Abstract:Contextual competence is presented as a collective responsibility because work and learning conditions drive performance and wellbeing and equitable opportunities must be provided to develop competency.
“…This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. and relationship building, a broader approach to competence is needed in decolonial practices: an approach of constant introspection, active learning, innovative thinking, ability to translate knowledge into transformative action, and particularly important extended involvement and commitment to the communities at stake (Ott & Pack, 2021).…”
Section: Competencementioning
confidence: 99%
“…As a result, the worldviews and contexts of researchers and community stakeholders often differ based on their lived experiences, preconceived notions, prejudices, and motivations. While cultural competence is a life-long process that requires humility and a multidimensional lens to understand the history that gave rise to different worldviews, ways of being, and ways of doing (Tehee et al, 2020), contextual competence pertains to the development of skills and abilities that facilitate applying the cultural knowledge gained to achieve effective action (Ott & Pack, 2021). Inability to honor cultural and contextual differences across a range of issues and situations and failure to acknowledge the autonomy and rights of community stakeholders contribute to power differences, injustices, abuses, and oppression (Olivares-Espinoza et al, 2018).…”
Section: Interrelated Tensions In Community-engaged Researchmentioning
“…This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. and relationship building, a broader approach to competence is needed in decolonial practices: an approach of constant introspection, active learning, innovative thinking, ability to translate knowledge into transformative action, and particularly important extended involvement and commitment to the communities at stake (Ott & Pack, 2021).…”
Section: Competencementioning
confidence: 99%
“…As a result, the worldviews and contexts of researchers and community stakeholders often differ based on their lived experiences, preconceived notions, prejudices, and motivations. While cultural competence is a life-long process that requires humility and a multidimensional lens to understand the history that gave rise to different worldviews, ways of being, and ways of doing (Tehee et al, 2020), contextual competence pertains to the development of skills and abilities that facilitate applying the cultural knowledge gained to achieve effective action (Ott & Pack, 2021). Inability to honor cultural and contextual differences across a range of issues and situations and failure to acknowledge the autonomy and rights of community stakeholders contribute to power differences, injustices, abuses, and oppression (Olivares-Espinoza et al, 2018).…”
Section: Interrelated Tensions In Community-engaged Researchmentioning
“…20 SDT offers a comprehensive theory of the conditions that support or detract from learning and well-being, [25][26][27] with promising applications to medical education. [28][29][30][31] SDT stipulates that autonomy, competence, and relatedness are interdependent psychological needs, the constituents of intrinsic motivation, development, and well-being. Performance and well-being have been shown to improve when these needs are met and to suffer in their absence.…”
Background
Competency-based medical education (CBME) was expected to increase the workload of assessment for graduate training programs to support the development of competence. Learning conditions were anticipated to improve through the provision of tailored learning experiences and more frequent, low-stakes assessments. Canada has adopted an approach to CBME called Competence by Design (CBD). However, in the process of implementation, learner anxiety and assessment burden have increased unexpectedly. To mitigate this unintended consequence, we need a stronger understanding of how resident assessment burdens emerge and function.
Objective
This study investigates contextual factors leading to assessment burden on residents within the framework of CBD.
Methods
Residents were interviewed about their experiences of assessment using constructivist grounded theory. Participants (n=21) were a purposive sample from operative and perioperative training programs, recruited from 6 Canadian medical schools between 2019 and 2020. Self-determination theory was used as a sensitizing concept to categorize findings on types of assessment burden.
Results
Nine assessment burdens were identified and organized by threats to psychological needs for autonomy, relatedness, and competence. Burdens included: missed opportunities for self-regulated learning, lack of situational control, comparative assessment, lack of trust, constraints on time and resources, disconnects between teachers and learners, lack of clarity, unrealistic expectations, and limitations of assessment forms for providing meaningful feedback.
Conclusions
This study contributes a contextual understanding of how assessment burdens emerged as unmet psychological needs for autonomy, relatedness, and competence, with unintended consequences for learner well-being and intrinsic motivation.
“…This responsibility is also addressed in other studies. Ott and Pack [117] describe it as a 'collective responsibility', noting that educators must take an active part in onboarding new doctors into new contexts. A way of doing this is through a participatorily research design [3,5,6], in which the researcher aims to give voice to the participants in order to provide insight into the local context, challenges and beliefs [3,110].…”
Section: Working Participatorilymentioning
confidence: 99%
“…In the final CL session, the participants expressed that it had been fruitful to have the opportunity to meet in a process, and they requested that the process continue. Ott and Pack [117] describe it as a 'collective responsibility': educators must take an active part in onboarding new doctors into new contexts. However, the results from this project show that it is necessary to create a space for them to do sothe CREs (and JDEs) need an opportunity to share reflections and experiences.…”
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