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Mohammad K. Standardizing clinician training and patient care in the neonatal neurocritical care: A step-by-step guide. Semin Perinatol 2024; 48:151924. [PMID: 38897827 DOI: 10.1016/j.semperi.2024.151924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/21/2024]
Abstract
Neonatal neurocritical care (NNCC) has emerged as an important specialty to address neurological conditions affecting newborns including a wide spectrum of brain injuries and developmental impairment. Despite the discipline's growth, variability in NNCC service delivery, patient care, and clinical training poses significant challenges and potentially adversely impacts patient outcomes. Variations in neuroprotective strategies, postnatal care, and training methodologies highlight the urgent need for a unified approach to optimize both short- and long-term neurodevelopmental outcomes for these vulnerable population. This paper presents strategic blueprints for establishing standardized NNCC clinical care and training programs focusing on collaborative effort across medical and allied health professions. By addressing these inconsistencies, the paper proposes that standardizing NNCC practices can significantly enhance the quality of care, streamline healthcare resource utilization, and improve neurodevelopmental outcome, thus paving the way for a new era of neonatal neurological care.
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Affiliation(s)
- Khorshid Mohammad
- Section of Newborn Critical Care, Department of Pediatrics, University of Calgary, Canada.
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2
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Gaetke-Udager K, Hess C, Mahoney M, Omary RA, Slanetz P, Ros PR. The 2023 AUR Academic Radiology and Industry Leaders Roundtable. Acad Radiol 2024:S1076-6332(24)00358-1. [PMID: 38890031 DOI: 10.1016/j.acra.2024.05.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Revised: 04/27/2024] [Accepted: 05/31/2024] [Indexed: 06/20/2024]
Affiliation(s)
| | | | - Mary Mahoney
- Department of Radiology, University of Cincinnati College of Medicine
| | - Reed A Omary
- Department of Radiology, Vanderbilt University Medical Center
| | | | - Pablo R Ros
- Department of Radiology, Stony Brook University
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3
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Simon TA, Owais S, Duarte D, Acai A. Chronicling the Transition to Competency-Based Medical Education in a Small Subspeciality Program. J Grad Med Educ 2024; 16:312-317. [PMID: 38882435 PMCID: PMC11173005 DOI: 10.4300/jgme-d-23-00643.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Revised: 11/30/2023] [Accepted: 03/12/2024] [Indexed: 06/18/2024] Open
Abstract
Background As medical education programs transition to competency-based medical education (CBME), experiences transitioning in the context of small subspecialty programs remain unknown, yet they are needed for effective implementation and continual improvements. Objective To examine faculty and resident experiences transitioning to CBME in a small subspeciality program. Methods Using a qualitative descriptive approach and constructivist lens, faculty and residents in McMaster University's geriatric psychiatry subspecialty program were interviewed about their transition experiences between November 2021 and February 2022, after the program's soft launch of CBME in 2020. Interviews were transcribed and data were analyzed using thematic analysis. Reflexive memo writing and investigator and data triangulation strategies were employed to ensure rigor and trustworthiness of the data. Results Ten of the 17 faculty members (59%) and 3 residents (100%) participated. Six themes were developed: (1) Both faculty and residents see themselves as somewhat knowledgeable about CBME, but sources of knowledge vary; (2) More frequent feedback is beneficial; (3) Aspects of CBME that are challenging for residents are beneficial for faculty; (4) Competence committees are perceived positively despite most participants' limited firsthand experience with them; (5) Small program size is both a barrier and facilitator to providing and receiving feedback; and (6) Suggestions for improvement are centered on helping manage faculty and resident workload imposed by CBME. Conclusions Incongruent expectations surrounding entrustable professional activity management were highlighted as an area requiring support. Collegial relationships among faculty and residents made it difficult for faculty to provide constructive feedback but improved residents' perceptions of the feedback.
