Residency Training Program in Orthopaedic 2015: revised curriculum
Chiroj Soorapanth, MD, FRCOST, FACS, MMedEdSubcommittee for Training and Licensing Thai Board of Orthopaedics
Royal College of Orthopaedic Surgeons of [email protected]
What is Competency ?
A set of defined behaviors that provide a structured guide enabling the identification, evaluation and development of the behaviors in individual employees
C. Soorapanth 3
https://en.wikipedia.org/wiki/Competence_(human_resources)
สมรรถนะของความเปนแพทย
1. เจตคต พฤตนสย คณธรรม และจรยธรรมแหงวชาชพ(Attitude, professional habits, moral and ethics)
2. ทกษะชวตและสงคม (Social and life skills)3. การบรหารและจดการ (Administration and management)4. การสรางสรรค (Creativity)5. ความรทวไป (General knowledge)
6C. Soorapanth
Course Organization
8C. Soorapanth
หวขอ ระยะเวลา (สปดาห)
ความเปนวชาชพแพทยวทยาศาสตรพนฐาน
ตลอดหลกสตร
สาขาพยาธวทยา อายรศาสตรโรคขอ วสญญวทยา เวชศาสตรฟนฟ ไมนอยกวา 4 สปดาห/สาขา
การบาดเจบทางออรโธปดกสทงเดกและผใหญ ไมนอยกวา 50 สปดาห
การดแลรกษาผปวยผใหญทางออรโธปดกส ไมนอยกวา 38 สปดาห
การดแลรกษาผปวยเดกทางออรโธปดกส ไมนอยกวา 20 สปดาห
การดแลรกษาผปวยทมโรคและการบาดเจบทางมอ ไมนอยกวา 15 สปดาห
การดแลรกษาผปวยเนองอกทางออรโธปดกส ไมนอยกวา 4 สปดาห
สาขาวชาเลอก ไมนอยกวา 12 สปดาห
การอบรมความรพนฐานดานการวจย
Training Methods• Lecture• Small-group teaching• Academic presentation• Participating journal club• Practicing case audit• Practicing in simulated situation• On-the-job / Practice-based / Work-based training• Self-directed learning• Inquiry-based learning
9C. Soorapanth
Academic activities : quality improvement conference, interesting case conference, journal club, lecture/topic review, ward/grand round, interhospital/interdepartmental conference, small-group learning, case audit, practicing in simulated situation
Training Methods• Lecture• Small-group teaching• Academic presentation• Participating journal club• Practicing case audit• Practicing in simulated situation• On-the-job / Practice-based / Work-based training• Self-directed learning• Inquiry-based learning
10C. Soorapanth
Clinical activities
Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Factual knowledge
11C. Soorapanth
Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Ability to manipulate/apply
knowledge
12C. Soorapanth
Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does Performance in simulated situation
13C. Soorapanth
Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Performance in actual situation
14C. Soorapanth
Miller’s Pyramid of Clinical Competence
Knows
Knows how
Shows how
Does
Knowledge
Competence
Performance
Action
L1
L2
L3
15C. Soorapanth
Assessment• Knowledge test• OSCE• Oral examination• Portfolio• Direct observation• Chart audit• Incident report review• Assessing assignment and research
16C. Soorapanth
Assessment (cont.)
Formative assessment:
Summative assessment1. In-training examination by institution and RCOST
2. Licensing examination :
17C. Soorapanth
Assessment in Y1
หวขอ วธการประเมน สดสวนส าหรบ Board exam.
Basic science in surgery Written examination e.g. multiple choice question
3 %
Basic science in research Written examination e.g. multiple choice question
2 %
Research proposal Oral examination 4 %
ACLS (Advanced Cardiovascular Life Support)
Certification -
ATLS (Advanced Trauma Life Support)* (Y1/Y2/Y3Y4)
Certification -
18
Assessment in Y2
หวขอ วธการประเมนเกณฑส าหรบBoard exam.
Basic science in orthopedics Written examination e.g. multiple choice question
7 %
Clinical skills- Basic trauma management
(AO course)- Key surgical and procedural
skills#
- Direct observation of procedural skills (DOPS)
- Portfolio
-
In-training examination (generic and orthopaedic competencies)
Written examination e.g. multiple choice question
-
ATLS* (Y1/Y2/Y3/Y4) Certification - 19
Assessment in Y3
หวขอ วธการประเมนเกณฑส าหรบ Board exam.
Clinical skills- Cadaveric workshop** (Y3/Y4)- Surgical case reports- Key surgical and procedural
skills#
- Objective Structured Clinical Examination (OSCE)
- Direct observation of procedural skills (DOPS)
- Portfolio- Long case examination#
-
In-training examination (generic and orthopaedic competencies)
Written examination e.g. multiple choice question
-
Board examination - Written examination (part 1) e.g. multiple choice question, short essay question
20 %
20
Assessment in Y4หวขอ วธการประเมน
เกณฑส าหรบ Board exam.
Attitude, professional habits, moral and ethics Direct observation S / U
Clinical skills- Cadaveric workshop** (Y3/Y4)- Surgical case reports- Key surgical and procedural skills
- Objective Structured Clinical Examination (OSCE)
- Direct observation of procedural skills (DOPS)- Portfolio
-
In-training examination (generic and orthopaediccompetencies)
Written examination e.g. multiple choice question -
Research manuscript Manuscript audit or letter of publication approval or proceeding
4 %
Board examination - Written examination (part 2) ประกอบดวย multiple choice question, short essay question
- Objective Structured Clinical Examination (OSCE)
- Oral examination
40 %
10 %
10 % 21