Building a doctor, one skill at a time: Rethinking clinical training through a new skills-based feedback modality

Author:

Kappy BrandonORCID,Herrmann Lisa E.ORCID,Schumacher Daniel J.ORCID,Statile Angela M.

Abstract

AbstractThe Accreditation Council for Graduate Medical Education milestones and entrustable professional activities (EPAs) are important assessment approaches but may lack specificity for learners seeking improvement through daily feedback. As in other professions, clinicians grow best when they engage in deliberate practice of well-defined skills in familiar contexts. This growth is augmented by specific, actionable coaching from supervisors. This article proposes a new feedback modality called microskills, which are derived from the psychology, negotiation, and business literature, and are unique in their ability to elicit targeted feedback for trainee development. These microskills are grounded in both clinical and situational contexts, thereby mirroring learners’ cognitive schemas and allowing for more natural skill selection and adoption. When taken as a whole, microskills are granular actions that map to larger milestones, competencies, and EPAs. This article outlines the theoretical justification for this new skills-based feedback modality, the methodology behind the creation of clinical microskills, and provides a worked example of microskills for a pediatric resident on a hospital medicine rotation. Ultimately, microskills have the potential to complement milestones and EPAs and inform feedback that is specific, actionable, and relevant to medical learners.

Publisher

Springer Science and Business Media LLC

Subject

Education

Reference45 articles.

1. A joint initiative of the American Board of Pediatrics and the Accreditation Council for Graduate Medical Education. The pediatrics milestone project. 2012. https://www.abp.org/sites/abp/files/pdf/milestones.pdf. Accessed 10 Aug 2020.

2. Carraccio C, Englander R, Gilhooly J, American Board of Pediatrics. General pediatrics entrustable professional activities. 2015. https://www.abp.org/entrustable-professional-activities-epas. Accessed 1 Nov 2018.

3. Philibert I, Nasca TJ. The next accreditation system: stakeholder expectations and dialogue with the community. J Grad Med Educ. 2012;4:276–8.

4. Carraccio C, Englander R, Gilhooly J, et al. Building a framework of entrustable professional activities, supported by competencies and milestones, to bridge the educational continuum. Acad Med. 2017;92:324–30.

5. ten Cate O, Snell L, Carraccio C. Medical competence: the interplay between individual ability and the health care environment. Med Teach. 2010;32:669–75.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3