title: Program director and resident perspectives of a competency-based medical education anesthesia residency program in Canada: a needs assessment.
abstract: OBJECTIVE
  In July 2015, the University of Ottawa introduced a competency-based medical education (CBME) postgraduate program for anesthesia. Prior to program implementation, this study aimed to identify Canadian anesthesiology program directors perceptions of CBME and residents' opinion on how the program should be designed and perceived consequences of CBME.
  
  
  METHODS
  This two-phase, qualitative study included semi-structured interviews with Canadian anesthesia program directors (Phase I) and a focus group interview with residents enrolled in the University of Ottawa time-based anesthesia program (Phase II). Both phases sought to gauge participant's perceptions of CBME. Interviews were recorded, transcribed verbatim and thematically analyzed.
  
  
  RESULTS
  Data was combined to protect anonymity of the six participants (three program directors and three residents). Participants spoke about the perceived advantages of CBME, the need to establish definitions, and challenges to a CBME program highlighting logistical factors, implications for trainees and the role assessment plays in CBME.
  
  
  CONCLUSIONS
  These findings will inform CBME implementation strategies in anesthesia programs across the country, and may assist other residency programs in the design of their programs. Furthermore, our findings may help identify potential challenges and issues that other postgraduate specialties may face as they transition to a CBME model.
authors.affiliation: Department of Anesthesiology, The Ottawa Hospital and University of Ottawa, ON, Canada.|Department of Innovation in Medical Education (DIME), The Ottawa Hospital and University of Ottawa, ON, Canada.
authors.forename: Sylvain
authors.identifier: 0000-0002-1679-818X
authors.initials: S
authors.lastname: Boet
authors.affiliation: Department of Anesthesiology, The Ottawa Hospital Research Institute, Ottawa, ON, Canada.
authors.forename: Ashlee-Ann E
authors.identifier: 0000-0001-5028-8792
authors.initials: AA
authors.lastname: Pigford
authors.affiliation: Department of Anesthesiology, The Ottawa Hospital and University of Ottawa, ON, Canada.
authors.forename: Viren N
authors.identifier: 0000-0002-2387-7329
authors.initials: VN
authors.lastname: Naik
mesh_terms: D000776:Anesthesiology / Q000193:education*; D001291:Attitude of Health Personnel; D002170:Canada; D002983:Clinical Competence; D003162:Competency-Based Education; D006282:Health Personnel; D006301:Health Services Needs and Demand; D006801:Humans; D007396:Internship and Residency; D010820:Physicians; D015397:Program Evaluation; D036301:Qualitative Research; D013038:Specialization; D014495:Universities
keywords: Anesthesia; Competency-based education; Medical education; Residency