As residency training programmes around the globe move towards competency-based medical education (CBME), there is a need to review current teaching and assessment practices as they relate to education in orthopaedic trauma. Assessment is the cornerstone of CBME, as it not only helps to determine when a trainee is fit to practice independently, but it also provides feedback on performance and guides the development of competence. Although a standardised core knowledge base for trauma care has been developed by the leading national accreditation bodies and international agencies that teach and perform research in orthopaedic trauma, educators have not yet established optimal methods for assessing trainees’ performance in managing orthopaedic trauma patients.
This review describes the existing knowledge from the literature on assessment in orthopaedic trauma and highlights initiatives that have recently been undertaken towards CBME in the United Kingdom, Canada and the United States.
In order to support a CBME approach, programmes need to improve the frequency and quality of assessments and improve on current formative and summative feedback techniques in order to enhance resident education in orthopaedic trauma.
Cite this article: Bone Joint J 2016;98-B:1320–5.
M. T. Nousiainen: Data collection, Data analysis, Writing the paper, Performed revisions, Primary author.
S. A. McQueen: Literature review, Writing of the paper, Paper revisions.
J. Hall: Design of trauma curriculum, Paper revision.
W. Kraemer: Design of trauma curriculum, Oversight of training program, Input into writing of paper.
P. Ferguson: Design of trauma curriculum, Oversight of training program, Input into writing of paper.
J. L. Marsh: Writing of the manuscript and paper revisions.
R. Reznick: Idea generation, Manuscript review.
M. R. Reed: Writing of the manuscript and paper revisions.
R. Sonnadara: Writing of the manuscript and paper revisions.
No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
This article was primary edited by S. P. F. Hughes and first proof edited by J. Scott.
- Received August 5, 2015.
- Accepted June 9, 2016.
- ©2016 The British Editorial Society of Bone & Joint Surgery