9,770 results match your criteria competency assessment


Wiad Lek 2021 ;74(3 cz 2):713-717


Objective: The aim: Determining the compliance of the developed Public Health Educational Program with the principles and basic provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region.

Patients And Methods: Materials and methods: The study used bibliographic and information-analytical methods and content analysis. A comparative analysis compliance of the content of the Public Health Master's Educational Program, developed in Bogomolets National Medical University, with the provisions of the WHO-ASPHER Competency Framework for Public Health Workforce in the European Region in terms of providing academic disciplines in the ECTS credits (European credit transfer and accumulation system), has been carried out. Read More

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January 2021

Medical Education and Training Within Congenital Cardiology: Current Global Status and Future Directions in A Post COVID-19 World.

Cardiol Young 2021 Apr 12:1-40. Epub 2021 Apr 12.

Department of Cardiology, Mazankowski Heart Institute, University of Alberta, Edmonton, Alberta, Canada.

Despite enormous strides in our field with respect to patient care, there has been surprisingly limited dialogue on how to train and educate the next generation of congenital cardiologists. This paper reviews the current status of training and evolving developments in medical education pertinent to congenital cardiology. The adoption of competency-based medical education has been lauded as a robust framework for contemporary medical education over the last two decades. Read More

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Does direct observation happen early in a new competency-based residency program?

AEM Educ Train 2021 Apr 1;5(2):e10591. Epub 2021 Apr 1.

Department of Emergency Medicine University of Ottawa Ottawa Ontario Canada.

Background: A key component of competency-based medical education is workplace-based assessment, which includes observation (direct or indirect) of residents. Direct observation has been emphasized as an ideal form of assessment yet challenges have been identified that may limit its adoption. At present, it remains unclear how often direct and indirect observation are being used within the clinical setting. Read More

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Multi-institutional Implementation of the National Clinical Assessment Tool in Emergency Medicine: Data From the First Year of Use.

AEM Educ Train 2021 Apr 20;5(2):e10496. Epub 2020 Jul 20.

and the Department of Emergency Medicine University of Washington Seattle WA USA.

Objectives: Uniformly training physicians to provide safe, high-quality care requires reliable assessment tools to ensure learner competency. The consensus-derived National Clinical Assessment Tool in Emergency Medicine (NCAT-EM) has been adopted by clerkships across the country. Analysis of large-scale deidentified data from a consortium of users is reported. Read More

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Procedural Skills Training in Emergency Medicine Physicians Within the Edmonton Zone: A Needs Assessment.

AEM Educ Train 2021 Apr 11;5(2):e10495. Epub 2020 Jul 11.

Department of Emergency Medicine University of Alberta Edmonton Alberta Canada.

Objectives: The objectives were to describe the current procedural skill practices, attitudes toward procedural skill competency, and the role for educational skills training sessions among emergency medicine (EM) physicians within a geographic health zone.

Methods: This is a multicenter descriptive cross-sectional survey of all EM physicians working at 12 emergency departments (EDs) within the Edmonton Zone in 2019. Survey items addressed current procedural skill performance frequency; perceived importance and confidence; current methods to maintain competence; barriers and facilitating factors to participation in a curriculum; preferred teaching methods; and desired frequency of practice for each procedural skill. Read More

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Mini-Clinical Evaluation Exercise as a Tool for Formative Assessment of Postgraduates in Psychiatry.

Int J Appl Basic Med Res 2021 Jan-Mar;11(1):27-31. Epub 2021 Jan 26.

Department of Psychiatry, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.

Context: Introduction of competency-based medical education in India has necessitated a diversion from traditional methods of teaching and assessment.

Aim: The aim of this study was to assess the feasibility and acceptability of mini-clinical evaluation exercise (mini-CEX) as a tool for formative assessment of postgraduates in psychiatry at our institute.

Settings And Design: It was a prospective, quasi-experimental study carried out in the Department of Psychiatry, PGIMS, Rohtak (India). Read More

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January 2021

Utilization of a training portfolio in thoracic and cardiovascular surgery: the example of the French platform-EPIFORM.

