True transition to practice: a role-reversal simulation

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DOI:

https://doi.org/10.36834/cmej.75125

Abstract

Implication Statement

This article explores a direct-observation simulation swapping resident and consultant roles as a measure to assess competence during the final “transition to practice” phase of residency. As indicated by the Royal College, assessment of competency in this stage should include direct observation; however, this is challenging to implement, both from the perspective of a busy clinical environment, but also logistically, as a final-stage resident is still a learner in a consultant clinic. Our suggested approach allows for both real-world experience for the resident as well as direct observation and assessment by the consultant, thus providing the resident with targeted, actionable feedback, as well as ensuring the final-stage resident is competent for practice.

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References

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Hall AK, Schumacher DJ, Thoma B, et al. Outcomes of competency-based medical education: a taxonomy for shared language. Med teach. 2021;43(7). https://doi:10.1080/0142159X.2021.1925643

Medical Oncology Specialty Committee. EPA Guide: medical oncology. Ottawa: Royal College of Physicians and Surgeons of Canada; 2017 Available from https://www.royalcollege.ca/rcsite/documents/cbd/epa-guide-medical-oncology-e.pdf [Accessed on Apr 1, 2022].

Elfenbein DM. Confidence crisis among general surgery residents: a systematic review and qualitative discourse analysis. JAMA Surgery. 2016;151(12):1166-1175. https://doi:10.1001/jamasurg.2016.2792

Dunn W, Dong Y, Zendejas B, Ruparel R, Farley D. Simulation, mastery learning and healthcare. Amer J Med Sci. 2017;353(2). https://doi:10.1016/j.amjms.2016.12.012

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Published

2023-01-31

How to Cite

1.
Preti B, Sanatani M. True transition to practice: a role-reversal simulation. Can. Med. Ed. J [Internet]. 2023 Jan. 31 [cited 2024 Nov. 23];14(4):120-2. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/75125

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