{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T20:03:18Z","timestamp":1789502598490,"version":"build-2803163510"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/100021638","name":"Social Sciences and Humanities Research Council","doi-asserted-by":"publisher","award":["435-2024-1191"],"award-info":[{"award-number":["435-2024-1191"]}],"id":[{"id":"10.13039\/100021638","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000155","name":"Social Sciences and Humanities Research Council of Canada","doi-asserted-by":"publisher","award":["435-2024-1191"],"award-info":[{"award-number":["435-2024-1191"]}],"id":[{"id":"10.13039\/501100000155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"DOI":"10.1007\/s11606-026-10808-6","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:12:50Z","timestamp":1789499570000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preserving the Educational Value of Off-Service and Cross-Disciplinary Experiences in Competency-Based Residency Training"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2170-5897","authenticated-orcid":false,"given":"Elif","family":"Bilgic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Auva","family":"Zarandi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Athina (Tina) Martimianakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quang N.","family":"Ngo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Fleming","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Martin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"issue":"2","key":"10808_CR1","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1007\/s10459-022-10098-7","volume":"27","author":"O Ten Cate","year":"2022","unstructured":"Ten Cate O, Schumacher DJ. Entrustable professional activities versus competencies and skills: Exploring why different concepts are often conflated. Adv Health Sci Educ Theory Pract. 2022;27(2):491-499. https:\/\/doi.org\/10.1007\/s10459-022-10098-7.","journal-title":"Adv Health Sci Educ Theory Pract."},{"key":"10808_CR2","doi-asserted-by":"crossref","unstructured":"Frank JR, Snell LS, Cate Ot, et al. Competency-based medical education: theory-to practice. Med Teach. 2010;32:638\u2013645. 10.3109\/0142159X.2010.501190.","DOI":"10.3109\/0142159X.2010.501190"},{"issue":"6","key":"10808_CR3","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1017\/s1481803500008642","volume":"5","author":"AJ Carter","year":"2003","unstructured":"Carter AJ, McCauley WA. Off-service residents in the emergency department: the need for learner-centredness. Cjem. 2003;5(6):400-5. https:\/\/doi.org\/10.1017\/s1481803500008642.","journal-title":"Cjem."},{"issue":"12","key":"10808_CR4","doi-asserted-by":"publisher","first-page":"1325","DOI":"10.1111\/j.1553-2712.2009.00605.x","volume":"16","author":"CS Kessler","year":"2009","unstructured":"Kessler CS, Marcolini EG, Schmitz G, et al. Off-service resident education in the emergency department: outline of a national standardized curriculum. Acad Emerg Med. 2009;16(12):1325-1330. https:\/\/doi.org\/10.1111\/j.1553-2712.2009.00605.x.","journal-title":"Acad Emerg Med."},{"issue":"4","key":"10808_CR5","doi-asserted-by":"publisher","first-page":"576","DOI":"10.4300\/JGME-D-12-00211.1","volume":"5","author":"T Chan","year":"2013","unstructured":"Chan T, Sabir K, Sanhan S, Sherbino J. Understanding the impact of residents' interpersonal relationships during emergency department referrals and consultations. J Grad Med Educ. 2013;5(4):576-81. https:\/\/doi.org\/10.4300\/JGME-D-12-00211.1.","journal-title":"J Grad Med Educ."},{"issue":"9","key":"10808_CR6","doi-asserted-by":"publisher","first-page":"707","DOI":"10.14423\/smj.0000000000001434","volume":"115","author":"S Saffo","year":"2022","unstructured":"Saffo S, Rodwin B, Dalton R, Tarabar A, Merchant N. Utilization of an Internal Medicine Triaging Resident in the Emergency Department Reduces Preventable Admissions and Improves Trainee Experiences. South Med J. 2022;115(9):707-711. https:\/\/doi.org\/10.14423\/smj.0000000000001434.","journal-title":"South Med J."},{"key":"10808_CR7","doi-asserted-by":"publisher","first-page":"999","DOI":"10.2147\/AMEP.S482437","volume":"15","author":"M Diffley","year":"2024","unstructured":"Diffley M, Hall JMD, Tepper D, Siddiqui A. The Educational Benefits of Plastic Surgery Rotations for Off-Service Residents. Adv Med Educ Pract. 2024;15:999-1004. https:\/\/doi.org\/10.2147\/AMEP.S482437.","journal-title":"Adv Med Educ Pract."