J Thorac Dis 2021 Mar;13(3):2054-2057

Department of Thoracic Surgery, Strasbourg University Hospital, Strasbourg, France.

Thoracic and cardiovascular surgery requires learning both theoretical knowledge and technical skills. In this surgical field, several disparities exist between the different training programs around the world. This report describes the implementation of a portfolio in the teaching and assessment of French trainees in Thoracic and Cardiovascular surgery, following an electronic logbook model, aiming to improve the training program. Read More

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Objective Structured Assessment of technical skill (OSATS) in the Surgical Skills and Technology Elective Program (SSTEP): Comparison of peer and expert raters.

Am J Surg 2021 Apr 2. Epub 2021 Apr 2.

Department of Surgery, Kingston General Hospital, Kingston, Ontario, Canada.

Background: A major challenge with Competency Based Medical Education (CBME) is that of increased assessment burden on faculty. To reduce this burden, the accuracy and reliability of peer-assessment for surgical skills requires further exploration.

Methods: Forty-two second year medical students were video recorded while performing a simple interrupted suture and an instrument tie. Read More

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Development and evaluation of a spiral model of assessing EBM competency using OSCEs in undergraduate medical education.

BMC Med Educ 2021 Apr 10;21(1):204. Epub 2021 Apr 10.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Background: Medical students often struggle to understand the relevance of Evidence Based Medicine (EBM) to their clinical practice, yet it is a competence that all students must develop prior to graduation. Objective structured clinical examinations (OSCEs) are a valued assessment tool to assess critical components of EBM competency, particularly different levels of mastery as they progress through the course. This study developed and evaluated EBM based OSCE stations with an aim to establish a spiral approach for EBM OSCE stations for undergraduate medical students. Read More

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Entrustable professional activity-based assessments in undergraduate medical education: A Survey of Pediatric Educators.

Acad Pediatr 2021 Apr 7. Epub 2021 Apr 7.

Director of Educational Scholarship, Office of Medical Education, University of North Carolina School of Medicine, 108 Taylor Hall, CB 7321, Chapel Hill, NC 27599 USA. Electronic address:

Objective: To explore the use of entrustable professional activities (EPAs) in undergraduate medical education (UME), characterization of EPAs by pediatric educators, and opportunities and challenges with an EPA framework.

Methods: In 2020, nine survey questions were administered to members of the Council on Medical Student Education in Pediatrics, a national pediatric UME group. Clark's Commitment and Necessary Effort model on motivation served as the theoretical framework for our study. Read More

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Impact of COVID-19 Pandemic on Ophthalmology Medical Student Teaching: Educational Innovations, Challenges, and Future Directions.

Surv Ophthalmol 2021 Apr 7. Epub 2021 Apr 7.

Blanton Eye Institute, Houston Methodist Hospital, Department of Ophthalmology, Houston, Texas, USA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York, New York, USA; Department of Ophthalmology, University of Texas Medical Branch, Galveston, Texas, University of Texas MD Anderson Cancer Center, Houston, Texas, USA; Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa; The Departments of Neurology and Neurological Surgery, Weill Cornell Medical College, New York City, New York, USA; The Department of Ophthalmology, Baylor College of Medicine (Adjunct Professor), Houston, Texas, USA; The UT MD Anderson Cancer Center, Houston, Texas, USA; The University of Iowa Hospitals and Clinics (Adjunct Professor), Iowa City, Iowa, US.

Graduate medical education (GME) in ophthalmology has faced and overcome many challenges over the past years and 2020 has been a game-changing year. Although the severe acute respiratory syndrome coronavirus (SARS-CoV2) pandemic disrupted medical education globally, ophthalmic educators rapidly transformed their curricula to novel and effective virtual learning formats. Thus, while the COVID-19 outbreak has been one of the most significant challenges faced in the history of medical education, it has also provided an impetus to develop innovative teaching practices, bringing with it unprecedented success in allowing medical students to continue their education in ophthalmology despite these challenges. Read More

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Entrustable professional activity assessment tool for clinical procedures: A psychometric study.

J Clin Nurs 2021 Apr 9. Epub 2021 Apr 9.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Aim And Objective: To test the psychometric properties of the entrustable professional activity assessment tool for clinical procedures to be administered to clinical trainers and students.

