The competency movement in the health professions: ensuring consistent standards or reproducing conventional domains of practice?
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Efforts to define professional competence are growing among the health professions. Increasing numbers of professional groups, regulatory bodies and government agencies are introducing specialty, professional and interprofessional competencies (e.g., Royal College of Physicians and Surgeons of Canada CanMeds Competency Framework 2005; The Public Health Agency of Canada Core Competencies for Public Health Practice 2007; NHS Institute for Innovation and Improvement Medical Leadership Competency Framework 2009). While there are a number of benefits derived from clearly defining scope of practice and identifying appropriate indicators of acceptable performance, the competency movement may also be viewed as a trend that reproduces conventional practices, limits innovation and interferes with interprofessional practice.
An enhanced focus on risk management, consumer rights and workforce expansion are among the factors identified as driving the growth of the competency approach within and amon
- Albanese, A., Mejicano, G., Mullan, P., Kokotailo, P., & Gruppen, L. (2008). Defining characteristics of educational competencies. Medical Education, 42, 248–255. doi:10.1111/j.1365-2923.2007.02996.x. CrossRef
- Australian Association of Occupational Therapists (2009). Australian competency standards for entry-level occupational therapists. Available at: http://svc048.wic138dp.server-web.com/images/File/Australian%20Competency%20Standards%20for%20Entry%20Level%20OTs%201994.pdf. Accessed April 9 2009.
- Canadian Nurses Association (2005). Canadian nurse practitioner core competency framework. Available at: http://www.cno.org/for/rnec/pdf/CompetencyFramework_en.pdf. Accessed March 21 2009.
- Canadian Patient Safety Institute (2008). The safety competences: Enhancing patient safety across the professions. Available at: http://www.patientsafetyinstitute.ca/English/education/safetyCompetencies/Pages/default.aspx. Accessed April 22 2009.
- Carraccio, C., Wolfsthal, S., Englander, R., Ferentz, K., & Martin, C. (2002). Shifting paradigms: From Flexner to competencies. Academic Medicine, 77, 361–367. doi:10.1097/00001888-200205000-00003. CrossRef
- Lurie, S., Mooney, C., & Lyness, J. (2009). Measurement of the general competencies of the accreditation council for graduate medical education: A systematic review. Academic Medicine, 84, 301–309. CrossRef
- National Center for Gerontological Social Work Education (2009). Foundation gerontological social work competencies. Available at: http://depts.washington.edu/geroctr/Curriculum3/sub3_3_1Competencies.html. Accessed April 15 2009.
- NHS Institute for Innovation and Improvement (2009). Medical leadership competency framework. Available at: http://www.institute.nhs.uk/assessment_tool/general/medical_leadership_competency_framework_-_homepage.html. Accessed April 2 2009.
- Public Health Agency of Canada (2007). Core competencies for public health in Canada release 1.0. Available at: www.phac-aspc.gc.ca/core_competencies. Accessed April 9 2009.
- Royal College of Physicians and Surgeons of Canada (2005). The CanMEDS physician competency framework. Available at: http://rcpsc.medical.org/canmeds/index.php. Accessed April 22 2009.
- Talbot, M. (2004). Monkey see, monkey do: A critique of the competency model in graduate medical education. Medical Education, 38, 587–592. doi:10.1046/j.1365-2923.2004.01794.x. CrossRef
- Turnbull, J., Cunnington, J., Unsal, A., Norman, G., & Ferguson, B. (2006). Competence and cognitive difficulty in physicians: A follow-up study. Academic Medicine, 81, 915–918. doi:10.1097/01.ACM.0000238194.55648.b2. CrossRef
- Wright Mills, C. (2000). The power elite (New Edition). New York: Oxford University Press.
- The competency movement in the health professions: ensuring consistent standards or reproducing conventional domains of practice?
Advances in Health Sciences Education
Volume 14, Issue 4 , pp 451-453
- Cover Date
- Print ISSN
- Online ISSN
- Springer Netherlands
- Additional Links