Changes to the CBAS program in response to feedback
| ORIGINAL COMPONENT | USER FEEDBACK | RESPONSE TO FEEDBACK |
|---|---|---|
| Paper-based portfolio | An electronic filing system was needed, as well as online access | Development of eCBAS (electronic workbook) |
| Stacking (ie, open-ended method of categorizing FieldNotes) | Too open; residents wanted more guidance and direction | Stacking became optional; FieldNotes were now categorized by clinical domains and sentinel habits |
| Guiding principles: CFPC’s skill dimensions | Too abstract; residents failed to see a connection between the higher-level skill dimensions and their own day-to-day experiences in clinical practice | Identification of sentinel habits (the common skills and habits that make a good physician) |
| Expectation of 1 FieldNote per clinical half-day | Residents found it difficult to get FieldNotes in many rotations, and found many FieldNotes did not give good feedback | New expectation of 1 FieldNote per clinical day in first-year family medicine rotation, and 1 FieldNote per clinical call-back day. FieldNotes acquired beyond this were a bonus and were welcome |
| Residents to enter every FieldNote in eCBAS | Too time-consuming; many residents believed that this component was useless busywork | Electronic FieldNotes were strongly encouraged; paper FieldNotes were given to support staff for manual entry |
| Focus on FieldNotes and FieldNotes reviews to guide learning | Not enough of a link to assessment | Emphasis was on regularly scheduled meetings between residents and advisors; FieldNotes could be used for review and as documentation but were not the focus. Progress levels created for each FieldNote |
CBAS—Competency-Based Achievement System, CFPC—College of Family Physicians of Canada.