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J Grad Med Educ October 2022 PMID 36274774

"The Most Crushing Thing": Understanding Resident Assessment Burden in a Competency-Based Curriculum.

Mary C Ott, Rachael Pack, Sayra Cristancho, Melissa Chin, Julie Ann Van Koughnett, Michael Ott

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Mentions

31
Peak: 25 in Oct 2022
across 3 sources since Oct 2022

Extended reach

32,633
potential audience

Total likes

149

Video views

14

Mentions per month

Oct 2022 – Oct 2024

Where it's discussed

  • X / Twitter26 posts
  • YouTube3 videos
  • News2 articles

AI synopsis

What people are saying

The discussions emphasize the negative influence of assessment burdens on residents’ wellness, citing statistics like 73% of Canadian residents reporting negative impacts and mentioning collaborative efforts to explore solutions. The tone combines concern and appreciation for teamwork, reflecting a belief in the importance of addressing these challenges.

AgreementModerate agreement

Most posts agree that the shift to Competence by Design has negatively affected resident wellness, reflecting shared concern about assessment burdens.

InterestHigh interest

Posts demonstrate high interest, with references to survey statistics and detailed acknowledgments of the issue and ongoing work to address it.

EngagementModerate engagement

The discussion includes mentions of collaboration, specific surveys, and calls for improvement, indicating a moderate level of thoughtful engagement.

ImpactModerate impact

The posts highlight the importance of understanding assessment burdens as a significant issue impacting resident wellbeing, suggesting potential for meaningful change.

Abstract in brief

  • This study explores how assessment demands in competency-based medical education (CBME), especially with the Canadian approach called Competence by Design (CBD), have unexpectedly increased learner anxiety and workload, despite expectations of personalized and low-stakes evaluations.
  • The researchers interviewed 21 residents from Canadian medical schools to identify nine types of assessment burdens, which are linked to threats to their psychological needs for autonomy, relatedness, and competence, such as lack of control, trust issues, and unclear expectations.
  • Understanding these factors helps explain how assessment burdens impact learner motivation and wellbeing, emphasizing the need to address these challenges to improve the training experience and reduce negative effects on residents.]
Read the full abstract

Top posts

Most liked on X and Bluesky
Mary Ott
@mary_mott2 · X

73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent survey by @royalcollege @residentdoctors. Our work on #assessmentburden explains what can be done to improve it: https://t.co/wWpOUsLHkI

Oct 19, 2022 · 146 likes · 29 shares · 506 followers View post →
Mary Ott
@mary_mott2 · X

Grateful to have worked with an amazing team @SchulichMedDent @westernuCERI on RESIDENT #assessmentburden https://t.co/wWpOUsty6A @MichaelOtt_MD @scristaM @JAVanKoughnett @PhdPack and @MelissaChin86, who explores FACULTY #assessmentburden here: https://t.co/FRKaefCsTF

Oct 20, 2022 · 3 likes · 1 share · 506 followers View post →
Eve Purdy
@purdy_eve · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 5,528 followers View post →
Ming-Ka Chan 陳明嘉, MD MHPE FRCPC
@MKChan_RCPSC · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 25, 2022 · 29 shares · 3,678 followers View post →
Dr Debra E. Boyce
@dboyceMD · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 3,518 followers View post →
Andrea Kokorovic MD
@DrAndreaKoko · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 1,952 followers View post →

All mentions

Lauren
@lo49002u3o · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Jan 31, 2023 · 29 shares · 36 followers View post →
Ming-Ka Chan 陳明嘉, MD MHPE FRCPC
@MKChan_RCPSC · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 25, 2022 · 29 shares · 3,678 followers View post →
Dr Debra E. Boyce
@dboyceMD · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 3,518 followers View post →
Patrick Murphy
@pbatesmurphy · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 974 followers View post →
Andrea Kokorovic MD
@DrAndreaKoko · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 1,952 followers View post →
Lindsay Milroy (Cherpak)
@LindsayAMilroy · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 668 followers View post →
Astrid Levelt
@AstridLevelt · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 459 followers View post →
Dr. Jeff Cao
@JeffCaoMDMBA · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 21, 2022 · 29 shares · 683 followers View post →
Dr. Laura Rivera
@LauraRiveraMD · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 1,466 followers View post →
Prateek Sehgal
@psehgal89 · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 409 followers View post →
Dr Kathy Hibbert
@khibbert · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 1,948 followers View post →
Kelcie Lahey
@KelcieLahey · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 127 followers View post →
Matt Douglas-Vail
@MattDouglasVail · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 820 followers View post →
Jason Gencher
@JasonGencher · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 218 followers View post →
Suzanne Kazandjian
@S_Kazandjian · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 253 followers View post →
Eve Purdy
@purdy_eve · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 5,528 followers View post →
Mary Boulos
@marymeetsworld · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 1,302 followers View post →
Tuan Patrick Hoang
@HoangNAT · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 478 followers View post →
Jhanahan Sriranjan (He/Him)
@JhanAtMac · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 485 followers View post →
Dr. Michael Ott
@MichaelOtt_MD · X

RT @mary_mott2: Grateful to have worked with an amazing team @SchulichMedDent @westernuCERI on RESIDENT #assessmentburden https://t.co/wWpO…

Oct 20, 2022 · 1 share · 1,529 followers View post →
Tanya Horsley
@thorsley_handle · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 1,250 followers View post →
Mary Ott
@mary_mott2 · X

Grateful to have worked with an amazing team @SchulichMedDent @westernuCERI on RESIDENT #assessmentburden https://t.co/wWpOUsty6A @MichaelOtt_MD @scristaM @JAVanKoughnett @PhdPack and @MelissaChin86, who explores FACULTY #assessmentburden here: https://t.co/FRKaefCsTF

Oct 20, 2022 · 3 likes · 1 share · 506 followers View post →
Laura Welsh
@laurawelshMD · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 20, 2022 · 29 shares · 539 followers View post →
Ushma Purohit
@UshmaPurohit · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 19, 2022 · 29 shares · 1,324 followers View post →
Lorenzo Madrazo
@LorenzoMadrazo · X

RT @mary_mott2: 73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent surv…

Oct 19, 2022 · 29 shares · 549 followers View post →
Mary Ott
@mary_mott2 · X

73% of Residents in Canada say the transition to #CompetencebyDesign had a negative impact on their wellness in recent survey by @royalcollege @residentdoctors. Our work on #assessmentburden explains what can be done to improve it: https://t.co/wWpOUsLHkI

Oct 19, 2022 · 146 likes · 29 shares · 506 followers View post →
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