Competence Committees

COMPETENCE COMMITTEE CHAIR

Provides guidance to Competence Committee Members regarding their role and the processes of the committee. Provides guidance to the Academic Advisors regarding their role. Leads the committee through a robust, transparent, and non-bias performance review of residents at each stage of training to ensure learners achieve the requirements of their discipline through a review of quantitative and qualitative assessment data.

COMPETENCE COMMITTEE MEMBER

Provides robust, transparent, and non-bias performance review of residents at each stage of training to ensure learners achieve the requirements of their discipline through a review of quantitative and qualitative assessment data. May also provide recommendations for future learning activities and/or learning plans.

*New CC Member Orientation can be found here.*

Some assembly required: tracing the interpretative work of Clinical Competency Committees - Recommended by Dr Ramonda Kearney

Q: How often should the competence committee meet?

A: The competence committee should meet at least twice per year, though more frequent meetings may be required in programs, particularly those with larger programs, and whenever residents are ready to transition between stages. Every trainee in a program must be discussed a minimum of twice per year.

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Q: Who should sit on the competence committee?

A: The competence committee should be chaired by a member of the teaching faculty and be someone other than the Program Director. As a member (not chair) of the competence committee, the Program Director can fully participate in the discussions. It is strongly recommended that residents do not sit on the Competence Committee! This is because Competence Committee is a high stakes summative pass/fail decision-making body and exposing residents to sensitive learner data on their peers may be controversial or potentially problematic. The size of the committee should reflect the number of residents in the program with a minimum size of three members for smaller programs.

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Q: How does the competence committee report its recommendations?

A: The competence committee reports its recommendations to the RPC via the electronic recommendation form through CBME.med.

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Q: Does there need to be a primary reviewer in advance of a competence committee meeting?

A: No, but it is recommended. Having primary reviewers present residents to the committee will significantly decrease the amount of time the committee meets, which in turn allows for the ability to go in depth on flagged residents.

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Q: What is the process for residents that are eligible to write their Royal College exams?

A: Readiness to write certification exam decision - CBD residents

• The resident needs to make an administrative application long in advance of the exam (about a year).

• The program also needs to make an attestation that the resident is on track to be ready for the exam long in advance of the exam (about 6-8 months).

• The Royal College expects that the program will review the resident in the 2-3 months prior to the exam for readiness and that the program will notify the Royal College if the resident is no longer on track to be ready for the exam. As part of that, I would recommend ensuring the program has a CC meeting and RPC for ratification about 3 months prior to the exam.

• If things change with the resident's progress, the program can alert the Royal College even up to the night before the exam (!!) that the resident is no longer ready for the exam (I would expect this would be very rare).