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Intra-personal and inter-personal competency components refer to the affective and communication skills, and attitudes, required for safe and efficient colonoscopy.
The identification of competency components in the medical training literature has typically been achieved through the gathering of expert opinion [ 1, 2].
Simulation-based training, for example, has the potential to accelerate skill acquisition if it addresses one or more of the competency components in the proposed framework.
A colonoscopy competency framework was identified consisting of twenty-seven components components grouped into six categories: clinical knowledge; colonoscope handling; situation awareness; heuristics and strategies; clinical reasoning; and intra- and inter-personal.
Cognitive task analysis methods (observation, a think-aloud protocol and cued-recall) and subsequent expert review were employed to identify the competency components exhibited by practicing endoscopists with the aim of providing a basis for future instructional design.
Ultimately, a proposed colonoscopy competency framework was identified comprising twenty-seven components components grouped into six categories: clinical knowledge; colonoscope handling; situation awareness; heuristics and strategies; clinical reasoning; and intra-personal and inter-personal (Fig. 1).
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A more ambitious approach would be to develop a comprehensive set of highly-focused training modules and assessments, each targeting a specific competency component.
Therefore, a plausible alternative approach in relation to this competency component may be to develop a novel computer-based training methodology that, in a relatively short space of time, gives the trainee the equivalent of a career's worth of exposure to and practice at identifying abnormalities, in conjunction with timely and accurate performance feedback.
Competencies (components of the CBME) 5.
According to Spencer & Spencer, a competency has some components which are visible like knowledge and skills but other behavioral components like attitudes, traits, thinking styles, self-image, organizational fit etc. are hidden or beneath the surface [ 26].
Finally the evaluation of residents in research should be based on ACGME competencies in order to standardize the assessment of resident's competency in various components.
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