Eight-year outcomes of a competency-based residency training program in orthopedic surgery.

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    • Subject Terms:
      CLINICAL competence; CURRICULUM planning; HOSPITAL medical staff; INTERNSHIP programs; LEARNING strategies; ORTHOPEDIC surgery; POSTDOCTORAL programs; HUMAN services programs; COURSE evaluation (Education); EDUCATIONAL outcomes; COLLEGE teacher attitudes; EVALUATION of human services programs
    • Abstract:
      Background: The Division of Orthopaedic Surgery at the University of Toronto implemented a pilot residency training program that used a competency-based framework in July of 2009. The competency-based curriculum (CBC) deployed an innovative, modularized approach that dramatically intensified both the structured learning elements and the assessment processes. Methods: This paper discusses the initial curriculum design of the CBC pilot program; the refinement of the curriculum using curriculum mapping that allowed for efficiencies in educational delivery; details of evaluating resident competence; feedback from external reviews by accrediting bodies; and trainee and program outcomes for the first eight years of the program's implementation. Results: Feedback from the residents, the faculty, and the postgraduate residency training accreditation bodies on the CBC has been positive and suggests that the essential framework of the program may provide a valuable tool to other programs that are contemplating embarking on transition to competency-based education. Conclusions: While the goal of the program was not to shorten training per se, efficiencies gained through a modular, competency-based program have resulted in shortened time to completion of residency training for some learners. [ABSTRACT FROM AUTHOR]
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