Towards developing a consensus assessment framework for global emergency medicine fellowships

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dc.contributor.authorJahn, Haiko K
dc.contributor.authorKwan, James
dc.contributor.authorO’Reilly, Gerard
dc.contributor.authorGeduld, Heike
dc.contributor.authorDouglass, Katherine
dc.contributor.authorTenner, Andrea
dc.contributor.authorWallis, Lee
dc.contributor.authorTupesis, Janis
dc.contributor.authorMowafi, Hani O
dc.date.accessioned2019-12-10T08:52:01Z
dc.date.available2019-12-10T08:52:01Z
dc.date.issued2019-11-11
dc.date.updated2019-11-17T04:13:47Z
dc.description.abstractAbstract Background The number of Global Emergency Medicine (GEM) Fellowship training programs are increasing worldwide. Despite the increasing number of GEM fellowships, there is not an agreed upon approach for assessment of GEM trainees. Main body In order to study the lack of standardized assessment in GEM fellowship training, a working group was established between the International EM Fellowship Consortium (IEMFC) and the International Federation for Emergency Medicine (IFEM). A needs assessment survey of IEMFC members and a review were undertaken to identify assessment tools currently in use by GEM fellowship programs; what relevant frameworks exist; and common elements used by programs with a wide diversity of emphases. A consensus framework was developed through iterative working group discussions. Thirty-two of 40 GEM fellowships responded (80% response). There is variability in the use and format of formal assessment between programs. Thirty programs reported training GEM fellows in the last 3 years (94%). Eighteen (56%) reported only informal assessments of trainees. Twenty-seven (84%) reported regular meetings for assessment of trainees. Eleven (34%) reported use of a structured assessment of any sort for GEM fellows and, of these, only 2 (18%) used validated instruments modified from general EM residency assessment tools. Only 3 (27%) programs reported incorporation of formal written feedback from partners in other countries. Using these results along with a review of the available assessment tools in GEM the working group developed a set of principles to guide GEM fellowship assessments along with a sample assessment for use by GEM fellowship programs seeking to create their own customized assessments. Conclusion There are currently no widely used assessment frameworks for GEM fellowship training. The working group made recommendations for developing standardized assessments aligned with competencies defined by the programs, that characterize goals and objectives of training, and document progress of trainees towards achieving those goals. Frameworks used should include perspectives of multiple stakeholders including partners in other countries where trainees conduct field work. Future work may evaluate the usability, validity and reliability of assessment frameworks in GEM fellowship training.
dc.identifier.apacitationJahn, H. K., Kwan, J., , Geduld, H., Douglass, K., Tenner, A., ... Mowafi, H. O. (2019). Towards developing a consensus assessment framework for global emergency medicine fellowships. http://hdl.handle.net/11427/30667en_ZA
dc.identifier.chicagocitationJahn, Haiko K, James Kwan, , Heike Geduld, Katherine Douglass, Andrea Tenner, Lee Wallis, Janis Tupesis, and Hani O Mowafi "Towards developing a consensus assessment framework for global emergency medicine fellowships." (2019) http://hdl.handle.net/11427/30667en_ZA
dc.identifier.citationBMC Emergency Medicine. 2019 Nov 11;19(1):68
dc.identifier.ris TY - Journal Article AU - Jahn, Haiko K AU - Kwan, James AU - O’Reilly, Gerard AU - Geduld, Heike AU - Douglass, Katherine AU - Tenner, Andrea AU - Wallis, Lee AU - Tupesis, Janis AU - Mowafi, Hani O AB - Abstract Background The number of Global Emergency Medicine (GEM) Fellowship training programs are increasing worldwide. Despite the increasing number of GEM fellowships, there is not an agreed upon approach for assessment of GEM trainees. Main body In order to study the lack of standardized assessment in GEM fellowship training, a working group was established between the International EM Fellowship Consortium (IEMFC) and the International Federation for Emergency Medicine (IFEM). A needs assessment survey of IEMFC members and a review were undertaken to identify assessment tools currently in use by GEM fellowship programs; what relevant frameworks exist; and common elements used by programs with a wide diversity of emphases. A consensus framework was developed through iterative working group discussions. Thirty-two of 40 GEM fellowships responded (80% response). There is variability in the use and format of formal assessment between programs. Thirty programs reported training GEM fellows in the last 3 years (94%). Eighteen (56%) reported only informal assessments of trainees. Twenty-seven (84%) reported regular meetings for assessment of trainees. Eleven (34%) reported use of a structured assessment of any sort for GEM fellows and, of these, only 2 (18%) used validated instruments modified from general EM residency assessment tools. Only 3 (27%) programs reported incorporation of formal written feedback from partners in other countries. Using these results along with a review of the available assessment tools in GEM the working group developed a set of principles to guide GEM fellowship assessments along with a sample assessment for use by GEM fellowship programs seeking to create their own customized assessments. Conclusion There are currently no widely used assessment frameworks for GEM fellowship training. The working group made recommendations for developing standardized assessments aligned with competencies defined by the programs, that characterize goals and objectives of training, and document progress of trainees towards achieving those goals. Frameworks used should include perspectives of multiple stakeholders including partners in other countries where trainees conduct field work. Future work may evaluate the usability, validity and reliability of assessment frameworks in GEM fellowship training. DA - 2019-11-11 DB - OpenUCT DP - University of Cape Town KW - Global emergency medicine KW - Global health KW - Assessment KW - Curriculum KW - Evaluation KW - Medical education KW - Postgraduate medical education KW - Fellowships LK - https://open.uct.ac.za PY - 2019 T1 - Towards developing a consensus assessment framework for global emergency medicine fellowships TI - Towards developing a consensus assessment framework for global emergency medicine fellowships UR - http://hdl.handle.net/11427/30667 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12873-019-0286-6
dc.identifier.urihttp://hdl.handle.net/11427/30667
dc.identifier.vancouvercitationJahn HK, Kwan J, , Geduld H, Douglass K, Tenner A, et al. Towards developing a consensus assessment framework for global emergency medicine fellowships. 2019; http://hdl.handle.net/11427/30667.en_ZA
dc.language.rfc3066en
dc.rights.holderThe Author(s).
dc.subjectGlobal emergency medicine
dc.subjectGlobal health
dc.subjectAssessment
dc.subjectCurriculum
dc.subjectEvaluation
dc.subjectMedical education
dc.subjectPostgraduate medical education
dc.subjectFellowships
dc.titleTowards developing a consensus assessment framework for global emergency medicine fellowships
dc.typeJournal Article
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