Pushing the Boundaries of Medical Licensing

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| Medical Council of Canada 103 rd Annual Meeting Pushing the Boundaries of Medical Licensing Examinations by Applying a Programmatic Framework
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Transcript of Pushing the Boundaries of Medical Licensing

Pushing the Boundaries of Medical Licensing Examinations by Applying a Programmatic Framework

Medical Council of Canada 103rd Annual MeetingPushing the Boundaries of Medical Licensing Examinations by Applying a Programmatic Framework

|||ObjectivesReview the assessment needs in order to fulfill the new Blueprint

Describe the elements of programmatic assessment

Propose a model for national programmatic approach to our assessment

|||SpeakersClaire Touchie, MD, MHPE, FRCPCChief Medical Education Advisor, MCC

Cees van der Vleuten, PhDProfessor, Director, School of Health Professions Education, University of Maastricht

Andr De Champlain, PhDDirector, Psychometric and Assessment Services, MCC

|||Claire Touchie, MD, MHPE, FRCPCSeptember 27, 2015Where are the gaps?Beyond the MCCQE Part I and Part II exams to better meet our Blueprint:

|||Setting the sceneWhere we areWhere the new Blueprint is taking usWhat are the gaps?How can we address them?

|||Todays MCC Examination LandscapeBlueprint: Based on discipline

|||Assessment ContinuumPart IPart IINAC OSCECertification

|||Dimensions of CareHealth Promotion and Illness PreventionAcuteChronicPsychosocial AspectsPhysician ActivitiesAssessment/DiagnosisManagementCommunicationProfessional Behaviors

New MCC Blueprint8

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9

|||Decision 1: Entry into residency

|||Dimensions of CareHealth Promotion and Illness PreventionAcuteChronicPsychosocial AspectsRow PercentPhysician ActivitiesAssessment/Diagnosis30Management20Communication30Professional Behaviors20Column Percent20303020100

Entry to residency11

|||Dimensions of CareHealth Promotion and Illness PreventionAcuteChronicPsychosocial AspectsRow PercentPhysician ActivitiesAssessment/Diagnosis455Management355Communication105Professional Behaviors105Column Percent205355305155100

Part I Test Specifications12These weights were approved by CEC in June 2015

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|||Dimensions of CareHealth Promotion and Illness PreventionAcuteChronicPsychosocial AspectsRow PercentPart IGapPhysician ActivitiesAssessment/Diagnosis305455Management205355Communication305105Professional Behaviours205105Column Percent205305305205100Part I205355305155Gap

Entry into Residency - Gaps14

|||New MCC Blueprint15

|||How can we fill the gap?UGME Retreat June 2015Workplace-based type assessments?? Reflections?Multisource feedback?school OSCE

Other national projectsPan-Canadian Entrustable Professional Activities at the UGME/PGME Transition

|||Decision 2 Entry to independent practice

|||Dimensions of CareHealth Promotion and Illness PreventionAcuteChronicPsychosocial AspectsRow PercentPhysician ActivitiesAssessment/Diagnosis25Management35Communication20Professional Behaviors20Column Percent20253520100

Entry to Independent practice18

|||Dimensions of CareHealth Promotion and Illness PreventionAcuteChronicPsychosocial AspectsRow PercentPhysician ActivitiesAssessment/Diagnosis48Management13Communication34Professional Behaviors5Column Percent1070146100

Part II Gap Analysis19

|||Decision 2 Entry to independent practice20

|||Decision 2 Entry to independent practice21

|||Assessments informing the licentiate

|||Assessment ContinuumPart IPart IINAC OSCECertificationWBAOSCELicensure Decision ?

|||How should we put this all together to make high stakes decisions for licensure?

|||As you listen to our next two speaker:

What are the advantages, in your view, of MCC adopting a programmatic assessment approach?

What are the challenges and possible barriers to going beyond the 2 point-in-time examiantions presently required for the LMCC (MCCQE Part I and Part II)

|||Questions?

THANK YOU!THANK YOU!

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