“How is it for you?” – residents’ and faculty experience with a new family medicine competency-based curriculum

Background/Purpose

The University of Calgary Family Medicine (FM) residency program introduced a new “Triple-C”, competency based curriculum in 2012. This presented an opportunity to study in depth, the impact of such a major change on both Faculty and Residents.

Methodology

Semi-structured interviews were completed with 10 second-year FM residents and 16 Faculty involved in the introduction of the new curriculum. Study participants were selected using purposeful sampling method. Interviews were recorded and subsequently transcribed verbatim for thematic analysis.

Results

The analysis revealed a wide variation in residents’ and Faculty understanding of the elements of a “Triple-C”, competency-based curriculum. Study participants identified issues relating to the delivery of quality, consistent, and equitable learning experiences in a large residency Program. Scheduled learning experiences with non-physician health care professionals appeared to be less valued by residents than those with physicians, and significant challenges around providing experience of continuity of care were also identified, especially in larger academic teaching clinics.

Conclusions

For a new curriculum to be successful, an ongoing process of evaluation and monitoring of learning experiences is essential. Despite some deficiencies and implementation challenges identified by study participants, both residents and Faculty acknowledged that these were expected, and were willing to commit to and engage with the new curriculum. Understanding how the “Triple-C” curriculum impacted our learners and Faculty provided essential feedback to curriculum developers, and enhanced our ongoing processes of quality assurance and improvement within the Program.