Implementation Working Group on Exit Outcomes and Competencies
DRAFT Terms of Reference
October 2010
Mandate
The implementation working group on Exit Outcomes and Competencies is responsible for renewing the
exit outcomes for the MD undergraduate program, the related key and enabling competencies, standards
and sequencing. Exit outcomes will be based on the social responsibility framework and the current goals
of the program and other sources such as the FMEC recommendations, Carnegie recommendations, the
MCC objectives, and the AAMC-HHMI competencies. This implementation working group is expected
to coordinate their work with the Social Responsibility & Accountability working group, as well as the
working groups on Assessment, Health Care Systems and Scholarship. The group is charged with
addressing the tasks listed below.
Reporting
This Implementation Working Group reports to the Implementation Task Force.
Timeline
The implementation working group will provide an initial report to the Implementation Task Force by
February 2011 to allow time for approval by MDUPC, and the full faculty in May 2010. Its work is likely
to continue at least until December 2011.
Tasks
1. Explore best practices at other medical schools that can inform the creation and adoption of
outcomes-based competencies for the new UBC curriculum
2.
Articulate exit outcomes based on the curriculum’s social responsibility and accountability
framework.
3. Articulate key and enabling competencies that define the UBC curriculum as well as their sequence
4. Make decisions about the competency standards expected at graduation and at each level of training.
5. Set up small working groups to map enabling competencies, standards and sequencing for each exit
key competency.
6. Recommend an ongoing renewal process.
Membership
Dr. Roger Wong (Chair), Assistant Dean, Faculty Development, rymwong@interchange.ubc.ca
Mr. Marc Broudo (Vice Chair), Head, Curriculum Management Support, Dean’s Office,
broudo@interchange.ubc.ca
Dr. Linlea Armstrong, PMP Course Director, llarmstrong@cw.bc.ca
Dr. Lesley Bainbridge, Director, Interprofessional Education, CHD, lesleyb@interchange.ubc.ca
Dr. Siu Him Chan, PGY1 Internal Medicine, siuhim@gmail.com
Mr. Michael Davis, Evaluation Studies Specialist, micheal.davis@ubc.ca
Mr. Norman Daoust, Educational Technology Manager, TEL, norman.daoust@ubc.ca
Dr, Kendal Ho, Director, E-Health Strategies Office, kendall.ho@ubc.ca
Dr. Karen Joughin, Associate Dean, Curriculum, VFMP, karen.joughin@ubc.ca
Mr. Leo Lai, Year 3 Student, leol@interchange.ubc.ca
Dr. Peter Leung, Associate Dean, Graduate & Post Doctoral Education, pleung@medd.med.ubc.ca
Dr. Cindy-Ann Lucky, Year 4 Director, cindyanne.lucky@ubc.ca
Dr. Linda Peterson, Senior Evaluation Advisor, ESU, linda.peterson@ubc.ca
Ms. Kristina McDavid, MD Undergraduate Liaison Librarian, Kristina.mcdavid@ubc.ca
Dr. Jill McEwen, VFMP Clerkship Director, jill.maewen@ubc.ca
Dr. Louise Nasmith, Principle, College of Health Disciplines(CHD), louise.nasmith@ubc.ca
Dr. George Pachev, Director, Educational Assessment Unit, george.pachev@ubc.ca
Dr. Supna Sandhu, PGY1, Internal Medicine, supna@interchange.ubc.ca
Ms. Dallie Sandilands, Evaluation Consultant, sandilan@interchange.ubc.ca
Dr. Kris Sivertz, Clinical Professor, Department of Psychiatry, ksivertz@medd.med.ubc.ca
Dr. Summer Telio, PGY5 Psychiatry, CHES Clinical Educator Fellow, summertomaszek@gmail.com
Dr. Derek Wilson, Associate Director, ESU, derek.wilson@ubc.ca
Dr. Colin White, Director of Dialysis Fellowship Program, cwhite@cw.bc.ca
Resources
a.
Curriculum Implementation Task Force documentation:
•
•
•
b.
CITF: LCME Accreditation Standards – Curriculum Renewal Working Groups Responsibility
Matrix
Dean’s Task Force on MD Undergraduate Curriculum Renewal: Final Report (May, 2010)
MDUPC June, 2010 Retreat: Group 2 Report on Competency Based Curriculum
Competency Frameworks:
•
•
•
•
•
•
c.
LMCC Objectives
a. Considerations for Legal, Ethical, Organizational Objectives (CLEO)
b. The CanMEDS 2005 Physician Competency Framework
University of British Columbia Faculty of Medicine MD Undergraduate Program Mission, Goals,
and Objectives
University of British Columbia Patient Encounters and Clinical Procedures (Third Year)
University of Ottawa: Educational Objectives for the MD Program
University of Toronto: Undergraduate Medical Education Curriculum Goals and Objectives
University of Western Ontario: Undergraduate Medical Curriculum Outcomes
General Reference Reports and Articles:
•
•
•
•
•
•
•
Carraccio,Carol1, Wolfsthal Susan D.2, Englander, Robert3, Ferentz, Kevin4 & Martin, Christine5
(2002) Shifting Paradigms: From Flexner to Competencies. Academic Medicine, 77(5), 361-367
Dath, Deepak & Iobst, William for the International CBME Collaborators. The Importance of
Faculty Development in the Transition to Competency-Based Medical Education. Medical
Teacher, 32, 683-686.