Background: Students' ability to perform clinical procedures professionally and safely is a key concern for healthcare educators. The assessment of professional activities, in which entrustment is a key outcome, is crucial for determining the level of training and supervision of work-based assessments. Read More

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A survey of teaching undergraduate neuroanatomy in the United Kingdom and Ireland.

Br J Neurosurg 2021 Apr 8:1-6. Epub 2021 Apr 8.

Salford Royal Hospital, Salford Royal NHS Foundation Trust, Manchester, United Kingdom.

Background: Medical students' perception of neuroanatomy as a challenging topic has implications for referrals and interaction with specialists in the clinical neurosciences. Given plans to introduce a standardised Medical Licensing Assessment by 2023, it is important to understand the current framework of neuroanatomy education. This study aims to describe how neuroanatomy is taught and assessed in the UK and Ireland. Read More

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Comparison of medical student performance in summative undergraduate paediatric examinations and a clinician-designed minimum accepted competency (MAC) assessment.

BMC Med Educ 2021 Apr 7;21(1):197. Epub 2021 Apr 7.

Department of paediatrics, RCSI, 123 St StephenIs Green, Dublin 2, Ireland.

Background: It is recognised that newly qualified doctors feel unprepared in many areas of their daily practice and that there is a gap between what students learn during medical school and their clinical responsibilities early in their postgraduate career. This study aimed to assess if undergraduate students and junior paediatric doctors met a Minimum Accepted Competency (MAC) of knowledge.

Methods: The knowledge of undergraduates and junior paediatric doctors was quantitatively assessed by their performance on a 30-item examination (the MAC examination). Read More

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Development and testing of a summative video-based e-examination in relation to an OSCE for measuring communication-related factual and procedural knowledge of medical students.

GMS J Med Educ 2021 15;38(3):Doc70. Epub 2021 Mar 15.

University Medical Center, Johannes Gutenberg University Mainz, Clinic and Polyclinic for Psychosomatic Medicine and Psychotherapy, Department of Medical Psychology and Medical Sociology, Mainz, Germany.

In the context of educating medical students, testing of competence in medical communication is carried out primarily with the Objective Structured Clinical Examination [1]. This makes it possible to assess practical performance, but it is resource-intensive and has a negative impact on test quality. The project "Digital test tool for measuring communication skills in medical studies" (digiRole) was funded by the BMBF (Federal Ministry of Education and Research) and its objective was to develop digital formats as electronic versions of an OSCE in order to test the communication competency of medical students. Read More

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Communicative and social competence in the medical curriculum of the Medical University of Innsbruck: learning objectives, content, and teaching methods.

GMS J Med Educ 2021 15;38(3):Doc59. Epub 2021 Mar 15.

Medical University Innsbruck, Department of Medical Psychology, Innsbruck, Austria.

The Austrian Competence Level Catalogue for Medical Skills clearly states the importance of teaching communicative and social competence in the different subject areas of undergraduate medical and dental education. This paper aims to present an overview of the academic courses at the Medical University of Innsbruck that explicitly address the promotion of communication and social skills in medical students. This paper focuses on educators' descriptions of how communicating with patients is taught. Read More

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Development of a self-assessment behavioral and psychological symptoms of dementia competency scale for care teams at long-term geriatric care facilities.

Geriatr Nurs 2021 Apr 3;42(3):628-634. Epub 2021 Apr 3.

Course of Nursing, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, 890-0065, Japan.

Understanding the behavioral and psychological symptoms of dementia (BPSD) is important for caregivers in long-term geriatric care facilities. In this study performed in 43 long-term care facilities, we evaluated the ability of caregivers to recognize BPSD through the development and validation of self-assessment scales. Reliability and validity of the scales were determined using Cronbach's alpha coefficient, the test/retest method, exploratory factor analysis, confirmatory factor analysis, criteria-related validity, and construct validity. Read More

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The COVID-19 pandemic as a catalyst for medical education innovation: A learner's perspective.

David J Savage

FASEB Bioadv 2021 Mar 18. Epub 2021 Mar 18.

Internal Medicine University of California San Diego La Jolla CA USA.

