September 16, 2026 · Journal of general internal medicine · DOI: 10.1007/s11606-026-10808-6

Preserving the Educational Value of Off-Service and Cross-Disciplinary Experiences in Competency-Based Residency Training

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The authors explore the question of how to maintain the educational value of off-service and cross-disciplinary experiences in residency training amidst shifts toward specialty-specific outcomes. They argue that these experiences are crucial for developing broader competencies, such as understanding interdisciplinary care and fostering collaboration, and propose that educators should focus on preserving the essential elements of these rotations rather than adhering strictly to traditional models. Using a systems engineering framework, the paper emphasizes the need for interconnected learning processes that enhance physician development beyond specialty assessments.

Elif Bilgic, Auva Zarandi, Maria Athina Tina Martimianakis, Quang N Ngo, Adam Fleming, Leslie Martin

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