DTFCR Final Report (2010) Working Group 1: Outcomes and Competency-Based Assessment
and associated files on the Curriculum Renewal SharePoint site.
Frank, Jason R. (2004) The CanMEDS project: the Royal College moves medical education into
the 21st century. Royal College Outlook , 1, 27-29.
Frank, Jason R. & Danoff, D. (2007) The CanMEDS initiative: implementing an outcomes-based
framework of physician competencies. Medical Teacher, 29, 642-647.
Frank, Jason R.1, Snell, Linda S.2, Ten Cate, Olle3, Holmboe, Eric S.4, Carraccio, Carol5, Swing,
Susan R.6, Harris, Peter7, Glasgow, Nicholas J.8, Campbell, Craig9, Dath, Deepak10, Harden,
Ronald M.11, Iobst, William12, Long, Donlin M.13, Mungroo,Rani14, Richardson, Denyse L.15,
Sherbino,Jonathan16, Silver, Ivan17, Taber, Sarah18, Talbot, Martin19 & Harris, Kenneth A.20
(2010) Competency-Based Medical Education: Theory to Practice. Medical Teacher, 32, 638-645
Frank, Jason R.1, Snell, Linda S.2, Ten Cate, Olle3, Holmboe, Eric S.4, Carraccio, Carol5, Swing,
Susan R.6, Harris, Peter7, Glasgow, Nicholas J.8, Campbell, Craig9, Dath, Deepak10, Harden,
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Ronald M.11, Iobst, William12, Long, Donlin M.13, Mungroo,Rani14, Richardson, Denyse L.15,
Sherbino,Jonathan16, Silver, Ivan17, Taber, Sarah18, Talbot, Martin19 & Harris, Kenneth A.20
(2010) Competency-Based Medical Education: Theory to Practice. Medical Teacher, 32, 638-645
Frank, J.R. , at el.(2010)Toward a Definition of Competency-Based Education in Medicine: A
Systematic Review of Published Definitions. Medical Teacher, 32, 631-637.
The Future of Medical Education in Canada (FMEC): A Collective Vision for MD Education
(2010)
Harden, R.M., Crosby, J.R., Davis, M.H. & Friedman, M. (1999) AMEE Guide No. 14:
Outcome-Based Education: Part 5 – From Competency to Meta-Competency: A Model for the
Specification of Learning Outcomes. Medical Teacher, 21( 6), 546-552.
Harden, R.M. (2007) Learning outcomes as a tool to assess progression. Medical Teacher, 29,
678-682.
Harris, Peter1, Snell, Linda S.2, Talbot, Martin3, Harden, Ronald M4 for the International
CBME Collaborators. (2010) Competency-Based Medical Education: Implications for
Undergraduate Programs. Medical Teacher, 32, 646-650.
Hodges, Brian David, MD, PHD. (2010) A Tea-Steeping or i-Doc Model for Medical Education.
Academic Medicine, 85(9), S34- S44.
Kondro, Wayne, CMAJ (2009) Curricula Proposals Aim To Bolster Scientific Competency.
181(3-4), 136-138
Longworth, Katie (2008) The 2009 UBC- Defined Competencies Project report.
This report was commissioned by Angela Towle and produced by Katie Longworth, a graduate
from the UBC program]. In addition to mapping the current UBC exit outcomes to the CanMEDS
framework, the report provides a summary of Outcome-Based Medical Education. The
appendices of Dr Longworth's report contain examples of curriculum exit outcomes organized
into the CanMEDS framework from the University of Toronto, McGill University and the
University of Ottawa. Exit outcomes from the University of Western Ontario are also available.
Outcomes and Competencies folder in the general Curriculum Renewal resource library on
SharePoint.
Sanson-Fisher, R.W., Rolfe, I. E. & Williams, N. (2005) Competency based teaching: the need for
a new approach to teaching clinical skills in the undergraduate medical education course. Medical
Teacher, 27, 29-36.
Shumway, J.M. & Harden, R.M. (2003) AMEE Guide No 25: The assessment of learning
outcomes for the competent and reflective physician. Medical Teacher, 25, 569-584.
Smith, SR., et al. (2007) Assessing medical students for non-traditional competencies. Medical
Teacher. 29, 711-716. ***
Snell, Linda S. & Frank, Jason R. (2010) Competencies, the Tea Bag Model, and the End of
Time. Medical Teacher, 32, 629-630)
Swing, Susan R. For the International CBME Collaborators. (2010)Perspectives on CompetencyBased Medical Education from the Learning Sciences. Medical Teacher, 32, 663-668
Ten Cate, Olle1, Snell, Linda S2. & Carraccio, Carol3. (2010) Medical Competence: The Interplay
Between Individual Ability and the Health Care Environment. Medical Teacher, 32, 669-675