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      Developing a dashboard to meet Competence Committee needs: a design-based research project Translated title: Développer un tableau de bord pour satisfaire les besoins des comités de compétences : un projet de recherche orientée par la conception

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          Abstract

          Background

          Competency-based programs are being adopted in medical education around the world. Competence Committees must visualize learner assessment data effectively to support their decision-making. Dashboards play an integral role in decision support systems in other fields. Design-based research allows the simultaneous development and study of educational environments.

          Methods

          We utilized a design-based research process within the emergency medicine residency program at the University of Saskatchewan to identify the data, analytics, and visualizations needed by its Competence Committee, and developed a dashboard incorporating these elements. Narrative data were collected from two focus groups, five interviews, and the observation of two Competence Committee meetings. Data were qualitatively analyzed to develop a thematic framework outlining the needs of the Competence Committee and to inform the development of the dashboard.

          Results

          The qualitative analysis identified four Competence Committee needs (Explore Workplace-Based Assessment Data, Explore Other Assessment Data, Understand the Data in Context, and Ensure the Security of the Data). These needs were described with narratives and represented through visualizations of the dashboard elements.

          Conclusions

          This work addresses the practical challenges of supporting data-driven decision making by Competence Committees and will inform the development of dashboards for programs, institutions, and learner management systems.

          Translated abstract

          Contexte

          Les programmes fondés sur la compétence sont adoptés dans la formation médicale à travers le monde. Les comités des compétences doivent visualiser efficacement les données d’évaluation des apprenants pour soutenir leurs prises de décision. Les tableaux de bord jouent un rôle essentiel dans les systèmes d’aide à la décision dans d’autres disciplines. La recherche orientée par la conception permet le développement et l’étude simultanés des environnements éducatifs.

          Méthodes

          Nous avons utilisé un processus de recherche orienté par la conception au sein du programme de résidence en médecine d’urgence à l’Université de la Saskatchewan pour déterminer les données, les analyses et les visuels dont a besoin son comité des compétences, et avons développé un tableau de bord intégrant ces éléments. Les données narratives ont été recueillies auprès de deux groupes de discussion, lors de cinq entrevues et par l’observation de deux réunions du comité des compétences. Les données ont été analysées de manière qualitative pour élaborer un cadre thématique soulignant les besoins du comité des compétences et orienter le développement du tableau de bord.

          Résultats

          L’analyse qualitative a dégagé quatre besoins du comité des compétences (explorer les données d’évaluation en milieu de travail, explorer d’autres données d’évaluation, comprendre les données dans leur contexte et s’assurer la sécurité des données). Ces besoins ont étédécrits avec des récits et représentés par des visuelsdes éléments du tableau de bord.

          Conclusions

          Le présent travail aborde les difficultés pratiques de soutenir une prise de décision fondée sur des données par les comités des compétences et oriente le développement des tableaux de bord pour les programmes, les établissements et les systèmes de gestion des apprenants.

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          Most cited references32

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          Entrustability Scales: Outlining Their Usefulness for Competency-Based Clinical Assessment.

          Meaningful residency education occurs at the bedside, along with opportunities for situated in-training assessment. A necessary component of workplace-based assessment (WBA) is the clinical supervisor, whose subjective judgments of residents' performance can yield rich and nuanced ratings but may also occasionally reflect bias. How to improve the validity of WBA instruments while simultaneously capturing meaningful subjective judgment is currently not clear. This Perspective outlines how "entrustability scales" may help bridge the gap between the assessment judgments of clinical supervisors and WBA instruments. Entrustment-based assessment evaluates trainees against what they will actually do when independent; thus, "entrustability scales"-defined as behaviorally anchored ordinal scales based on progression to competence-reflect a judgment that has clinical meaning for assessors. Rather than asking raters to assess trainees against abstract scales, entrustability scales provide raters with an assessment measure structured around the way evaluators already make day-to-day clinical entrustment decisions, which results in increased reliability. Entrustability scales help raters make assessments based on narrative descriptors that reflect real-world judgments, drawing attention to a trainee's readiness for independent practice rather than his/her deficiencies. These scales fit into milestone measurement both by allowing an individual resident to strive for independence in entrustable professional activities across the entire training period and by allowing residency directors to identify residents experiencing difficulty. Some WBA tools that have begun to use variations of entrustability scales show potential for allowing raters to produce valid judgments. This type of anchor scale should be brought into wider circulation.
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            Building bridges between theory and practice in medical education using a design-based research approach: AMEE Guide No. 60.

            Medical education research has grown enormously over the past 20 years, but it does not sufficiently make use of theories, according to influential leaders and researchers in this field. In this AMEE Guide, it is argued that design-based research (DBR) studies should be conducted much more in medical education design research because these studies both advance the testing and refinement of theories and advance educational practice. In this Guide, the essential characteristics of DBR as well as how DBR differs from other approach such as formative evaluation are explained. It is also explained what the pitfalls and challenges of DBR are. The main challenges deal with how to insure that DBR studies reveal findings that are of a broader relevance than the local situation and how to insure that DBR contributes toward theory testing and refinement. An example of a series of DBR studies on the design of a teaching portfolio in higher education that is aimed at stimulating a teacher's professional development is described, to illustrate how DBR studies actually work in practice. Finally, it is argued that DBR-studies could play an important role in the advancement of theory and practice in the two broad domains of designing or redesigning work-based learning environments and assessment programs.
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              • Article: not found

              Reviewing residents' competence: a qualitative study of the role of clinical competency committees in performance assessment.

              Clinical competency committees (CCCs) are now required in graduate medical education. This study examined how residency programs understand and operationalize this mandate for resident performance review.
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                Author and article information

                Journal
                Can Med Educ J
                Can Med Educ J
                CMEJ
                Canadian Medical Education Journal
                Canadian Medical Education Journal
                1923-1202
                07 January 2020
                16 March 2020
                March 2020
                : 11
                : 1
                : e16-e34
                Affiliations
                [1 ]Department of Emergency Medicine, University of Saskatchewan, Saskatchewan, Canada
                [2 ]Department of Computer Science, University of Saskatchewan, Saskatchewan, Canada
                [3 ]Division of Emergency Medicine, Department of Medicine, McMaster University, Ontario, Canada
                [4 ]McMaster program for Education Research, Innovation, and Theory (MERIT), Ontario, Canada
                Author notes
                Correspondence: Dr. Brent Thoma, Room 2646, Box 16, 103 Hospital Drive, Saskatoon, SK S7N 0W8; email: brent.thoma@ 123456usask.ca ; phone: 1-306-881-0112; Twitter: @Brent_Thoma
                Article
                CMEJ-11-e016
                10.36834/cmej.68903
                7082472
                32215140
                161c95d7-99ba-4523-8ca8-a01a75c0a92b
                © 2020 Thoma, Bandi, Carey, Mondal, Woods, Martin, Chan; licensee Synergies Partners

                This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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