Competency-structured case discussion in the morning meeting: enhancing CanMEDS integration in daily practice

Abstract

Outcome-focused, competency-based educational curricula have become the norm in residency training programs. The Canadian Medical Education Directives for Specialists (CanMEDS) framework is one example of such a curriculum. However, models for incorporating all the competencies in everyday clinical practice have been difficult to accomplish. In this manuscript, a CanMEDS, competency-structured, acute case discussion in a regular morning meeting was undertaken. All the diagnostic and therapeutic interventions were explicitly organized and discussed under their respective CanMEDS competency headings. Post exercise, the majority of residents felt that they were more competent in all the competencies and indicated their willingness to continue having similarly structured acute case discussions in the future.

Keywords:

• CanMEDS roles
• residents
• morning meeting

Disclosure

IS Hassan is a consultant internist/pulmonologist and chairman of the CanMEDS Syllabus Review Subcommittee; H Krury and L Al Ansari are R3 and R1 residents, respectively; A Al-Khathami is a consultant neurologist and chairman of the Medicine Residency Training Program; M Al Qahtani is a consultant internist, head of Division of Internal Medicine, and deputy chairman of the Medicine Residency Training Program; H Al Jahdali is a consultant pulmonologist, head of Pulmonary Division, and deputy chairman of the Department of Medicine; T Al Anazi is a consultant internist and member of the CanMEDS Syllabus Review Subcommittee; M Farooqui is a consultant nephrologist and member of the CanMEDS Syllabus Review Subcommittee.

All authors are members of the Department of Medicine, King Abdulaziz Medical City, Riyadh, Kingdom of Saudi Arabia. The authors report no other conflicts of interest.