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Affiliation(s)
- Taryn A Simon
- is a Research Assistant, Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
| | - Sawayra Owais
- is a MD/PhD Candidate, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Dante Duarte
- is Assistant Professor, Department of Psychiatry and Behavioural Neurosciences, McMaster University, and Geriatric Psychiatrist, Seniors Mental Health Program, St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada; and
| | - Anita Acai
- is Assistant Professor and Education Scientist, Department of Psychiatry and Behavioural Neurosciences and McMaster Education Research, Innovation and Theory (MERIT) Program, McMaster University, and Education Scientist, St. Joseph's Education & Research Centre (SERC), St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada
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Hall AK, Oswald A, Frank JR, Dalseg T, Cheung WJ, Cooke L, Gorman L, Brzezina S, Selvaratnam S, Wagner N, Hamstra SJ, Van Melle E. Evaluating Competence by Design as a Large System Change Initiative: Readiness, Fidelity, and Outcomes. PERSPECTIVES ON MEDICAL EDUCATION 2024; 13:95-107. [PMID: 38343556 PMCID: PMC10854467 DOI: 10.5334/pme.962] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/17/2023] [Indexed: 02/15/2024]
Abstract
Program evaluation is an essential, but often neglected, activity in any transformational educational change. Competence by Design was a large-scale change initiative to implement a competency-based time-variable educational system in Canadian postgraduate medical education. A program evaluation strategy was an integral part of the build and implementation plan for CBD from the beginning, providing insights into implementation progress, challenges, unexpected outcomes, and impact. The Competence by Design program evaluation strategy was built upon a logic model and three pillars of evaluation: readiness to implement, fidelity and integrity of implementation, and outcomes of implementation. The program evaluation strategy harvested from both internally driven studies and those performed by partners and invested others. A dashboard for the program evaluation strategy was created to transparently display a real-time view of Competence by Design implementation and facilitate continuous adaptation and improvement. The findings of the program evaluation for Competence by Design drove changes to all aspects of the Competence by Design implementation, aided engagement of partners, supported change management, and deepened our understanding of the journey required for transformational educational change in a complex national postgraduate medical education system. The program evaluation strategy for Competence by Design provides a framework for program evaluation for any large-scale change in health professions education.
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Affiliation(s)
- Andrew K. Hall
- Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
| | - Anna Oswald
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
- Division of Rheumatology, Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada
| | - Jason R. Frank
- Department of Emergency Medicine, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Tim Dalseg
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
- Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, ON, Canada
| | - Warren J. Cheung
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
- Department of Emergency Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Lara Cooke
- Neurology, Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Lisa Gorman
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
| | - Stacey Brzezina
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
| | | | - Natalie Wagner
- Queen’s Health Sciences Office of Professional Development and Educational Scholarship, Queen’s University, Kingston, ON, Canada
| | - Stanley J. Hamstra
- Department of Surgery, University of Toronto, Toronto, ON, Canada
- Department of Milestones Research and Evaluation, Accreditation Council for Graduate Medical Education, Chicago, IL, USA
- Department of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Elaine Van Melle
- Royal College of Physicians and Surgeons of Canada, Ottawa, ON, Canada
- Department of Family Medicine, Queen’s University, Kingston, ON, Canada
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Bentley H, Darras KE, Sedlic A, Hague CJ. Redesigning Introductory Diagnostic Radiology Graduate Medical Education Upon the Transition to Competency-Based Medical Education. Acad Radiol 2023; 30:2798-2799. [PMID: 37002034 DOI: 10.1016/j.acra.2023.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 02/17/2023] [Accepted: 02/20/2023] [Indexed: 03/31/2023]
Affiliation(s)
- Helena Bentley
- Department of Radiology, Faculty of Medicine, University of British Columbia, 11th Floor, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada.
| | - Kathryn E Darras
- Department of Radiology, Faculty of Medicine, University of British Columbia, 11th Floor, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada; Department of Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Anto Sedlic
- Department of Radiology, Faculty of Medicine, University of British Columbia, 11th Floor, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada; Department of Radiology, Vancouver General Hospital, Vancouver, British Columbia, Canada
| | - Cameron J Hague
- Department of Radiology, Faculty of Medicine, University of British Columbia, 11th Floor, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada; Department of Radiology, St Paul's Hospital, Vancouver, British Columbia, Canada
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Pakkal M, Dennie C, Hague CJ, Manos D, Nguyen ET, Pi Y, Souza C, Taylor J, Memauri BF. National Core and Advanced Cardiac Imaging Curricula: A Framework From the Canadian Society of Thoracic Radiology Education Committee. Acad Radiol 2023; 30:2418-2421. [PMID: 37394407 DOI: 10.1016/j.acra.2023.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 05/08/2023] [Accepted: 05/10/2023] [Indexed: 07/04/2023]
Abstract
RATIONALE Well-defined curriculum with goals and objectives is an inherent part of every radiology residency program. MATERIALS AND METHODS Following a needs assessment, the Canadian Society of Thoracic Radiology education committee developed a cardiac imaging curriculum using a mixed method collaborative approach. RESULTS The Cardiovascular Imaging Curricula consist each of two separate yet complimentary granular parts: a Core Curriculum, aimed at residents in-training, with the main goal of building a strong foundational knowledge and an Advanced Curriculum, designed to build upon the core knowledge and guide a more in-depth fellowship subspecialty training. CONCLUSION The curricular frameworks aim to enhance the educational experience of trainees (residents and fellows) and provide an educational framework for clinical supervisors and residency and fellowship program directors. SUMMARY STATEMENT The Canadian Society of Thoracic Radiology (CSTR) championed the creation of Cardiovascular and Thoracic Imaging curricula encompassing clinical knowledge and technical, communication, and decision-making skills with the goal of providing direction to a strong foundational knowledge for residents and to guide specialty training for fellowship programs.
