News article on the changes implemented earlier this year in resident programmes that require senior doctors to observe their residents and provide constant coaching unlike the more hands-off approach of the past.


At work in the emergency department of St. Michael’s Hospital in Toronto, first-year medical resident Winny Li interviews a patient with chest pain while her supervisor hides behind a curtain, within earshot, but out of view. The oversight – and the feedback she will receive later in the shift – is a hallmark of Canada’s new system for teaching and evaluating junior doctors.
The program, which launched at teaching hospitals across the country on July 1, requires senior doctors to observe resident doctors – those who have finished medical school and are doing on-the-job training in one of more than 30 specialties – and provide constant coaching, unlike the hands-off approach in the past.
“It’s the biggest change in medical education in over a century,” says Jason Frank, an emergency physician in Ottawa and the director of specialty education at the Royal College of Physicians and Surgeons of Canada who is leading the overhaul, which started with this year’s crop of 3,000 residents. While universities conduct the training, the college sets out the program they will follow.
The new system is meant to identify struggling residents early, so educators can intervene and make sure they have the skills they need when they move on to their own practices.......

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