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

  • 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. 

Curriculum Redesign

  • Mapped current state curriculum.
  • Developed principals and guidelines for curricular renewal and obtained approval for said renewal from PRPC.
  • Held multiple retreats with broad stakeholder involvement to work out the details of the new curriculum.
  • Didactic curriculum redesign 90% complete for PGY1 and PGY2.
  • Revised the psychotherapy curriculum with input from 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.
  • LAE Working Group implemented to facilitate planning across hospital sites and develop common objectives
  • Working groups established for social justice, EBM, leadership and intellectual disability themes.
  • Launched Assessment Committee to review assessment tools used across the program and recommend assessment plan for PGY1 – PGY5.
  • Recruited new faculty Curriculum Lead
  • Presented the findings of the didactic curriculum renewal as a poster at Don Wasylenki day with plans to publish on this topic in the near future
  • Addictions team developing E-module
  • Didactic curriculum redesign for PGY3 and PGY4 underway
  • ITERs being revised or developed to address new rotation schedule
  • Continuing to work on integration of social justice, EBM, leadership and intellectual disability themes into the 5 year curriculum

EPA Tool

  • Over 1000 EPAs completed as of May 1, 2019.
  • EPA Working Group revised all Transition to Discipline, Foundations of Discipline EPAs and developed Core of Discipline (PGY3 and PGY4) EPAs and worked with Psychotherapy team to revise Psychotherapy EPA(s).
  • Update all EPAs in the EPA tool and communicate EPA changes to residents and supervisors.
  • Revise data capture of diagnosis to reflect DSM5.
  • Work with University of Toronto Central PostMD to transition to the Elentra tool for 2020.
  • Bring EPAs in line with/map our EPAs onto the Royal College EPAs as they become clear.

Faculty Development

  • Offered 3 faculty sessions to obtain CBD feedback, answer FAQs and refresh on CBD and EPA education (at midpoint in academic year).
  • Offered over 10 Spring Primers (at local hospital sites) to prepare faculty for supervising and coaching in the CBD model in 2019-20.
  • Creation of Coach’s Corner on the CBD Website.
  • Coaching Summit held at Don Wasylenki Day.
  • LAE Summit held at Don Wasylenki Day.  
  • 3 Focus Groups being arranged in 2019-20 to obtain faculty feedback on the implementation of CBD.
  • Ongoing faculty development sessions to be scheduled throughout the year
  • Exploring innovative methods of reaching out to faculty aside from lectures and webinars

Program Evaluation

  • Completed 3 PGY2 CBD Pilot Focus Groups to obtain feedback from the 8 residents piloting the program.
  • Implemented Learner Experience Committee to obtain feedback on the CBD model of training.
  • Collated all feedback to date (surveys, focus groups, etc.) into CBD Program Evaluation Report.
  • Conducted resident and faculty on-line survey to obtain feedback at the midpoint in the academic year.
  • 10+ Focus Groups being set up for PGY1, PGY2 and PGY3 residents in 2019-20 to obtain feedback on the CBD model of training and the revised didactic curriculum.
  • Evaluation project underway examining the LAE relative to the PGY2 experience.  
  • Scholarly output underway to share knowledge on our experience with implementing CBD.