# Competency Framework for Podiatric Medicine Training: A Validation Report Based on an Adapted E-Delphi Across Canada

## TL;DR

This study validates a competency framework for podiatric medicine training in Canada using expert consensus.

## Contribution

The study introduces a validated competency framework for podiatric education using an adapted e-Delphi method involving Canadian experts.

## Key findings

- A consensus threshold of 80% agreement was achieved for the competency framework after two rounds of expert feedback.
- 95% of experts agreed the framework was relevant, though some indicators need provincial adaptation.
- The validated framework supports standardized and high-quality podiatric education in Canada.

## Abstract

Competency-based medical education has been introduced into many health professional curricula. Based on CanMEDs, a framework has recently been developed for podiatric medicine education in Canada. This study aimed to validate the framework through a consensus of various podiatric medicine experts across Canada.

An adapted Delphi method was used for content validation. Two structured online questionnaires were used to gather expert opinions and agreement on the roles and core competencies described in the framework previously developed. The validation consensus threshold was set at a minimum of 80% agreement. The summary of comments and suggestions was used to reformulate certain items after the research team reached a consensus.

Out of the 51 experts invited from the Canadian Podiatric Medicine Association, 19 completed the first-round questionnaire (mean podiatric experience = 24.5 years; standard deviation 17.6). After the first round, “Podiatric Expert”, “Communicator” and “Scholar” roles have been modified. After these modifications, a consensus was obtained at the second round completed by 13 experts. Overall, 95% of the experts agreed that the competency framework was relevant even if some indicators would need to be adapted to suit the requirements of each province and territory.

This validated framework supports the excellence and the quality of our podiatric educational program. It also promotes the adoption of a uniform education of podiatrists in Canada and worldwide.