Overview:
We are transitioning to a Competence-Based Medical Education (CMBE) model for postgraduate education (residency) at Queen’s. As of July 1, 2019, PGYs 1 – 4 will be using this model.
Faculty development in CBME includes CBME Grand Rounds each June, as well as brief videos and other tips sent via email, which we’d encourage you to open and view. We’d encourage you to view past videos here.
Briefly, CMBE means that residents will be triggering frequent brief assessments for faculty to complete at the point of patient encounters rather than simply getting assessed at the end of a rotation using a “report card” (traditionally called an ITER). The new brief assessment forms can be completed on a mobile device using a PIN or can be sent to your email account. They are easy and quick to complete, and should help the resident improve rather than simply summarizing their rotation like a traditional ITER used to.
Teaching Opportunities:
Supervising residents in your clinic or inpatient unit. Having residents participate in your day-to-day clinical practice can be satisfying. Responsibility and expectations should be tailored to the resident’s education level. Please familiarize yourself with the Entrustable Professional Activities (EPAs), which are the objectives that are specific to each residency level. These are the skills and attitudes the resident needs to gain competence in.
Also, the resident may bring a “Learning Plan” to the rotation. This is simply some specifics that he/she needs to focus on.
Facilitating a resident’s journal club presentation. Journal Club happens monthly. When a resident chooses an article to present and appraise, she/he will usually approach a faculty member with an interest in the article’s topic to support and guide them. This includes attending the lunchtime journal club.
Academic Half-Day Teaching. The residents have a protected academic half-day each Wednesday afternoon. Dr. J. Fairbairn organizes the teaching schedule. This is a combination of didactic lecturing and a “Problem-Based Curriculum” with a lot of participation from the residents present. Faculty still takes a major role in organizing and running these sessions that ultimately cover the whole postgraduate psychiatry curriculum. Tips on how to use the problem-based model are available from the organizers.
Interviewing skills and OSCE practice are also scheduled during the academic half-days. Faculty facilitates these as well.
Psychotherapy Supervision. Dr. Margo Rivera is the Director of Psychotherapy. We have a list of faculty who supervise individual residents in various modalities – CBT, IPT, psychodynamic, etc. Supervision includes assessing a patient’s suitability with the resident as well as reviewing recordings or notes of sessions with the resident regularly. If you have expertise in one or more modalities, please contact Dr. Rivera.
Supervising Research. Residents interested in research may choose to be in a stream where multiple projects are possible. Residents who don’t necessarily picture an academic career may choose the general stream, but still learn critical appraisal skills and do a smaller project. All residents benefit from guidance and supervisions from individual faculty members as they formulate questions, prepare literature reviews, and organize papers and posters.