Competency-based education: Programme design and challenges to implementation

Medical Education

Volumn 50, Issue 5, 2016, Pages 532-539

  Gruppen, Larry D ^a   Burkhardt, John C ^a   Fitzgerald, James T ^a   Funnell, Martha ^a   Haftel, Hilary M ^a   Lypson, Monica L ^a   Mullan, Patricia B ^a   Santen, Sally A ^a   Sheets, Kent J ^a   Stalburg, Caren M ^a   Vasquez, John A ^a  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CURRICULUM; EDUCATION; HUMAN; MEDICAL EDUCATION; MICHIGAN; ORGANIZATION AND MANAGEMENT; PROCEDURES; PROGRAM DEVELOPMENT;

COMPETENCY-BASED EDUCATION; EDUCATION, MEDICAL; EDUCATIONAL MEASUREMENT; HUMANS; MICHIGAN; PROGRAM DEVELOPMENT;

EID: 84963543375     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/medu.12977     Document Type: Article

References (40)

1. Carraccio C, Wolfsthal SD, Englander R, Ferentz K, Martin C. Shifting paradigms: from Flexner to competencies. Acad Med 2002;77:361-7.
2. Swing SR. Assessing the ACGME general competencies: general considerations and assessment methods. Acad Emerg Med 2002;9:1278-88.
3. Accreditation Council for Graduate Medical Education. ACGME Outcome Project. 2000, https://www.acgme.org.
4. Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Med Teach 2007;29:642-7.
5. ten Cate O, Billett S. Competency-based medical education: origins, perspectives and potentialities. Med Educ 2014;48 (3):325-32.
6. ten Cate O. Competency-based education, entrustable professional activities, and the power of language. J Grad Med Educ 2013;5 (1):6-7.
7. ten Cate O. Nuts and bolts of entrustable professional activities. J Grad Med Educ 2013;5 (1):157-8.
8. Johnstone SM, Soares L. Principles for developing competency-based education programs. Chang Mag High Learn 2014;46 (November):12-9.
9. Book PA. All Hands on Deck: Ten Lessons from Early Adopters of Competency-Based Education. CO, Boulder: WICHE Cooperative for Educational Technologies 2014.
10. Carraccio CL, Englander R. From Flexner to competencies: reflections on a decade and the journey ahead. Acad Med 2013;88 (08):1067-73.
11. Frank JR, Snell LS, ten Cate O et al. Competency-based medical education: theory to practice. Med Teach 2010;32 (8):638-45.
12. Harden RM. Outcome-based education: the future is today. Med Teach 2007;29 (7):625-9.
13. Ben-David MF. AMEE Guide No. 14: outcome-based education: Part3-Assessment in outcome-based education. Med Teach 1999;21 (1):23-5.
14. Harden RM, Crosby JR, Davis MH, Fuller T. AMEE Guide No. 14: outcome-based education: Part 1-An introduction to outcome-based education. Med Teach 1999;21 (1):7-14.
15. Smith SR. AMEE Guide No. 14: outcome-based education: Part 2-Planning, implementing and evaluating a competency-based curriculum. Med Teach 1999;21 (1):15-22.
16. Moore DRJ, Green JS, Gallis HA. Achieving desired results and improved outcomes: integrating planning and assessment throughout learning activities. J Contin Educ Health Prof 2009;29 (1):1-15.
17. Gruppen LD, Mangrulkar RS, Kolars JC. The promise of competency-based education in the health professions for improving global health. Hum Resour Health 2012;10:43.
18. van der Vleuten CPM, Schuwirth LWT, Driessen EW, Dijkstra J, Tigelaar D, Baartman LKJ, van Tartwijk J. A model for programmatic assessment fit for purpose. Med Teach 2012;34:205-14.
19. Bloom BS, Engelhart MD, Furst EJ, Hill WH, Krathwohl DR. Taxonomy of Educational Objectives: the Classification of Educational Goals. Handbook I: Cognitive Domain. New York, NY: David McKay Company 1956.
20. Knowles MS. The Modern Practice of Adult Education: from Pedagogy to Andragogy. New York: Cambridge University Press 1980.
21. Swing SR. Perspectives on competency-based medical education from the learning sciences. Med Teach 2010;32 (8):663-8.
22. Schumacher DJ, Englander R, Carraccio C. Developing the master learner. Acad Med 2013;88 (11):1635-45.
23. Sargeant J, Mann K, Van Der Vleuten C, Metsemakers J. "Directed" self-assessment: practice and feedback within a social context. J Contin Educ Health Prof 2008;28 (1):47-54.
24. Holmboe ES, Sherbino J, Long DM, Swing SR, Frank JR. The role of assessment in competency-based medical education. Med Teach 2010;32 (8):676-82.
25. ten Cate O. Entrustability of professional activities and competency-based training. Med Educ 2005;39 (12):1176-7.
26. Dannefer EF. Beyond assessment of learning toward assessment for learning: educating tomorrow's physicians. Med Teach 2013;35 (7):560-3.
27. Englander R, Carraccio C. From theory to practice: making entrustable professional activities come to life in the context of milestones. Acad Med 2014;89 (10):1321-3.
28. Queen's University School of Medicine, Competency-Based Medical Education [Internet]. https://meds.queensu.ca/education/postgraduate/cbme [cited 2015 Oct 21].
29. University of Michigan Masters of Health Professions Education program [Internet]. http://mhpe.med.umich.edu [cited 2015 Sep 24].
30. Tekian A. Doctoral programs in health professions education. Med Teach 2014;36 (1):73-81.
31. Tekian A, Roberts T, Batty HP, Cook DA, Norcini J. Preparing leaders in health professions education. Med Teach 2014;36 (3):269-71.
32. Tekian A, Harris I. Preparing health professions education leaders worldwide: a description of masters-level programs. Med Teach 2012;34:52-8.
33. Foundation for Advancement of International Medical Education and Research. Master's Programs in Health Professions Education [Internet]. http://www.faimer.org/resources/mastersmeded.html [cited 2015 Oct 21].
34. Fitzgerald JT, Burkhardt JC, Kasten SJ, Mullan PB, Santen SA, Sheets KJ, Tsai A, Vasquez JA, Gruppen LD. Assessment challenges in competency-based education: a case study in health professions education. Med Teach 2015; Jun 8:1-9 [Epub ahead of print].
35. Gingerich A, Kogan J, Yeates P, Govaerts M, Holmboe E. Seeing the "black box" differently: assesssor cognition from three research perspectives. Med Educ 2014;48(11):1055-68.
36. Gingerich A, Regehr G, Eva KW. Rater-based assessments as social judgments: rethinking the etiology of rater errors. Acad Med 2011;86:S1-S7.
37. Kogan JR, Conforti LN, Iobst WF, Holmboe ES. Reconceptualizing variable rater assessments as both an educational and clinical care problem. Acad Med 2014;89 (5):721-7.
38. Kogan JR, Holmboe ES, Hauer KE. Tools for direct observation and assessment of clinical skills of medical trainees. JAMA 2009;302:1316-26.
39. Govaerts MJB, Schuwirth LWT, Van der Vleuten CPM, Muijtjens AM. Workplace-based assessment: effects of rater expertise. Adv Health Sci Educ Theory Pract 2011;16:151-65.
40. Bergeron DA. GEN1310.pdf, DCL ID: GEN-13-10 [Internet]. Applying for Title IV Eligibility for Direct Assessment (Competency-Based) Programs. 2013 [cited 2015 Mar 3]. Available from: http://ifap.ed.gov/dpcletters/GEN1310.html