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Affiliation(s)
- Mini Pakkal
- University Medical Imaging Toronto (UMIT), University of Toronto, Peter Munk Cardiac Centre, Toronto General Hospital, 585 University Avenue, Toronto, ON M5G2N2, Canada (M.P., E.T.N.).
| | - Carole Dennie
- Department of Medical Imaging, University of Ottawa, Ottawa, ON, Canada (C.D., C.S.)
| | - Cameron J Hague
- Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada (C.J.H.)
| | - Daria Manos
- Department of Diagnostic Radiology, Dalhousie University, Halifax, NS, Canada (D.M.)
| | - Elsie T Nguyen
- University Medical Imaging Toronto (UMIT), University of Toronto, Peter Munk Cardiac Centre, Toronto General Hospital, 585 University Avenue, Toronto, ON M5G2N2, Canada (M.P., E.T.N.)
| | - Yeli Pi
- Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, AB, Canada (Y.P.)
| | - Carolina Souza
- Department of Medical Imaging, University of Ottawa, Ottawa, ON, Canada (C.D., C.S.)
| | - Jana Taylor
- McGill University Health Center, Montreal, QC, Canada (J.T.)
| | - Brett F Memauri
- Department of Radiology, University of Manitoba, Winnipeg, MB, Canada (B.F.M.)
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7
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Bentley H, Diep Quoc Vo C, Zaki-Metias K, Nikpanah M. Competency-Based Medical Education in Radiology Graduate Medical Education: Overview and Future Perspectives. Radiographics 2023; 43:e220197. [PMID: 37053101 DOI: 10.1148/rg.220197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2023]
Affiliation(s)
- Helena Bentley
- From the Department of Radiology, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, 2775 Laurel St, 11th Floor, Vancouver, BC, Canada V5Z 1M9 (H.B.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (C.D.Q.V.); Department of Radiology, Trinity Health Oakland Hospital, Wayne State University School of Medicine, Pontiac, Mich (K.Z.M.); and Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala (M.N.)
| | - Chau Diep Quoc Vo
- From the Department of Radiology, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, 2775 Laurel St, 11th Floor, Vancouver, BC, Canada V5Z 1M9 (H.B.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (C.D.Q.V.); Department of Radiology, Trinity Health Oakland Hospital, Wayne State University School of Medicine, Pontiac, Mich (K.Z.M.); and Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala (M.N.)
| | - Kaitlin Zaki-Metias
- From the Department of Radiology, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, 2775 Laurel St, 11th Floor, Vancouver, BC, Canada V5Z 1M9 (H.B.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (C.D.Q.V.); Department of Radiology, Trinity Health Oakland Hospital, Wayne State University School of Medicine, Pontiac, Mich (K.Z.M.); and Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala (M.N.)
| | - Moozhan Nikpanah
- From the Department of Radiology, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, 2775 Laurel St, 11th Floor, Vancouver, BC, Canada V5Z 1M9 (H.B.); Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (C.D.Q.V.); Department of Radiology, Trinity Health Oakland Hospital, Wayne State University School of Medicine, Pontiac, Mich (K.Z.M.); and Department of Radiology, University of Alabama at Birmingham, Birmingham, Ala (M.N.)
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Kagoma YK, Dobranowski J, Patlas M. Competency-Based Medical Education in Radiology - Planning for the Immediate and Long-Term Future of Radiology Education. Can Assoc Radiol J 2023:8465371231157252. [PMID: 36786330 DOI: 10.1177/08465371231157252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2023] Open
Affiliation(s)
- Yoan K Kagoma
- Department of Radiology, 3710McMaster University, Hamilton, ON, Canada
| | | | - Michael Patlas
- Department of Radiology, 3710McMaster University, Hamilton, ON, Canada
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Bentley H, Lee J, Supersad A, Yu H, Wong SA, Stewart M, Vatturi SS, Crivellaro P, Khatchikian AD, Hague CJ, Taylor J, Probyn L. A National Survey of Canadian Diagnostic Radiology Program Directors on the Transition to Competence by Design in Diagnostic Radiology Post-Graduate Medical Education. Can Assoc Radiol J 2022:8465371221143247. [PMID: 36537184 DOI: 10.1177/08465371221143247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Affiliation(s)
- Helena Bentley
- Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Juvel Lee
- Department of Radiology, University of Ottawa, Ottawa, Ontario, Canada
| | - Alanna Supersad
- Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada
| | - Hang Yu
- Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Scott A Wong
- Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada
| | - Matthew Stewart
- Department of Radiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | | | | | | | | | - Cameron J Hague
- Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada,Department of Radiology, St Paul's Hospital, Vancouver, British Columbia, Canada
| | - Jana Taylor
- Department of Radiology, McGill University, Montreal, Quebec, Canada
| | - Linda Probyn
- Department of Radiology, University of Toronto, Toronto, Ontario, Canada
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