Centered on learning, but is it learner centered?: Paediatric resident perspectives on competency‐based medical education.
Background: Like other Canadian specialty postgraduate training programmes, paediatrics recently transitioned to a competency‐based medical education (CBME) platform. This programme, the Royal College of Physicians and Surgeons of Canada's Competence By Design (CBD), is espoused as learner‐centered....
| Publicado en: | Medical Education Vol. 60; no. 6; pp. 664 - 676 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193399171&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193399171 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Jun2026 vid: 60 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 193399171 189280354 193399171 193399171 10.1111/medu.70081 193399171 ppf: 664 ppct: 12 formats: tig: atl: Centered on learning, but is it learner centered?: Paediatric resident perspectives on competency‐based medical education. aug: au: Anzinger, Harrison Schrewe, Brett affil: Pediatric Resident, Department of Pediatrics, Faculty of Medicine, The University of British Columbia, Victoria, Canada sug: subj: Education, Competency-Based Education, Medical Pediatrics Education Interns and Residents Psychosocial Factors Physician Attitudes Evaluation Program Implementation Human Models, Educational Colleges and Universities Convenience Sample Semi-Structured Interview Adult Male Female Internship and Residency Qualitative Studies Interview Guides Case Studies Clinical Assessment Tools Videorecording Lecture Thematic Analysis Print Materials Stress, Psychological Risk Factors Interprofessional Relations Preceptorship Task Performance and Analysis Feedback Narratives Learning Evaluation Accountability Faculty, Medical Pediatrics Professional Practice Funding Source Adult: 19-44 years Male Female ab: Background: Like other Canadian specialty postgraduate training programmes, paediatrics recently transitioned to a competency‐based medical education (CBME) platform. This programme, the Royal College of Physicians and Surgeons of Canada's Competence By Design (CBD), is espoused as learner‐centered. However, resident voices were underrepresented in CBD's creation, and there are emerging concerns that its practical implementation may have unintended effects on this population. We sought to understand how CBD has affected the educational experiences of paediatric residents, with the goal of leveraging their insights to further strengthen this training model. Methods: Our qualitative instrumental single case study explored the perspectives of paediatric residents who began training in the inaugural CBD cohort in 2021. We conducted semi‐structured interviews with fourteen residents during their third year (August 2023–February 2024) in two Canadian programmes. We constructed themes from this data set using reflexive, inductive thematic analysis, looking for regularities that transcended the particularities of the training context. Results: Our results suggest that residents agree with CBD's espoused purpose, yet feel that its day‐to‐day implementation has impacted them in four key ways: 1) the onus of responsibility and administrative burden falls to residents; 2) entrustable professional activities generate variable feedback; 3) CBD is less assessment for learning more assessment of learning; and 4) staff physicians have struggled to embrace CBD. Discussion: Our findings align with concerns raised in other specialties, opening up questions as to why a learner‐centered system may be having deleterious effects on its residents. We suggest that if the field is to fully unlock the potential that CBME systems hold, it is necessary to engage productively with resident critiques and to more deeply consider the effects that its historical and ideological aspects—such as its desire to materially demonstrate the acquisition of learner competence as well as a neoliberal orientation—have on CBME's contemporary design and delivery. New reaserch explores the impact of competency based medical education on post graduate trainees in Canada, and explores the history and theoretical basis of how we got here, and where to go. #MedEd pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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