Qualitative evaluation of the contribution of CanMEDS roles in the development of area of focused competence diplomas
Background: While many Area of Focused Competency (AFC) Diplomas are available to those who have completed Pediatric residency training, it is not known which competencies are enhanced within each AFC discipline. Our objective was to determine which CanMEDS roles were targeted by existing AFCs available to those who have completed Pediatric residency training and identify gaps within CanMEDs roles that may be fulfilled by the development of new AFCs.
Methods: A qualitative study was undertaken using document analysis methodology to compare CanMEDS competencies across AFCs available to those with Royal College examination eligibility or certification in Pediatrics. RCPSC Competency Training Requirements documents were used to compare and contrast the competencies in each AFC with competencies established in Pediatric residency training. Key and Enabling Competencies were compared for each CanMEDS role to identify differences.
Results: Ten AFCs were identified with eligibility requirements including Royal College examination eligibility or certification in Pediatrics. All 10 AFCs included at least one new Medical Expert competency, for a total of 42 unique competencies in this role across all AFCs. The Scholar role had only 10 new competencies across seven AFCs, while only one AFC added a single unique competency in the Collaborator role.
Conclusions: The majority of new competencies contributed by AFCs lie within the CanMEDS role of Medical Expert. The Scholar and Collaborator roles have the least differences when comparing competencies of existing AFCs to those competencies established in Pediatric residency training. Developing additional AFCs that offer advanced skills in these roles may help close this gap within the discipline of Pediatrics.
The Royal College of Physicians and Surgeons of Canada Area of Focused Competence (AFC) diploma. Royalcollege.ca. 2022 Available from: https://www.royalcollege.ca/rcsite/credentials-exams/exam-eligibility/areas-focussed-competence-afc-diploma-e [Accessed on Mar 3, 2022].
The Royal College of Physicians and Surgeons of Canada. Accreditation of Areas of Focused Competence (AFC) programs. Royalcollege.ca. 2022. Available from: https://www.royalcollege.ca/rcsite/accreditation-pgme-programs/accreditation-areas-focussed-competence-afc-programs-e. [Accessed on Mar 3, 2022].
The Royal College of Physicians and Surgeons of Canada Discipline recognition: Areas of Focused Competence (AFC) programs. Royalcollege.ca. 2022. Available from: https://www.royalcollege.ca/rcsite/specialty-discipline-recognition/categories/discipline-recognition-areas-focused-competence-afc-programs-e. [Accessed on Mar 3, 2022].
The Royal College of Physicians and Surgeons of Canada. New AFC accreditation system. Royalcollege.ca. 2022. Available from: https://www.royalcollege.ca/rcsite/accreditation-pgme-programs/areas-of-focused-competence-accreditation-system-e. [Accessed on Mar 3, 2022].
The Royal College of Physicians and Surgeons of Canada Information by discipline. Royalcollege.ca. 2022 Available from: https://www.royalcollege.ca/rcsite/ibd-search-e [Accessed on Mar 3, 2022].
Get proofed. Research paradigms: explanations and examples Getproofed.com. 2022. Available from: https://getproofed.com.au/writing-tips/research-paradigms-explanation-and-examples/ [Accessed on Nov 30, 2022].
Bowen GA. Document analysis as a qualitative research method. Qual Res J. 3 August 2009;9(2):27-40.
Rohwer A, Schoonees A, Young T. Methods used and lessons learnt in conducting document reviews of medical and allied health curricula – a key step in curriculum evaluation. BMC Med Ed 2 November 2014;14(1):236.
Dalglish SL, Khalid H, McMahon SA. Document analysis in health policy research: the READ approach. Health Pol Planning. 11 November 2020;35(10):1424-31.
O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014. https://doi.org/10.1097/ACM.0000000000000388.
Al Maawali A, Puran A, Schwartz S, Johnstone J, Bismilla Z. The current state of general Pediatric fellowships in Canada. Pediatrics & child health. 2021;26(6):353-357. https://doi.org/10.1093/pch/pxaa136
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. https://doi.org/10.1136/bmj.n71
How to Cite
Copyright (c) 2023 Tanvi Agarwal, Maria Jose Conejero Muller, Adelle Atkinson, Zia Bismilla
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Submission of an original manuscript to the Canadian Medical Education Journal will be taken to mean that it represents original work not previously published, that it is not being considered elsewhere for publication. If accepted for publication, it will be published online and it will not be published elsewhere in the same form, for commercial purposes, in any language, without the consent of the publisher.
Authors who publish in the Canadian Medical Education Journal agree to release their articles under the Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 Canada Licence. This licence allows anyone to copy and distribute the article for non-commercial purposes provided that appropriate attribution is given. For details of the rights an author grants users of their work, please see the licence summary and the full licence.