1. Help Us Spread the News This presentation has been developed for your use: Share and/or incorporate these slides as needed, simply source the Royal College All text, images and logos contained herein are the property of Royal College of Physicians and Surgeons of Canada Questions? Email cbd@royalcollege.cacbd@royalcollege.ca

2. Click to edit Master subtitle style CBD and Workplace Assessment in Residency June 26, 2015 Hosted by: Andre St-Pierre MBA & Farhan Bhanji MD, MSc (Ed), FRCPC, FAHA

3. Ground Rules… Opportunity to learn from each other. Interrupt when you have questions. Chances are someone else has the same. A dumb question is one that was not asked.

4. Today’s Training 21 st Century Training

5. Competency-Based Medical Education (CBME) …is an outcomes-based approach to the design, implementation, assessment and evaluation of a medical education program using an organizing framework of competencies © 2009 Royal College and The International CBME Collaborators

6. CBME: Improving Training 6 Ultimately, a move to CBME is about a better way to train health professionals.

8. Milestones and EPAs Progression of Competence Authentic Assessment Comprehensive Curriculum Faculty guidance Learner transparency Failure to fail

9. Question Period 9

10. Importance of an Assessment Program It’s a fan! It’s a spear! It’s a rope! It’s a wall! It’s a tree! It’s a snake!

11. Assessment Needs to be ‘Multi-Modal’ There is no single ‘best’ Assessment tool Need to use multiple tools to get an overall impression of the learner

12. Blueprinting

13. Need an Organizing Framework Leader

14. Miller’s Pyramid Miller's prism of clinical competence (aka Miller's pyramid). Based on the work by Miller GE, The Assessment of Clinical Skills/Competence/Performance; Acad. Med. 1990; 65(9): 63–67. Adapted by Drs. R. Mehay and R. Burns, UK (Jan 2009). It is only in the “does” triangle that the doctor truly performs.

15. What Drives Learning? Curriculum Teacher The teacher’s perspective

16. What Drives Learning con’t…? Curriculum Teacher Assessment Student The teacher’s perspectiveThe student’s perspective

17. What Needs to Happen Curriculum Teacher Assessment Student

18. Question Period 18

19. The Wisdom of Crowds Wisdom of crowds in developing optimal assessment strategies. This can’t fall to the individual Program Director. Wisdom of crowds in making decisions about individual learners. Able to speak out better. Handover of learners.

20. Faculty Development The Achilles heel of CBD????

21. Promoting Reflection

22. Can an External Lens Help to Support CBME Assessment? Private Public

23. Can we Embrace the Subjective? Use of Narrative?

24. Windows to Competence Caverzagie and Lobst

25. Simulation

26. The Holy Grail Moving CBME into CPD Photo: hilaritan.com

27. The FUTURE…Towards CBME 27 Questions? Comments?

28. Thank you! Thank you for participating!! If you have any additional questions, please email cbd@royalcollege.ca cbd@royalcollege.ca Reminders: The recording and slide deck (EN & FR) will be available online within two weeks. A link to a short survey will be emailed to you after the webinar. We welcome your feedback!