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Many Minds, One Model: Exploring Decision Making of an Undergraduate Medicine Competency Committee Using the Construct of a Shared Mental Model Cover

Many Minds, One Model: Exploring Decision Making of an Undergraduate Medicine Competency Committee Using the Construct of a Shared Mental Model

Open Access
|Aug 2025

References

  1. Van Der Vleuten CPM, Schuwirth LWT, Driessen EW, et al. A model for programmatic assessment fit for purpose. Med Teach. 2012;34(3):205214. DOI: 10.3109/0142159X.2012.652239
  2. Van Der Vleuten CPM, Schuwirth LWT, Driessen EW, Govaerts MJB, Heeneman S. Twelve tips for programmatic assessment. Med Teach. 2015;37(7):641646. DOI: 10.3109/0142159X.2014.973388
  3. Ekpenyong A, Padmore JS, Hauer KE. The Purpose, Structure, and Process of Clinical Competency Committees: guidance for members and program directors. J Grad Med Educ. 2021;13(2s):4550. DOI: 10.4300/JGME-D-20-00841.1
  4. Heeneman S, de Jong LH, Dawson LJ, et al. Ottawa 2020 consensus statement for programmatic assessment–1. Agreement on the principles. Med Teach. 2021;43(10):11391148. DOI: 10.1080/0142159X.2021.1957088
  5. Royal College of Physicians and Surgeons of Canada. Competence committee guideline: process and procedures in decision-making. May 7, 2018. Accessed 29 November, 2024. https://www.royalcollege.ca/content/dam/documents/accreditation/competence-by-design/directory/competence-committees-process-procedures-e.htmlCompetencecommittees
  6. Andolsek K, Padmore J, Hauer K, et al. Clinical competency committees: a guidebook for programs (3rd Edition) https://www.acgme.org/globalassets/acgmeclinicalcompetencycommitteeguidebook.pdf (accessed 29 November, 2024).
  7. Duitsman ME, Fluit CRMG, van Alfen-van der Velden JAEM, et al. Design and evaluation of a clinical competency committee. Perspect Med Educ. 2019;8(1):18. DOI: 10.1007/S40037-018-0490-1
  8. Royal College of Physicians and Surgeons of Canada. Royal College of Physicians and Surgeons of Canada. Competence by Design: Technical Guide 3: Competence committees. http://ww.royalcollege.ca/rcsite/cbd/assessment/committees/managing-competence-committees-e (accessed 29 November, 2024).
  9. Acai A, Cupido N, Weavers A, et al. Competence committees: the steep climb from concept to implementation. Med Educ. 2021;55(9):10671077. DOI: 10.1111/medu.14585
  10. French JC, Dannefer EF, Colbert CY. A systematic approach toward building a fully operational clinical competency committee. J Surg Educ. 2014;71(6):2227. DOI: 10.1016/j.jsurg.2014.04.005
  11. Doty CI, Roppolo LP, Asher S, et al. How do emergency medicine residency programs structure their clinical competency committees? A survey. Acad Emerg Med. 2015;22(11):13511354. DOI: 10.1111/acem.12804
  12. Promes SB, Wagner MJ. Starting a clinical competency committee. J Grad Med Educ. 2014;6(1):163164. DOI: 10.4300/JGME-D-13-00444.1
  13. Hauer KE, Chesluk B, Iobst W, et al. Reviewing residents’ competence: a qualitative study of the role of clinical competency committees in performance assessment. Acad Med. 2015;90(8):10841092. DOI: 10.1097/ACM.0000000000000736
  14. Kinnear B, Warm EJ, Hauer KE. Twelve tips to maximize the value of a clinical competency committee in postgraduate medical education. Med Teach. 2018;40(11):11101115. DOI: 10.1080/0142159X.2018.1474191
  15. Monrad SU, Mangrulkar RS, Woolliscroft JO, et al. Competency committees in undergraduate medical education: approaching tensions using a polarity management framework. Acad Med. 2019;94(12):18651872. DOI: 10.1097/ACM.0000000000002816
  16. Schumacher DJ, Martini A, Sobolewski B, et al. Use of resident-sensitive quality measure data in entrustment decision making: a qualitative study of clinical competency committee members at one pediatric residency. Acad Med. 2020;95(11):17261735. DOI: 10.1097/ACM.0000000000003435
  17. Schwartz A, Balmer DF, Borman-Shoap E, et al. Shared mental models among clinical competency committees in the context of time-variable, competency-based advancement to residency. Acad Med. 2020;95(11):S95S102. DOI: 10.1097/ACM.0000000000003638
  18. Hauer KE, Ten Cate O, Boscardin CK, et al. Ensuring resident competence: a narrative review of the literature on group decision making to inform the work of clinical competency committees. J Grad Med Educ. 2016;8(2):156164. DOI: 10.4300/JGME-D-15-00144.1
