Evolution of a competency committee (CC): enhancing resident training and education

Objectives To document evolution of a CC in the first year of the CBD curriculum Methods A process analysis of a CC in a large Ob/Gyn residency program for 2019-2020 Results Challenges and successes were identified that will inform residency program planning such as faculty development, the program of assessment and individualization of curricula. A developmental model was implemented assessing each resident quarterly: reviewing their exam scores: teaching scores: scholarly activity and clinical evaluations. CC processes became more efficient; reducing time to assess each trainee and providing a more nuanced view. CC challenges identified included: 1) collating large volumes of data from multiple assessment platforms 2) resource issues involved in processing this data 3) training committee members in accessing the data. Program challenges identified include 1) Need to educate clinical faculty to provide quality feedback 3) Tailoring rotations to address the needs of trainees requiring additional time to reach competence and rapidly progressing trainees; 3) academic coaching of residents with difficulties. Successes included : 1) Emergence of early identification of trainee deficits in both the Medical Expert and Intrinsic domains leading to earlier intervention/remediation 2) Ability to monitor progress of all residents 3) Improvements in quality/ quantity of faculty assessments. Conclusions The CC process will continue to evolve, working to meet challenges in order to create a comprehensive assessment of each resident. The CC has a large role to play in advising the Residency Program in the ways it can work to serve the department more effectively.