Development, Implementation, and Meta-Evaluation of a National Approach to Programmatic Assessment in Canadian Family Medicine Residency Training

被引:1
|
作者
Ross, Shelley [1 ]
Lawrence, Kathrine [2 ]
Bethune, Cheri [3 ,4 ]
van der Goes, Theresa [5 ]
Pelissier-Simard, Luce [6 ]
Donoff, Michel [7 ]
Crichton, Thomas [8 ]
Laughlin, Thomas [9 ,10 ]
Dhillon, Kiran [7 ,11 ]
Potter, Martin [12 ]
Schultz, Karen [11 ,13 ]
机构
[1] Univ Alberta, Dept Family Med, Res & Innovat Teaching & Assessment Support Progr, Edmonton, AB, Canada
[2] Univ Saskatchewan, Family Med, Saskatoon, SK, Canada
[3] Univ Newfoundland, Northern Ontario Sch Med, St John, NF, Canada
[4] Coll Family Physicians Canada, Mississauga, ON, Canada
[5] Univ British Columbia, Family Med Residency Program, Vancouver, BC, Canada
[6] Univ Sherbrooke, Ctr Dev Profess, Dept Family Med & Emergency Med, Fac Med & Sci Sante, Sherbrooke, PQ, Canada
[7] Univ Alberta, Dept Family Med, Edmonton, AB, Canada
[8] Northern Ontario Sch Med, Postgrad Med Educ, Thunder Bay, ON, Canada
[9] Dalhousie Univ, Dept Family Med, Halifax, NS, Canada
[10] Mem Univ Newfoundland, Discipline Family Med, St John, NF, Canada
[11] Coll Family Phys Canada, Certificat Proc & Assessment Comm, Mississauga, ON, Canada
[12] Univ Montreal, Family Med & Emergency Dept, Montreal, PQ, Canada
[13] Queens Univ, Dept Family Med, Kingston, ON, Canada
关键词
EVALUATION OBJECTIVES; ACHIEVEMENT SYSTEM; SELF-ASSESSMENT; BLACK-BOX; EDUCATION; FEEDBACK; PERFORMANCE; DIMENSIONS; MODEL;
D O I
10.1097/ACM.0000000000004750
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
The growing international adoption of competency-based medical education has created a desire for descriptions of innovative assessment approaches that generate appropriate and sufficient information to allow for informed, defensible decisions about learner progress. In this article, the authors provide an overview of the development and implementation of the approach to programmatic assessment in postgraduate family medicine training programs in Canada, called Continuous Reflective Assessment for Training (CRAFT). CRAFT is a principles-guided, high-level approach to workplace-based assessment that was intentionally designed to be adaptable to local contexts, including size of program, resources available, and structural enablers and barriers. CRAFT has been implemented in all 17 Canadian family medicine residency programs, with each program taking advantage of the high-level nature of the CRAFT guidelines to create bespoke assessment processes and tools appropriate for their local contexts. Similarities and differences in CRAFT implementation between 5 different family medicine residency training programs, representing both English- and French-language programs from both Western and Eastern Canada, are described. Despite the intentional flexibility of the CRAFT guidelines, notable similarities in assessment processes and procedures across the 5 programs were seen. A meta-evaluation of findings from programs that have published evaluation information supports the value of CRAFT as an effective approach to programmatic assessment. While CRAFT is currently in place in family medicine residency programs in Canada, given its adaptability to different contexts as well as promising evaluation data, the CRAFT approach shows promise for application in other training environments.
引用
收藏
页码:188 / 198
页数:11
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