PAR CYCLE | PARTICIPANTS | REFLECTION | PLAN AND ACTION | OBSERVATION |
---|---|---|---|---|
1 | Program directors, advisors, CBAS team | Organization system needed for FieldNotes | Paper-based CBAS portfolio organized by CFPC’s skill dimensions and 99 priority topics | System is workable, but electronic version would be preferred by some |
2 | Advisors, program directors, CBAS team | Clear way to direct resident learning needed within system | Electronic system developed; “stacking” created (ie, self-determined topic stacks for targeted learning) | Faculty development in use of the CBAS needed; resident training needed; range of responses to “stacking” |
3 | Advisors, program directors, residents, CBAS team | Resident training will need to be competency based | Pilot implementation of the CBAS at 3 pilot sites | More faculty development needed; residents expect feedback to follow best practices as explained to them |
4 | Advisors, program directors, residents, CBAS team | Increase the CBAS’s value to learning | FieldNotes more clearly tied to summative evaluation through new 4-month report (version 1) | Stacking is confusing; tie between skill dimensions and CanMEDS-FM and workplace assessment not clear; a clearer understanding of progress is required |
5 | Advisors, program directors, residents, CBAS team | Find “missing link” between skill dimensions and CanMEDS-FM and workplace | Development of sentinel habits; introduction of progress levels on FieldNotes; match ITERs to sentinel habits | Saturation appears to have been reached on FieldNotes; advisors and residents actively using eCBAS (electronic workbook); sentinel habits appear to be useful and intuitive |
6 | Advisors, program directors, residents, CBAS team | Validate the CBAS | Full CBAS implementation; new 4-month report (version 2) | Data collection under way |
CanMEDS-FM—CanMEDS–family medicine, CBAS—Competency-Based Achievement System, CFPC—College of Family Physicians of Canada, ITERs—in-training evaluation reports, PAR—participatory action research.
* All data were collected through focus groups and interviews.