True transition to practice: a role-reversal simulation
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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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
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