The COVID-19 pandemic has been transformative for healthcare and medical education. Physician trainees and the education system that serves them adapted quickly so that trainees could finish the academic year on time and advance to the next phase of training without compromising clinical competency or public safety. Systemic changes have had the most significant impact on telemedicine training, virtual learning, secure testing, and the interview process for residency and fellowship training positions. Read More

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Competency-Based Education in Minimally Invasive and Robotic Colorectal Surgery.

Clin Colon Rectal Surg 2021 May 29;34(3):155-162. Epub 2021 Mar 29.

Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Minimally invasive and robotic techniques have become increasingly implemented into surgical practice and are now an essential part of the foundational skills of training colorectal surgeons. Over the past 5 years there has been a shift in the surgical educational paradigm toward competency-based education (CBE). CBE recognizes that trainees learn at different rates but regardless, are required to meet a competent threshold of performance prior to independent practice. Read More

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Non-technical skill assessments across levels of US surgical training.

Surgery 2021 Apr 1. Epub 2021 Apr 1.

Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA; Ariadne Labs, Brigham and Women's Hospital and the Harvard T.H. Chan School of Public Health, Boston, MA, USA; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA; Department of Clinical Surgery, University of Edinburgh, Edinburgh, Scotland. Electronic address:

Background: To ensure safe patient care, regulatory bodies worldwide have incorporated non-technical skills proficiency in core competencies for graduation from surgical residency. We describe normative data on non-technical skill ratings of surgical residents across training levels using the US-adapted Non-Technical Skills for Surgeons (NOTSS-US) assessment tool.

Methods: We undertook an exploratory, prospective cohort study of 32 residents-interns (postgraduate year 1), junior residents (postgraduate years 2-3), and senior residents (postgraduate years 4-5)-across 3 US academic surgery residency programs. Read More

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Development of the competency assessment scale for clinical nursing teachers: Results of a Delphi study and validation.

Nurse Educ Today 2021 Mar 17;101:104876. Epub 2021 Mar 17.

Department of Nursing, Chinese PLA General Hospital, Beijing, China. Electronic address:

Background: Highly competent clinical faculty is a prerequisite for graduating competent nurses, and it is very important to explore the comprehensive ability and post competence of clinical nursing teachers (CNT).

Objective: To construct the competency evaluation elements of clinical nursing teachers and test the reliability and validity of the scale.

Design: A Delphi study. Read More

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Transitioning Competency-Based Communication Assessments to the Online Platform: Examples and Student Outcomes.

Pharmacy (Basel) 2021 Mar 5;9(1). Epub 2021 Mar 5.

Department of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

In light of the COVID-19 pandemic, pharmacy education has shifted from in-person teaching and assessments to the virtual environment. Many education programs had previously adopted objective structured clinical examinations (OSCEs) to assess communication abilities in-person with standardized patients (SPs). However, comparative student outcome data between virtual and in-person methods as well as guidance on how to conduct communication-based OSCEs in the virtual environment is lacking. Read More

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What We Should Consider in Point of Care Blood Glucose Test; Current Quality Management Status of a Single Institution.

Medicina (Kaunas) 2021 Mar 4;57(3). Epub 2021 Mar 4.

Department of Laboratory Medicine and Genetics, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, 170 Jomaru-ro, Bucheon 14584, Korea.

Point of care test (POCT) is generally performed by non-laboratory staff who often lack an understanding on the quality control and quality assurance programs. The purpose of this study was to understand the current status of quality management of point of care (POC) blood glucose testing in a single institution where non-laboratory staff perform the tests. From July to August 2020, management status of glucometer, test strips, quality control (QC) materials, quality assurance program, and operators' response to processing of displayed results was monitored in all Soonchunhyang University Bucheon hospital departments that performed POC blood glucose test. Read More

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Assessing Elementary School Students' Manipulative Skill Competency in China.

Int J Environ Res Public Health 2021 Mar 18;18(6). Epub 2021 Mar 18.

School of Kinesiology, University of Michigan, 830 N University Avenue, Ann Arbor, MI 48109, USA.

