Competence committees decision-making; an interplay of data, group orientation, and intangible impressions
Abstract Background The implementation of competency-based medical education and utilization of competence committees (CC) represents a paradigm shift in residency education. This qualitative study aimed to explore the methods used by two operational CC and their members to make decisions about prog...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04693-4 |
| _version_ | 1797452233973956608 |
|---|---|
| author | Colleen Curtis Aliya Kassam Jason Lord Lara J. Cooke |
| author_facet | Colleen Curtis Aliya Kassam Jason Lord Lara J. Cooke |
| author_sort | Colleen Curtis |
| collection | DOAJ |
| description | Abstract Background The implementation of competency-based medical education and utilization of competence committees (CC) represents a paradigm shift in residency education. This qualitative study aimed to explore the methods used by two operational CC and their members to make decisions about progression and competence of their residents. Methods An instrumental case study methodology was used to study the CC of two postgraduate training programs. Transcripts from observed CC meetings, member interviews, and guiding documents were analyzed using a constructivist grounded theory approach to reveal themes explaining the decision-making process. Results Our study found that the CC followed a process that began within a social decision schema model and evolved to a discussion that invoked social influence theory, shared mental models, and social judgment scheme to clarify the points of contention. We identified that the CC decision-making was at risk of bias, primarily influenced by the group composition, the group orientation and individual members’ mindset, as well as their personal experiences with the trainees. Conclusions Increased awareness of the sources of bias in CC functioning and familiarity with the CC role in competency-based medical education would enable committees to provide valuable feedback to all trainees regardless of their trajectory. |
| first_indexed | 2024-03-09T15:04:51Z |
| format | Article |
| id | doaj.art-58e324a4e104420a942007351e7c129f |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-09T15:04:51Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-58e324a4e104420a942007351e7c129f2023-11-26T13:41:00ZengBMCBMC Medical Education1472-69202023-10-0123111210.1186/s12909-023-04693-4Competence committees decision-making; an interplay of data, group orientation, and intangible impressionsColleen Curtis0Aliya Kassam1Jason Lord2Lara J. Cooke3Department of Pediatrics, University of CalgaryDepartment of Community Health Sciences, University of CalgaryDepartments of Emergency Medicine and Critical Care Medicine, University of CalgaryDepartment of Clinical Neurosciences, University of CalgaryAbstract Background The implementation of competency-based medical education and utilization of competence committees (CC) represents a paradigm shift in residency education. This qualitative study aimed to explore the methods used by two operational CC and their members to make decisions about progression and competence of their residents. Methods An instrumental case study methodology was used to study the CC of two postgraduate training programs. Transcripts from observed CC meetings, member interviews, and guiding documents were analyzed using a constructivist grounded theory approach to reveal themes explaining the decision-making process. Results Our study found that the CC followed a process that began within a social decision schema model and evolved to a discussion that invoked social influence theory, shared mental models, and social judgment scheme to clarify the points of contention. We identified that the CC decision-making was at risk of bias, primarily influenced by the group composition, the group orientation and individual members’ mindset, as well as their personal experiences with the trainees. Conclusions Increased awareness of the sources of bias in CC functioning and familiarity with the CC role in competency-based medical education would enable committees to provide valuable feedback to all trainees regardless of their trajectory.https://doi.org/10.1186/s12909-023-04693-4Competency-based medical educationCompetence committeesSmall group decisions |
| spellingShingle | Colleen Curtis Aliya Kassam Jason Lord Lara J. Cooke Competence committees decision-making; an interplay of data, group orientation, and intangible impressions BMC Medical Education Competency-based medical education Competence committees Small group decisions |
| title | Competence committees decision-making; an interplay of data, group orientation, and intangible impressions |
| title_full | Competence committees decision-making; an interplay of data, group orientation, and intangible impressions |
| title_fullStr | Competence committees decision-making; an interplay of data, group orientation, and intangible impressions |
| title_full_unstemmed | Competence committees decision-making; an interplay of data, group orientation, and intangible impressions |
| title_short | Competence committees decision-making; an interplay of data, group orientation, and intangible impressions |
| title_sort | competence committees decision making an interplay of data group orientation and intangible impressions |
| topic | Competency-based medical education Competence committees Small group decisions |
| url | https://doi.org/10.1186/s12909-023-04693-4 |
| work_keys_str_mv | AT colleencurtis competencecommitteesdecisionmakinganinterplayofdatagrouporientationandintangibleimpressions AT aliyakassam competencecommitteesdecisionmakinganinterplayofdatagrouporientationandintangibleimpressions AT jasonlord competencecommitteesdecisionmakinganinterplayofdatagrouporientationandintangibleimpressions AT larajcooke competencecommitteesdecisionmakinganinterplayofdatagrouporientationandintangibleimpressions |