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Perceptions on Competence by Design in urology.


ABSTRACT:

Introduction

The Royal College of Physicians and Surgeons of Canada has begun implementing Competence by Design (CBD). However, it is unclear how much urology trainees and faculty know about CBD, their attitudes towards this change, and their willingness to embrace and participate in this new model of training.

Methods

This cross-sectional study was conducted through an online survey, which was administered to all trainees and faculty at Canadian urology programs prior to the implementation of CBD. The final survey consisted of eight demographic questions, 17 five-point Likert items, one visual analog scale question, 11 multiple selection questions, and two open-ended questions.

Results

A total of 74 participants (38 faculty and 36 trainees) across 12 universities responded, with a completion rate of 82.4%. This corresponded to an overall response rate of 20.5%. Overall, there was a lack of resounding enthusiasm towards this shift to CBD in urology. Although both trainees and faculty had overall positive perceptions of CBD on assessment, teaching, and readiness, most agreed that this transition will be costly and associated with increased requirements for time, funding, and administrative support. Furthermore, there were significant concerns regarding the lack of valid assessment tools and evidence for the validity of entrustable professional activities.

Conclusions

While this survey has demonstrated an appreciation for the benefits of CBD, challenges are equally anticipated. CBD in urology will be a fertile research area; this study has identified several important educational questions regarding the model's effectiveness and consequences, thus, providing collaborative opportunities among all Canadian programs.

SUBMITTER: Wang PZT 

PROVIDER: S-EPMC6667332 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Perceptions on Competence by Design in urology.

Wang Peter Zhan Tao PZT   Chan Ernest E   Forster Adam A   De Dios Jennifer Vergel JV   Sener Alp A   Dave Sumit S   Chahine Saad S  

Canadian Urological Association journal = Journal de l'Association des urologues du Canada 20190701 7


<h4>Introduction</h4>The Royal College of Physicians and Surgeons of Canada has begun implementing Competence by Design (CBD). However, it is unclear how much urology trainees and faculty know about CBD, their attitudes towards this change, and their willingness to embrace and participate in this new model of training.<h4>Methods</h4>This cross-sectional study was conducted through an online survey, which was administered to all trainees and faculty at Canadian urology programs prior to the impl  ...[more]

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