},{"key":"10808_CR8","doi-asserted-by":"publisher","unstructured":"Naderi R, Oberndorfer TA, Jordan SR, Dollar B, Cumbler EU, Jones CD. Resident perspectives on the value of interdisciplinary conference calls for geriatric patients. BMC Med Educ. 2021;21(1):314. https:\/\/doi.org\/10.1186\/s12909-021-02750-4.","DOI":"10.1186\/s12909-021-02750-4"},{"issue":"8","key":"10808_CR9","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1111\/medu.15271","volume":"58","author":"L Teheux","year":"2024","unstructured":"Teheux L, Kuijer-Siebelink W, Bus LL, Draaisma JMT, Coolen E, van der Velden J. Unravelling underlying processes in intraprofessional workplace learning in residency. Med Educ. 2024;58(8):939-951. https:\/\/doi.org\/10.1111\/medu.15271.","journal-title":"Med Educ."},{"key":"10808_CR10","unstructured":"CBD program evaluation: 2023 CBD Resident Pulse Check Survey Royal College of Physicians and Surgeons of Canada. https:\/\/www.royalcollege.ca\/en\/standards-and-accreditation\/competence-by-design\/program-evaluation.html."},{"issue":"14","key":"10808_CR11","doi-asserted-by":"publisher","first-page":"2","DOI":"10.12688\/mep.19247.1","volume":"2024","author":"H Braund","year":"2016","unstructured":"Braund H, Patel V, Dalgarno N, Mann S. Exploring residents' perceptions of competency-based medical education across Canada: A national survey study. MedEdPublish (2016). 2024;14:2. https:\/\/doi.org\/10.12688\/mep.19247.1.","journal-title":"MedEdPublish"},{"key":"10808_CR12","unstructured":"Canada RCoPaSo. Access to copyright-protected CBD documents. https:\/\/www.royalcollege.ca\/rcsite\/documents\/cbd\/epa-observation-templates-e."},{"issue":"4","key":"10808_CR13","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1111\/medu.14047","volume":"54","author":"L Martin","year":"2020","unstructured":"Martin L, Sibbald M, Brandt Vegas D, Russell D, Govaerts M. The impact of entrustment assessments on feedback and learning: Trainee perspectives. Med Educ. 2020;54(4):328-336. https:\/\/doi.org\/10.1111\/medu.14047.","journal-title":"Med Educ."},{"key":"10808_CR14","doi-asserted-by":"publisher","unstructured":"Carayon P, Wooldridge A, Hoonakker P, Hundt AS, Kelly MM. SEIPS 3.0: Human-centered design of the patient journey for patient safety. Appl Ergon. 2020;84:103033. https:\/\/doi.org\/10.1016\/j.apergo.2019.103033.","DOI":"10.1016\/j.apergo.2019.103033"},{"issue":"6","key":"10808_CR15","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1097\/ACM.0b013e3180555b29","volume":"82","author":"A Rousseau","year":"2007","unstructured":"Rousseau A, Saucier D, C\u00f4t\u00e9 L. Introduction to core competencies in residency: a description of an intensive, integrated, multispecialty teaching program. Acad Med. 2007;82(6):563-8. https:\/\/doi.org\/10.1097\/ACM.0b013e3180555b29.","journal-title":"Acad Med."},{"issue":"11","key":"10808_CR16","doi-asserted-by":"publisher","first-page":"2692","DOI":"10.1007\/s11606-025-09536-0","volume":"40","author":"R Clark","year":"2025","unstructured":"Clark R, Jobbins K, Deutsch A, Bryson C. \"Cross-Pollinating Expertise\": Collaborative Educational Sessions for Emergency and Internal Medicine Residents. J Gen Intern Med. 2025;40(11):2692-2696. https:\/\/doi.org\/10.1007\/s11606-025-09536-0.","journal-title":"J Gen Intern Med."}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10808-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-026-10808-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10808-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:12:53Z","timestamp":1789499573000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11606-026-10808-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,15]]},"references-count":16,"alternative-id":["10808"],"URL":"https:\/\/doi.org\/10.1007\/s11606-026-10808-6","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"value":"0884-8734","type":"print"},{"value":"1525-1497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,15]]},"assertion":[{"value":"15 June 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they do not have a conflict of interest.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Generative Artificial Intelligence was used to summarize research team meetings, and to create an outline for the manuscript.","order":2,"name":"Ethics","label":"Use of Generative Artificial Intelligence","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}