HA. 2009. Achieving desired results and improved outcomes: Integrating planning and assessment throughout learning activities. J Cont Educ Health Prof 29(1):1-15.
40. Parboosingh J, Campbell C, Silver I, Horsley T, Richardson D, Dath D, Brien S, Ergina P, Bankey R, Frank JR; the Scholar Lifelong Learning Working Group. 2008. Pursuing Excellence in Practice: A CanMEDS Scholar Program on Lifelong Learning. Ottawa: The Royal College of Physicians and Surgeons of Canada.
41. Plsek PE, Greenhalgh T. 2001. Complexity science: The challenge of complexity in health care. BMJ 323(7313):625-628.
42. Ryan RC, Deci EL. 2000. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol 55(1):68-78.
43. Shaughnessy AF, Slawson D. 1999. Are we providing doctors with the training and tools for lifelong learning? West J Med 181(5-6):325-328.
44. ten Cate O, Durning S. 2007. Peer teaching in medical education: Twelve reasons to move from theory to practice. Med Teach 29 (6):591-599.