This study aimed to test the validity and reliability of the Physical Education (PE) Metric Assessment Rubrics for assessing 4th-grade students' manipulative skill competency and examine how well they demonstrated manipulative skill competency. Participants were 4th-grade students at six elementary schools in China. A total of 535 4th-grade students were assessed their soccer skills and 819 4th-grade students were assessed their basketball skills using the PE-Metric Assessment Rubrics. Read More

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Development, translation, and preliminary validation of the neck dissection assessment tool.

Head Neck 2021 Apr 2. Epub 2021 Apr 2.

Department of Otolaryngology - Head & Neck Surgery, Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada.

Background: The objective was to develop an assessment tool to evaluate residents' competency for neck dissection and provide preliminary evidence of feasibility, reliability, and validity.

Methods: Six surgeons developed a neck dissection assessment tool using a modified Delphi method and evaluated 58 neck dissections from six junior and six senior otolaryngology residents.

Results: The assessment tool uses a double checklist: a previously validated global rating scale (GRS) and a task-specific checklist (TSC). Read More

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Training in advanced bilio-pancreatic endoscopy.

Minerva Gastroenterol (Torino) 2021 Apr 1. Epub 2021 Apr 1.

Gastroenterology and Digestive Endoscopy Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

As the clinical applications of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) take more and more root in everyday practice and these endoscopic procedures become increasingly more complex and interventional with a higher chance for complications, the demand for expert bilio-pancreatic endoscopists continues to increase. In response to this growing need, specific postgraduate fellowships have been developed, however the standardization of training programs and the assessment of the achieved competence still remains an open debate. ERCP and EUS competency often requires training beyond the scope of a standard GI fellowship program, which lasts at least 1-2 years, and there are some differences in the way to face the issues of advanced bilio-pancreatic endoscopy training between Europe, America and the Asian regions. Read More

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Nurse Manager Communication and Outcomes for Nursing: an Integrative Review.

J Nurs Manag 2021 Apr 1. Epub 2021 Apr 1.

The University of Texas at El Paso, U.S.A. (Data Collection), Address- 500W. University Avenue, El Paso, Texas, 79968.

Aim: To evaluate literature on the importance of good communication between managers and nurses, and its influence on nurses and patient care.

Background: In the nursing scenario, concepts such as engagement and job satisfaction are tied to manager communication and influence the care provided (Kunie et al., 2017). Read More

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Nutrition education in core medical curricula: a call to action from tomorrow's doctors.

Future Healthc J 2021 Mar;8(1):19-21

Worthing Hospital, Western Sussex Hospitals, NHS Foundation Trust, West Sussex, UK, and co-founder, Nutritank, Bristol.

In recent years lifestyle interventions have gained traction as increasingly useful ways to promote health among the population. Within these changes, nutrition remains paramount. We aimed to present an overview of the current status of nutrition education in UK undergraduate medical curricula, highlighting pockets of innovative teaching, alongside areas for improvement. Read More

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Assessment of Malaria Microscopy Competency at Primary Health Institutions in the Chongqing Municipality.

Front Med (Lausanne) 2021 15;8:602442. Epub 2021 Mar 15.

Chongqing Center for Disease Control and Prevention, Chongqing, China.

In April 2019, Chongqing passed the national malaria elimination assessment. However, around 30 imported malaria cases are still being reported every year, and was widely distributed in Chongqing, meaning the risk of malaria resurgence still exists. Early diagnosis and treatment for malaria cases are effective measures to prevent malaria resurgence. Read More

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How Women with Endometriosis Experience Health Care Encounters.

Womens Health Rep (New Rochelle) 2020 7;1(1):529-542. Epub 2020 Dec 7.

Division of Nursing Science and Reproductive Health, Department of Health, Medicine and Caring Sciences, Faculty of Medicine, Linköping University, Linköping, Sweden.

The aim of this meta-synthesis was to synthesize and interpret the available qualitative studies to increase our understanding and extend knowledge about how women with endometriosis experience health care encounters. The literature review was carried out using CINAHL, Psychinfo, Academic Search Premier, PubMed, and Scopus, from 2000 to 2018, and was limited to articles in English. Articles were only included if they reported original relevant research on endometriosis and women experiences. Read More

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December 2020