Education Keynote

Patient-Focused and Learner-Centered: The Promise of Competency-Based Medical Education

Holly Caretta-Weyer, MD, MHPE

Competency-based medical education (CBME) has become the leading educational paradigm for training physicians worldwide. While emergency medicine was an early adopter of CBME in residency training, we have stalled in national standardized implementation, which peer specialties such as pediatrics and surgery have accelerated large-scale implementation efforts. In order to build upon our specialty’s early efforts to implement CBME in a meaningful, evidence- and outcomes-based approach, we must work together across the continuum of training and practice within our specialty. To that end, in this keynote we will develop a shared mental model of the core components of CBME, address challenges to its implementation, and set forth on the path toward research, innovation, and adoption in this space. 


Keynote Preview

Aalap Shah, MD, Medical University of South Carolina, interviews our education keynote speaker Holly Caretta-Weyer, MD, MHPE, Stanford University School of Medicine.

Holly Caretta-Weyer, MD, MHPE

Associate Residency Program Director/Director of Evaluation and Assessment

Stanford University School of Medicine

Dr. Holly Caretta-Weyer is currently Associate Residency Program Director and Director of Evaluation and Assessment for the Stanford University Emergency Medicine Residency Program as well as EPA/CBME Implementation Lead at the Stanford University School of Medicine. Dr. Caretta-Weyer attended medical school at the University of Wisconsin School of Medicine and Public Health where she graduated Alpha Omega Alpha with Honors in Research. She loved being a Badger so much that she stayed for her Emergency Medicine Residency at the University of Wisconsin where she was also Chief Resident. Dr. Caretta-Weyer then moved to the West Coast where she completed her Medical Education Scholarship Fellowship at Oregon Health & Science University (OHSU) and completed her Masters in Health Professions Education (MHPE) at the University of Illinois-Chicago. She is a PhD candidate at Maastricht University studying residency selection in a competency-based system in March of 2021.

While at OHSU, Dr. Caretta-Weyer worked as a member of the Association of American Medical Colleges (AAMC) Core Entrustable Professional Activities for Entering Residency pilot team and was a founding member of the OHSU undergraduate medical education entrustment committee. She continues to be involved with the national AAMC Core EPA Pilot through her continued collaboration with the OHSU team. Through this process she has gained valuable experience in working to define programmatic assessment, formulate summative entrustment decisions, and more seamlessly bridge the transition from undergraduate to graduate medical education, all of which are key initiatives within medical education.

Dr. Caretta-Weyer is also the PI on a $1.3M AMA Reimagining Residency Grant focused on implementing competency-based education and redesigning assessment across the continuum of emergency medicine training and introducing predictive learning analytics to the process. She is a Visiting Scholar with the American Board of Medical Specialties (ABMS) examining summative entrustment decision-making by competency committees and its implications for initial certification. She is additionally a member of the International Competency-Based Medical Education (ICBME) Collaborators, a group that seeks to further research on CBME around the world. Finally, Dr. Caretta-Weyer was recently elected as the inaugural Chair of the CBME Task Force for Emergency Medicine. Her work led the Royal College of Physicians and Surgeons of Canada to recognize her as the International Medical Educator of the Year in 2022.

Dr. Caretta-Weyer’s education research interests focus on the implementation of competency-based education and assessment across the continuum of medical education, summative entrustment and promotion decision-making processes, residency selection in a competency-based system, and the development of learner handovers to span key transitions in the educational continuum. When not focusing on her administrative and education research interests, Dr. Caretta-Weyer can be found kayaking, hiking, cycling, playing volleyball, or cheering on her favorite sports teams including the Marquette Golden Eagles and Milwaukee Brewers.