Exploring Clinician Investigator Program Educational Benchmarks. Presenting Author: Dr. Shayne P. Taback Date: September 27, 2013

Transcription

1 Exploring Clinician Investigator Program Educational Benchmarks Presenting Author: Dr. Shayne P. Taback Date: September 27, 2013

2 I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device or communications organization. Je n ai aucune affiliation (financière ou autre) avec une entreprise pharmaceutique, un fabricant d appareils médicaux ou un cabinet de communication. Authors: LA Vermette, J Hamilton, S Taback Date: September 26, 2013

3 Clinician Investigator Program (CIP) The major goal of the RCPSC Clinician Investigator Program is to assist in the career development of clinician investigators in Canada. The program provides a formal RCPSC postgraduate medical education pathway that fulfills the existing discipline requirements of the Royal College and provides integrated, structured, and rigorous research training. Now 15 programs across Canada 3

4 Variety of terms to describe MDs who do research Clinician Investigator» RCPS: Specialist MD researcher» U of T Pediatrics CCDP: 50% research; 25-40% clinical Clinician Scientists» U of T Pediatrics CCDP: 70% research; 25-40% clinical» Elsewhere encompasses other profession Physician Scientists Also vital: translational research, knowledge translation Also endangered: The Future of Medical Education in Canada Postgraduate Project Recommendation #1 4

5 Inside baseball: secret keys to CIP Integrated training is key» Career will combine a major research component with the other academic medical specialist functions Flexibility is key; within the minimum 2 years» Learner backgrounds, coming out of medical school» MSc, PhD, Post-doc» R3 to post clinical subspecialty residency» Continuous to longitudinal (fractionated pathway)» Biomedical, clinical, population, health services, economics, education, e-health, engineering, ethics research» Eventual career profile may be >70% research, or 50% or 30% CanMEDS framework is key, intrinsic roles especially valuable to CIP 5

6 CIP ideal for a blend of time-based and competency-based education The training involves a minimum of two years of mentored research intensive training that involves enrolment in a graduate degree program (graduate stream), to complete a thesis or equivalent, or in a postdoctoral fellowship program if the trainee already has a graduate degree (postdoctoral stream). 6

7 Methods Work done in parallel with development and launch of University of Manitoba s CIP residency» Developing our specific goals and objectives, ITERS 3 person research team Documentation from 5 programs formally reviewed Document Analysis» Canadian CIP residency program statements of goals and objectives and ITERS» Mapping to CanMEDS 2005 key competencies Emergence of themes 7

8 Results Themes Goals and objectives organized by CanMEDS roles but do not necessarily equate to CanMEDS 2005 role definitions Consistency, standardization among CIP programs in several areas Goals and objectives not differentiated for different program streams (graduate study versus post-doc) or for different research pillars (biomedical, clinical, population, health services, medical education research ) Most goals and objectives were knowledge and skills, few attitudinal ITERS had standard simple anchors (meets expectations), not behavioural 8

9 Conclusions CIP programs collaborate well on educational development Some further standardization of goals and objectives suggested as is consideration of attitudinal items CIP flexibility is a challenge for CBME, development of milestones and ITERS beyond graduate degree» Streams X Pillars = more ITERS than residents Potential solution Retain general documents, personalize locally Integrate personalized ITERS across programs A CIP ITER bank 9

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