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CBME is a significant change in approach to medical education. While informal coaching has been commonplace in medical training, CBME formalizes the process. It provides clear, progressive expectations and an opportunity for learners to receive regular, documented feedback. In many ways, it allows the great coaching work that has been happening for years to be more explicit.
What do you need to know about CBME as a faculty member?
What do you need to know about CBME as a faculty member?
CBME is anchored on a series of the in-the-moment coaching encounters. It is important that we make these encounters productive so that residents don’t feel CBME is another checklist of things to do, but instead is helping them hone their skills to be an excellent paediatrician.
Residents are expected to have an EPA completed on each clinical day. The minimum number of EPAs that are expected is 1-2/week.
It is both the responsibility of residents AND faculty to initiate EPAs.
How do we make EPA completion easier for residents?
Residents won’t ask you to complete an EPA if they are concerned it will be viewed as an annoyance.
Let residents know that you are available and happy to complete EPAs.
Ask residents at the beginning of the rotation or before a clinical encounter which EPAs they are working on. This can help ensure EPAs happen. It can also anchor your observations and improve the specificity of feedback residents receive.
How do I know which EPAs residents should be working on?
EPAs mapped to your rotation can be found in the mapping documents located in the CBME Resources and Policies section.
At times you may have valuable feedback to give that does not fit perfectly with an EPAs. Sometimes there is not a perfect fit, but it is often valuable to still document the feedback using the closest fit EPA.
Residents can work on any EPA at any time. It is important to remember that residents should be scored at the level of the EPA. For example, if you are assessing a resident on a Core EPA you need to score based on the expectation for Core Level. A list of all the Paediatric EPAs can be found in the CBME Resources and Policies section.
More information on EPAs can be located in the Assessment in CBME tab
What is expected from residents?
What is expected from residents?
Entrustable Professional Activity (EPAs) are tasks of the discipline.
Residents are expected to get one EPA on each clinical day
Residents are expected to initiate some but not all EPAs.
Residents should know which EPAs have been mapped to their rotations and work with their coaches to make a plan for how they will accomplish their EPA requirements
What is growth mindset and why is it important?
What is growth mindset and why is it important?
Psychologist Carol Dweck originally described growth mindset
It is the idea that our skills and intelligence are not fixed, but instead, with perseverance and effort individuals can learn from feedback and grow
As faculty, it is important to foster this mindset within learners and ourselves to promote a safe learning environment that facilitates CBME.
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