  19. Edgar L, Jones MD, Harsy B, Passiment M, Hauer KE. Better decision-making: shared mental models and the clinical competency committee. J Grad Med Educ. 2021;13(2s):5158. DOI: 10.4300/JGME-D-20-00850.1
  20. Chahine S, Cristancho S, Padgett J, Lingard L. How do small groups make decisions?: A theoretical framework to inform the implementation and study of clinical competency committees. Perspect Med Educ. 2017;6(3):192198. DOI: 10.1007/S40037-017-0357-X
  21. Colbert CY, French JC, Herring ME, Dannefer EF. Fairness: the hidden challenge for competency-based postgraduate medical education programs. Perspect Med Educ. 2017;6(5):347355. DOI: 10.1007/S40037-017-0359-8
  22. Ekpenyong A, Baker E, Harris I, et al. How do clinical competency committees use different sources of data to assess residents’ performance on the internal medicine milestones? A mixed methods pilot study. Med Teach. 2017;39(10):10741083. DOI: 10.1080/0142159X.2017.1353070
  23. Schumacher DJ, Michelson C, Poynter S, et al. Thresholds and interpretations: how clinical competency committees identify pediatric residents with performance concerns. Med Teach. 2018;40(1):7079. DOI: 10.1080/0142159X.2017.1394576
  24. Harris P, Snell L, Talbot M, Harden RM. Competency-based medical education: implications for undergraduate programs. Med Teach. 2010;32(8):646650. DOI: 10.3109/0142159X.2010.500703
  25. Hemmer PA, Kelly WF. We need to talk: clinical competency committees in the key of c(onversation). Perspect Med Educ. 2017;6(3):141143. DOI: 10.1007/S40037-017-0360-2
  26. Kulasegaram K, Mylopoulos M, Tonin P, et al. The alignment imperative in curriculum renewal. Med Teach. 2018;40(5):443448. DOI: 10.1080/0142159X.2018.1435858
  27. Tait GR, Kulasegaram KM. Assessment for learning: the University of Toronto Temerty Faculty of Medicine M.D. Program experience. Educ Sci (Basel). 2022;12(4). DOI: 10.3390/educsci12040249
  28. Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):17531760. DOI: 10.1177/1049732315617444
  29. Varpio L, Ajjawi R, Monrouxe LV, O’Brien BC, Rees CE. Shedding the cobra effect: problematising thematic emergence, triangulation, saturation and member checking. Med Educ. 2017;51(1):4050. DOI: 10.1111/medu.13124
  30. Thompson J. A guide to abductive thematic analysis. Qualitative Report. 2022;27(5):14101421. DOI: 10.46743/2160-3715/2022.5340
  31. Pack R, Lingard L, Watling CJ, Chahine S, Cristancho SM. Some assembly required: tracing the interpretative work of Clinical Competency Committees. Med Educ. 2019;53(7):723734. DOI: 10.1111/medu.13884
  32. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77101. DOI: 10.1191/1478088706qp063oa
  33. Timmermans S, Tavory I. Abductive Analysis. University of Chicago Press; 2014.
  34. Cannon-Bowers J, Salas E, Converse S. Shared mental models in expert team decision making. In: Castellan N, editor. Individual and group decision making. L. Erlbaum Associates; 1993. pp. 221246.
  35. Burns K. Mental models and normal errors. In: Montgomery H, Lipshitz R, Brehmer B, editors. How professionals make decisions. Lawrence Erlbaum Associates Publishers; 2005. pp. 1528.
  36. Dickey CC, Thomas C, Feroze U, Nakshabandi F, Cannon B. Cognitive demands and bias: challenges facing clinical competency committees. J Grad Med Educ. 2017;9(2):162164. DOI: 10.4300/JGME-D-16-00411.1
  37. Ekpenyong A, Becker K. What resources do clinical competency committees (CCCs) require to do their work? A pilot study comparing CCCs across specialties. Med Teach. 2021;43(1):8692. DOI: 10.1080/0142159X.2020.1817878
  38. Floren LC, Donesky DA, Whitaker E, Irby DM, Ten Cate O, O’Brien BC. Are we on the same page? Shared mental models to support clinical teamwork among health professions learners: A scoping review. Acad Med. 2018;93(3):498509. DOI: 10.1097/ACM.0000000000002019
DOI: https://doi.org/10.5334/pme.1949 | Journal eISSN: 2212-277X
Language: English
Submitted on: Jun 19, 2025
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Accepted on: Jul 2, 2025
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Published on: Aug 13, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Tim Mickleborough, Glendon R. Tait, Maria Mylopoulos, Kulamakan (Mahan) Kulasegaram, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.