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Medical Council of Canada 103rd Annual Meeting
Pushing the Boundaries of
Medical Licensing
Examinations by Applying a
...
Objectives
1. Review the assessment needs in order to fulfill the new
Blueprint
2. Describe the elements of programmatic a...
Speakers
Claire Touchie, MD, MHPE, FRCPC
• Chief Medical Education Advisor, MCC
Cees van der Vleuten, PhD
• Professor, Dir...
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Claire Touchie, MD, MHPE, FRCPC
September 27, 2015
Where are the gaps?
Beyond the MCCQE Part
I and Part II exams to
be...
Setting the scene
• Where we are
• Where the new Blueprint is taking us
• What are the gaps?
• How can we address them?
Today’s MCC Examination Landscape
• Blueprint: Based on discipline
Part I
196
MCQs
36 CDM
Cases
Part II
12 OSCE
Stations
Assessment Continuum
UGME PGME Practice
Part I Part II
NAC OSCE
Certification
Dimensions of Care
Health
Promotion
and Illness
Prevention
Acute Chronic Psychosocial Aspects
PhysicianActivities
Assessme...
9
Decision 1
Entry to residency
MCCQE Part I
Decision 1: Entry into residency
Dimensions of Care
Health
Promotion
and Illness
Prevention
Acute Chronic Psychosocial
Aspects
Row
Percent
PhysicianActivit...
Dimensions of Care
Health
Promotion
and Illness
Prevention
Acute Chronic Psychosocial
Aspects
Row
Percent
PhysicianActivit...
Dimensions of Care
Health
Promotion
and Illness
Prevention
Acute Chronic Psychosocial
Aspects
Row
Percent Part I Gap
Physi...
New MCC Blueprint
15
Decision 1
Entry to residency
MCCQE Part I
Other
Assessments?
How can we fill the gap?
UGME Retreat – June 2015
Workplace-based type assessments?
• ? Reflections
• ?Multisource feedbac...
Decision 2 – Entry to independent practice
Dimensions of Care
Health
Promotion
and Illness
Prevention
Acute Chronic Psychosocial
Aspects
Row
Percent
PhysicianActivit...
Dimensions of Care
Health
Promotion
and Illness
Prevention
Acute Chronic Psychosocial
Aspects
Row
Percent
PhysicianActivit...
Decision 2 – Entry to independent practice
20
Decision 2
Entry to independent
practice
MCCQE Part II
Other
assessments?
Decision 2 – Entry to independent practice
21
MCCQE Part II
OSCE
Other
Assessments
Decision 2
Entry to independent
practice
Assessments informing the licentiate
Assessment Continuum
UGME PGME Practice
Part I Part II
NAC OSCE
Certification
WBA
OSCE
Licensure Decision ?
How should we put this all together to make
high stakes decisions for licensure?
As you listen to our next two speaker:
1. What are the advantages, in your view, of MCC adopting a
programmatic assessment...
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THANK YOU!THANK YOU!
Questions?
Pushing the Boundaries of Medical Licensing
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Pushing the Boundaries of Medical Licensing

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Dr. Claire Touchie - 2015 Annual Meeting plenary

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Pushing the Boundaries of Medical Licensing

  1. 1. ||| Medical Council of Canada 103rd Annual Meeting Pushing the Boundaries of Medical Licensing Examinations by Applying a Programmatic Framework
  2. 2. Objectives 1. Review the assessment needs in order to fulfill the new Blueprint 2. Describe the elements of programmatic assessment 3. Propose a model for national programmatic approach to our assessment
  3. 3. Speakers Claire Touchie, MD, MHPE, FRCPC • Chief Medical Education Advisor, MCC Cees van der Vleuten, PhD • Professor, Director, School of Health Professions Education, University of Maastricht André De Champlain, PhD • Director, Psychometric and Assessment Services, MCC
  4. 4. ||| Claire Touchie, MD, MHPE, FRCPC September 27, 2015 Where are the gaps? Beyond the MCCQE Part I and Part II exams to better meet our Blueprint:
  5. 5. Setting the scene • Where we are • Where the new Blueprint is taking us • What are the gaps? • How can we address them?
  6. 6. Today’s MCC Examination Landscape • Blueprint: Based on discipline Part I 196 MCQs 36 CDM Cases Part II 12 OSCE Stations
  7. 7. Assessment Continuum UGME PGME Practice Part I Part II NAC OSCE Certification
  8. 8. Dimensions of Care Health Promotion and Illness Prevention Acute Chronic Psychosocial Aspects PhysicianActivities Assessment/ Diagnosis Management Communication Professional Behaviors New MCC Blueprint 8
  9. 9. 9 Decision 1 Entry to residency MCCQE Part I
  10. 10. Decision 1: Entry into residency
  11. 11. Dimensions of Care Health Promotion and Illness Prevention Acute Chronic Psychosocial Aspects Row Percent PhysicianActivities Assessment/ Diagnosis 30 Management 20 Communication 30 Professional Behaviors 20 Column Percent 20 30 30 20 100 Entry to residency 11
  12. 12. Dimensions of Care Health Promotion and Illness Prevention Acute Chronic Psychosocial Aspects Row Percent PhysicianActivities Assessment/ Diagnosis 45±5 Management 35±5 Communication 10±5 Professional Behaviors 10±5 Column Percent 20±5 35±5 30±5 15±5 100 Part I – Test Specifications 12 These weights were approved by CEC in June 2015
  13. 13. Dimensions of Care Health Promotion and Illness Prevention Acute Chronic Psychosocial Aspects Row Percent Part I Gap Physician Activities Assessment/ Diagnosis 30±5 45±5  Management 20±5 35±5  Communication 30±5 10±5  Professional Behaviours 20±5 10±5  Column Percent 20±5 30±5 30±5 20±5 100 Part I 20±5 35±5 30±5 15±5 Gap     Entry into Residency - Gaps 14
  14. 14. New MCC Blueprint 15 Decision 1 Entry to residency MCCQE Part I Other Assessments?
  15. 15. How can we fill the gap? UGME Retreat – June 2015 Workplace-based type assessments? • ? Reflections • ?Multisource feedback • ?school OSCE Other national projects • Pan-Canadian Entrustable Professional Activities at the UGME/PGME Transition
  16. 16. Decision 2 – Entry to independent practice
  17. 17. Dimensions of Care Health Promotion and Illness Prevention Acute Chronic Psychosocial Aspects Row Percent PhysicianActivities Assessment/ Diagnosis 25 Management 35 Communication 20 Professional Behaviors 20 Column Percent 20 25 35 20 100 Entry to Independent practice 18
  18. 18. Dimensions of Care Health Promotion and Illness Prevention Acute Chronic Psychosocial Aspects Row Percent PhysicianActivities Assessment/ Diagnosis 48 Management 13 Communication 34 Professional Behaviors 5 Column Percent 10 70 14 6 100 Part II Gap Analysis 19
  19. 19. Decision 2 – Entry to independent practice 20 Decision 2 Entry to independent practice MCCQE Part II Other assessments?
  20. 20. Decision 2 – Entry to independent practice 21 MCCQE Part II OSCE Other Assessments Decision 2 Entry to independent practice
  21. 21. Assessments informing the licentiate
  22. 22. Assessment Continuum UGME PGME Practice Part I Part II NAC OSCE Certification WBA OSCE Licensure Decision ?
  23. 23. How should we put this all together to make high stakes decisions for licensure?
  24. 24. As you listen to our next two speaker: 1. What are the advantages, in your view, of MCC adopting a programmatic assessment approach? 2. 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)
  25. 25. ||| THANK YOU!THANK YOU! Questions?

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