Transcript MedBiquitous Competency Work to Date

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A proposed conceptualization for
the standardized digital
representation of competencies
2011 MedBiq Conference
Timothy Willett, MD
Rosalyn Scott, MD FACS
Valerie Smothers
Rachel Ellaway, PhD
Simon Grant, PhD
MedBiquitous Competencies
Working Group
• Rosalyn Scott and Tim Willett, co-chairs
• Launched in 2006
• Charter:
• “to develop XML standards and supporting
guidelines for competency data enabling
educational resources and activities to be tied to a
competency framework”
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The big picture
Activity
Report
Learning
Objects
reports
address
Competency
Virtual
Patient
address
shows progression
maps
Educational
Trajectory
Curriculum
Inventory
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Definitions
Competency
A statement describing a specific ability, or set of abilities, requiring
specific knowledge, skill and/or attitude. Competencies are used to
set performance standards that must be met.
Competency
Object
An umbrella term used by the CWG to describe any abstract statement
of learning or performance expectations, and information related to
the statement. Statements can be learning outcomes, competencies
(per se), learning objectives, professional roles, topics, classifications,
collections, etc.
The Object is abstract in the sense that it does not inherently contain
information about connections of the statement to individuals or
events or other objects.
Competency
Framework
An organized and structured representation of a set of interrelated and
purposeful competency objects.
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Principles
• NOT a canonical competency framework
• Accommodate existing variety
• Reusability
• Competencies have levels/milestones
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Comparison of published
frameworks
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Accreditation Council on Graduate Medical Education (ACGME) Competencies
Acute Care Nurse Practitioner Competencies
American Association of Critical-Care Nurses (AACN) General Patient Care Competencies &
Synergy Model
American Society of Health-System Pharmacists
CanMEDS 2005
CanMEDS Specialty Competencies
Good Medical Practice (UK)
Good Medical Practice (USA)
Entrustable Professional Activities
Pediatric Milestones (Am Board Ped)
Royal Australasian College of Surgery
The Scottish Doctor
Tomorrow's Doctors
Tufts University Medical, Dental and Veterinary Competencies
Tuning (MEDINE)
Women’s Healthcare Competencies
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THE CONCEPTUAL MODEL
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A competency object . . .
Statement
Relates to other
competency
objects . . .
Which can relate
to external
resources . . .
Learning
Object
Assessment
Performance
data
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The “Competency Object”
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URL
Title (statement)
Description
Type
Metadata
References
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The “Competency Object”
From AACN Synergy Model:
http://example.com/competency/12345.xml
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URL
Title (statement)
Description
Type
Metadata
References
Clinical Judgment
Clinical reasoning, which includes clinical
decision-making, critical thinking, and a
global grasp of the situation, coupled with
nursing skills acquired through a process
of integrating formal and informal
experiential knowledge and evidencebased guidelines.
Type = Competency
Metadata: (Publisher, date, copyright, etc.)
References: None
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The “Competency Object”
From CanMEDS 2005:
http://example.com/competency/12345.xml
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URL
Title (statement)
Description
Type
Metadata
References
Collaborator
As Collaborators, physicians effectively
work within a healthcare team to achieve
optimal patient care.
Type = Professional role
Metadata: (Publisher, date, copyright, etc.)
References: None
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The “Competency Framework”
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URL
Title
Description
Metadata
List of relations
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The “Competency Framework”
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http://example.com/framework/12
345.xml
URL
Title
Description
Metadata
List of relations
Competency
A
AACN Synergy Model
The core concept of the
reconceptualized model of
certified practice - the AACN
Synergy Model for Patient Care is that the needs or characteristics
of patients…
Metadata: (Publisher, date,
copyright, etc.)
A haspart B
A haspart C
B haslevel 1 X
B haslevel 2 Y
Competency
Competency
B
C
Level 1
Level 2
X
Y
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Example: Pediatric Milestone (ABP)
1. The competency objects
2. The competency framework
Competency:
Patient Care
haspart
Making Informed Diagnostic and Therapeutic
Decisions That Result in Optimal Clinical Judgment
Milestone:
haslevel 1
Recalls and
presents clinical
facts…
Anchor:
haslevel 2
haslevel 3
Focuses on
features of the clinical
presentation…
Anchor:
Abstracts and
reorganizes elicited
clinical findings in
memory…
Anchor:
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In development
Next phase
Out of scope
Specs and Schemas Available At:
• http://www.medbiq.org/working_groups/comp
etencies/index.html
• Open license, membership not required
Thank you!
• [email protected]
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