Feedback Quality in Geriatric Medicine: Analyzing Entrustable Professional Activities in a Competency-Based Curriculum...44th Annual Scientific Meeting of the Canadian Geriatrics Society, May 29–31 2025; Toronto, Ontario.

Background: Competency-based medical education (CBME) aims to enhance the quality of medical training by providing timely, actionable feedback through entrustable professional activities (EPAs). However, variability in feedback quality remains a concern across residency programs. Methods: We conduct...

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Publicado en:Canadian Geriatrics Journal Vol. 28; no. 3; pp. 221 - 228
Autores principales: Dolatabadi, Azin, Nandan, Aathmika, Gandell, Dov
Formato: proceedings research tables/charts Journal Article
Publicado: Canadian Geriatrics Society Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 28
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      pub: Canadian Geriatrics Society
      place: Markham, Ontario
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        atl: Feedback Quality in Geriatric Medicine: Analyzing Entrustable Professional Activities in a Competency-Based Curriculum...44th Annual Scientific Meeting of the Canadian Geriatrics Society, May 29–31 2025; Toronto, Ontario.
      aug:
        au:
          Dolatabadi, Azin
          Nandan, Aathmika
          Gandell, Dov
        affil: Temerty Faculty of Medicine, University of Toronto, Toronto, ON
      sug:
        subj:
          Feedback
          Quality Assessment
          Geriatrics Education
          Professional Competence
          Education, Competency-Based
          Curriculum Evaluation
          Education, Graduate
          Human
          Retrospective Design
          Record Review
          Canada
          Aged
          Funding Source
          Competency Assessment
          Time Factors
          Student Orientation
          Random Sample
          Chi Square Test
          Fisher's Exact Test
          Comparative Studies
          Burnout, Professional
          Digital Technology
          Faculty Development
          Quality Improvement
          Interviews
          Task Performance and Analysis
          Descriptive Statistics
          Data Analysis Software
          Congresses and Conferences Ontario
          Ontario
          Aged: 65+ years
      ab: Background: Competency-based medical education (CBME) aims to enhance the quality of medical training by providing timely, actionable feedback through entrustable professional activities (EPAs). However, variability in feedback quality remains a concern across residency programs. Methods: We conducted a retrospective analysis of EPA feedback forms from a geriatric medicine program, comparing two distinct time periods: 2019–2020 and 2021–2022. This program averages eight residents per year with 30 full-time faculty members. The quality of feedback was assessed based on timeliness, task orientation, actionability, and polarity. Results: 404 EPAs were initiated and completed in 2019–2020, with 69% (n=278) being timely, 89% (n=360) task oriented, 50% (n=203) very actionable, and 62% (n=250) corrective in polarity. 851 EPAs were initiated in 2021–2022 and 76% (n=645) were completed, with 64% (n=410) being timely, 78% (n=501) task oriented, 40% (n=259) very actionable, and 47% (n=305) corrective in polarity. Timely feedback was more likely to be task-oriented (χ2(1)=11.87, p<.001), actionable (χ2(2)=24.40, p<.001), and corrective (χ2(3)=22.80, p<.001) in the second timeframe. Compared to the second timeframe, EPAs completed in the first timeframe were more likely to be task oriented (χ2(1)=22.08, p<.001), actionable (χ2(2)=25.54, p<.001), and corrective in polarity (χ2(3)=25.89, p<.001). Conclusions: Our study revealed lower quality feedback over time since implementing CBME at a geriatric medicine subspecialty training program. The root causes of the reduction in quality were not explored but are theorized to be multifactorial. Further investigation into the reasons for the reduction in feedback quality will help direct interventions to better sustain the quality of CBME implementation.
      pubtype: Academic Journal
      doctype:
        proceedings
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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