Rivalries for attention: insights from a realist evaluation of a postgraduate competency-based medical education implementation in Canada.

ABSTRACT:

Background

Implementing competency-based medical education (CBME) in post-graduate medical education (PGME) is a complex process that requires multiple systemic changes in a complex system that is simultaneously engaged in multiple initiatives. These initiatives often compete for attention during the implementation of CBME and produce unintended and unanticipated consequences. Understanding the impact of this context is necessary for evaluating the effectiveness of CBME. The purpose of the study was to identify factors, such as contexts and processes, that contribute to the implementation of CBME.

Methods

We conducted a realist evaluation using data collected from 15 programs through focus groups with residents (2 groups, n = 16) and faculty (one group, n = 8), and semi-stru

SUBMITTER: Rachul C 

PROVIDER: S-EPMC9336173 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature