CBD Accomplishments

Key CBD Accomplishments in 2019-20

 

 

What we’ve done….

What we are doing next…

Communication

  • 8 issues of the CBD Newsletter circulated.
  • CBD Website and Handbook refreshed for the 2020-21 academic year.
  • Introduction of weekly Transparent Thursday Topics (T3) with circulation to all residents (CBD and non-CBD), PRPC, and PEAC. 
  • All Royal College EPAs have been posted to the website.
  • Added additional hour to PRPC meetings to specifically address CBD communication and decision-making. 
  • Regularly circulate CBD Briefing note at all departmental meetings.
  • CBD newsletter will continue on a monthly basis and now embedded directly in recipient emails.
  • Plan to incorporate other innovative communication methods in the coming year (for example, short videos). 

Competence Subcommittee and Coaching

  • Successful recruitment of a new Competence Subcommittee chairperson, Dr. Inbal Gafni.
  • Improvements made to the Tableau interface to facilitate review of EPAs.
  • Completed 4 Competence Committee meetings and reviewed 89 CBD residents and circulated reports to all residents and coaches.
  • Introduced communication to residents and coaches regarding EPA expectations leading up to the May Competence Committee reviews.
  • In response to the COVID-19 pandemic, adjustments were made to expectations for EPAs, STACERs, and other assessment data for May 2020 reviews.
  • Decided on a single CBD Coaching model after a thorough review of program evaluation feedback. Competence Committee members are also coaches. 
  • Continued Growth! Expansion to 3 Competence Committees to review 128 CBD residents.
  • Training 18 new Competence Committee members
  • Reviewing and revising the PCS reports improving clarity.
  • The adoption of Elentra will allow competence committee members to have up-to-date reports of resident EPA Progress.
  • Establishing standards for the "Progress is Accelerated" learner status.
  • Implicit bias training for Competence Committee members. 
Assessment
  • Creation of Assessment Subcommittee with meetings scheduled at regular intervals throughout the year.
  • Creation of the CBD Professional Development Self-Reflection Form - a mandatory requirement for residents prior to each Competence Committee Review.
  • Creation of Rotation Plans and ITARs for all PGY1 Rotations.
  • Implementation of PGY1 Rotation Plans and ITARs in 2020-2021.
  • Adapataion of MD PRogram Professionalism fom for residency progam use.
  • Creation of PGY2 Rotation Plans and ITARs.
  • Creation of Psychotherapy Rotation Plans and ITARs.
  • Rotation Plans and ITARs may also be developed ahead of schedule for rotations that occur again in senior years i.e. Addictions, Inpatient, LAE, and Psych ER.
  • Implementation of PGY2 and select Psychotherapy Rotation Plans and ITARs planned for 2021-22.

Curriculum Redesign

  • Didactic curriculum complete for PGY1, PGY2, and PGY3.
  • revised the psychotherapy curriculum with input from a broad range of stakeholders at Postgrad retreat, presented and endorsed at PRPC, overall, decreased number of hours, increased flexibility, with a clear plan for how to integrate psychotherapy skills into core rotations. 
  • Addictions team developing E-module.
  • Didactic curriculum redesign for PGY4 underway.
  • Continuing to work on the integration of social justice, EBM, leadership, and intellectual disability themes into 5-year curriculum.

EPA Tool

  • Over 4,300 EPAs completed as of June 30, 2020.
  • Creation of EPA Transition Map to communicate transition plan from UofT EPAs to Royal College equivalents.
  • Successfully transitioned to Elentra and retired PsychRocks EPA tool.
  • Completion of manual data entry of 4,300 EPAs from PsychRocks into Elentra.
  • Offered Elentra training sessions to 128 CBD Residents and Faculty.
  • Ongoing monitoring of EPA issues.
  • Ongoing feedback collection from supervisors and residents on EPAs and Elentra.
LAE Working Group
  • Survey distributed to residents and LAE supervisors for feedback. 
  • After review of survey results and consultation with departmental leaders, decision to end LAE after PGY3.
    • Residents have the option to continue with LAE in PGY4-5. 
  • The LAE will run in PGY1-3 at the same sites with expansion of LAE1 to SJHC in 2020-2021.

Faculty Development

  • Offered 2 coaching office hours in August and September 2019 to help on-board new CBD Coaches.
  • Offered CBD Update in June 2020 to present key changes to the program in July 2020. Attended by both faculty and residents. 
  • Exploring innovative methods of reaching out to faculty aside from lectures and webinars.
  • Offering 1 coaching hour in July to orient new CBD Coaches.
  • Offering 1 coaching hour in November to orient CBD Coaches to Psychiatry Competence Subcommittee file review process. 

Program Evaluation

  • Completed 10 resident focus groups to obtain feedback on the CBD implementation.
  • Refreshed Learner Experience Committee to include new PGY1s and to obtain feedback on the CBD model of training.
  • Completed coaching focus groups to help decide on the model for the future.
  • Coaching research project completed to determine the most appropriate and valuable model of coaching. 
  • 23 Focus Groups scheduled for PGY1, PGY2, and PGY3 residents in 2020-21 to obtain feedback on the CBD model of training and the revised didactic curriculum. 2 Focus Groups with faculty to obtain their feedback on the implementation of CBD.
  • Evaluation project underway examining the LAE relative to the PGY2 experience.  
  • Scholarly output underway to share knowledge on our experience with implementing CBD.