Sheba Medical Center, Department of Anesthesiology Implementing the CBME approach for 1st and 2nd-year interns


The Sheba Medical Center is world renowned Israeli teaching hospital. The Anesthesiology Department decided to incorporate the CBME framework and practices into the internship and residency program to improve anesthesiologist education’s process and outcome.


CBME depends on bidirectional, real-time monitoring and feedback from students and faculty members. However, this cannot be achieved using only paper-based reviews. The Program Manager and staff also found it difficult to follow the progress of residents, conduct evaluations, and view resident self-evaluations.


The Department deployed Shamaym in the clinical teaching rounds of advanced-year medicine students to conduct real-time monitoring and feedback of students and faculty in the CBME, EPAs, and WBAs domains.

The pilot included 17 residents and 21 specialists who downloaded the Shamaym App to their mobile phones and completed a digital debrief at the end of each workday. Filling out the form took approximately five minutes and required minimal typing.

The program manager used a real-time dashboard to monitor all pre-defined training activities, presenting quantitative scores and qualitative feedback inserted by students and faculty into the Shamaym App.

The scores included student attendance (professional), competencies (EPA), and bedside performance (WBA). Each student can access their scores; each faculty member can access their and their students' scores.


Discovering departmental discrepancies:
The digital form required specifying post-operation reviews. The Program Manager discovered a discrepancy between the number of specialists and residents who reported a review.

Some specialists thought a few informal sentences constituted a review, while the residents did not realize this. The Program Manager rectified this by requiring specialists to state when conducting a review and allowing residents time to reply and ask questions.

Another problem was that many residents failed to make bedside visits post-surgery, underestimating its importance. However, once the Program Manager emphasized it, the number of visits rose to 100%.

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