Abstract
The realization that medical graduates are failing to serve the health needs of the society has compelled the medical educationists and regulatory authorities worldwide to review the medical training. A medical curriculum oriented towards developing the key competencies that enable a fresh graduate to be delivering socially responsive health care is seen as a promising step towards alleviating this problem. This calls for a departure from the traditional approach of organizing the curricular components around educational objectives, to a competency-based approach for planning the curriculum. The present article discusses the concept of competency-based medical education in Indian context, the steps in planning and implementing such a curriculum, and the key aspects of assessment for its effective implementation.
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References
Long DM. Competency-based residency training: The next advance in Graduate Medical Education. Acad Med. 2000;75:1178–83.
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Rev Peru Med Exp Salud Publica. 2011;28:337–41.
Harris P, Snell L, Talbot M, Harden RM for the International CBME Collaborators. Competency-based medical education: implications for undergraduate programs. Med Teach. 2010;32:646–50.
Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287:226–35.
Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32:638–45.
Englander R. Glossary of Competency-based Education terms. Available from: http://dev.im.org/AcademicAffairs/milestones/Documents/CBME%20Glossary.pdf. Accessed November 15, 2014.
Orgill BD, Simpson D. Towards a glossary of competencybased medical education terms. J Grad Med Educ. 2014;6:203–6.
Frank JR, Mungroo R, Ahmad Y, Wang M, De Rossi S, Horsley T. Toward a definition of competency-based education in medicine: a systematic review of published definitions. Med Teach. 2010;32:631–7.
Accreditation Council for Graduate Medical Education. ACGME Outcome Project enhancing residency education through outcomes assessment: General Competencies. 1999. Available from: http://www.acgme.org/outcome/comp/compFull.asp. Accessed November 9, 2014.
Joyce B. Introduction to Competency-based education. Facilitators guide ACGME. 2006. Available from: http://www.paeaonline.org/index.php?ht=a/GetDocumentAction/i/161740. Accessed December 27, 2014.
Weinberger SE, Pereira AG, Lobst WF, Mechaber AJ, Bronze MS, Alliance for Academic Internal Medicine Education Redesign Task Force II. Competency-based education and training in Internal Medicine. Ann Intern Med. 2010;153:751–6.
General Medical Council. Tomorrow’s Doctors: Education Outcomes and standards for undergraduate medical education. Available from: http://www.gmcuk.org/Tomorrow_s_Doctors_0414.pdf_48905759.pdf. Accessed December 27, 2014.
Frank JR, Danoff D. The CanMEDS Initiative: implementing an outcomes-based framework of physician competencies. Med Teach. 2007;29:642–7.
ten Cate O, Scheele F. Competency-based Postgraduate training: Can we bridge the gap between theory and clinical practice. Acad Med. 2007;82:542–7.
Harden RM. Outcome-based education — The future is today. Med Teach. 2007;29:625–9.
Holmboe ES, Sherbino J, Long DM, Swing SR, Frank JR, for the International CBME Collaborators. The role of assessment in competency-based medical education. Med Teach. 2010;32:676–82.
van Mook WNKA, Bion J, van der Vleuten CPM, Schuwirth LWT. Integrating education, training and assessment: competency-based intensive care medicine training. Neth J Crit Care. 2011;15:192–8.
Boursikot K, Etheridge L, Zeryab S, Sturrock A, Ker J, Smee S, Sambandam E. Performance in assessment: Consensus statement and recommendations from the Ottawa conference. Med Teach. 2011;33:370–83.
Chacko TV. Moving towards competency-based education: Challenges and the way forward. Arch Med Heath Sci. 2014;2:247–53.
McGaghie WC, Miller GE, Sajid AW, Telder TV. Competency–based Curriculum Development in Medical Education. An Introduction. Geneva: World Health Organization; 1978.
Harden RM. Outcome-based education — the ostrich, the peacock and the beaver. Med Teach. 2007;29:666–71.
Smith SR, Dollase R. AMEE guide No. 14: Outcomebased education Part 2 — Planning, implementing and evaluating a competency–based curriculum. Med Teach. 1999;21:15–22.
Dreyfus HL, Dreyfus SE. Mind over Machine: The Power of Human Intuition and Expertise in the Age of the Computer. Oxford: Basil Blackwell; 1986.
Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S. General competencies and accreditation in Graduate medical education. Health Affairs. 2002;21:103–11.
Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system — rationale and benefits. New Eng J Med. 2012;366:1051–6.
van Loon KA, Driessen EW, Teunissen PW, Scheele F. Experiences with EPAs, potential benefits and pitfalls. Med Teach. 2014;36:698–702.
Singh T, Modi JN. Workplace based assessment: A step to promote competency based training. Indian Pediatr. 2013;50:553–9.
Tekian A, Hodges BD, Roberts TE, Schuwirth L, Norcini J. Assessing competencies using milestones along the way. Med Teach. 2014;19:1–4.
Medical Council of India Regulations on Graduate Medical Education 1997. Available from: http://www.mciindia.org/RulesandRegulations/GraduateMedicalEducation Regulations1997.aspx. Accessed November 10, 2014.
Medical Council of India. Vision 2015. Medical Council of India. New Delhi. 2011. Available from: http:// www.mciindia.org/tools/announcement/MCI_booklet.pdf. Accessed November 10, 2014.
Medical Council of India Regulations on Graduate Medical Education 2012. Available from: http://www.mciindia.org/tools/announcement/Revised_GME_2012.pdf. Accessed October 2, 2014.
Medical Council of India, Post Graduate Medical Education Regulations 2000, Medical Council of India, New Delhi. Available from: http://www.mciindia.org/Rules-and-Regulation/Postgraduate-Medical-Education-Regulations-2000.pdf. Accessed November 29, 2014.
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Modi, J.N., Gupta, P. & Singh, T. Competency-based medical education, entrustment and assessment. Indian Pediatr 52, 413–420 (2015). https://doi.org/10.1007/s13312-015-0647-5
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DOI: https://doi.org/10.1007/s13312-015-0647-5