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Volumn 39, Issue 6, 2017, Pages 588-593

Overarching challenges to the implementation of competency-based medical education

(12)  Caverzagie, Kelly J a   Nousiainen, Markku T b   Ferguson, Peter C b   ten Cate, Olle c   Ross, Shelley d   Harris, Kenneth A e   Busari, Jamiu f   Bould, M Dylan g   Bouchard, Jacques h   Iobst, William F i,j   Carraccio, Carol k   Frank, Jason R e,g  


Author keywords

[No Author keywords available]

Indexed keywords

ACHIEVEMENT; EXPECTATION; FEMALE; HEALTH CARE SYSTEM; HUMAN; HUMAN EXPERIMENT; LEADERSHIP; LEARNING ENVIRONMENT; MALE; MEDICAL EDUCATION; PHYSICIAN; PUBLICATION; COOPERATION; CURRICULUM; EDUCATIONAL MODEL; LEARNING; MEDICAL SCHOOL; ORGANIZATION AND MANAGEMENT; PROCEDURES;

EID: 85020643450     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.1080/0142159X.2017.1315075     Document Type: Article
Times cited : (117)

References (55)
  • 1
    • 85020679774 scopus 로고    scopus 로고
    • [ACGME] Accreditation Council for Graduate Medical Education. 2013. ACGME common program requirements. Chicago (IL):ACGME; [cited 2014 Jan 14]. Available from:www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/CPRs2013.pdf
    • (2013)
  • 2
    • 85020638010 scopus 로고    scopus 로고
    • [ACGME] Accreditation Council for Graduate Medical Education. 2014. Clinical learning environment review:CLER pathways to excellence. Chicago (IL):ACGME; [cited 2015 Jul 30]. Available from:www.acgme.org/acgmeweb/Portals/0/PDFs/CLER/CLER_Brochure.pdf
    • (2014)
  • 3
    • 85020656214 scopus 로고    scopus 로고
    • Alberta Health. 2013. Academic alternative relationship plans. Edmonton:Alberta Health; [cited 2015 Jul 30]. Available from:www.health.alberta.ca/professionals/ARP-Academic.html
    • (2013)
  • 5
    • 84863504098 scopus 로고    scopus 로고
    • Chapel Hill (NC): American Board of Pediatrics
    • American Board of Pediatrics. 2012. The pediatrics milestones project. Chapel Hill (NC):American Board of Pediatrics; [cited 2015 Jul 30]. Available from:www.abp.org/news/pediatrics-milestone-project
    • (2012) The pediatrics milestones project
  • 6
    • 79960663556 scopus 로고    scopus 로고
    • Some thoughts about creating healthcare professionals that match what societies need
    • Aretz HT., 2011. Some thoughts about creating healthcare professionals that match what societies need. Med Teach. 33:608–613.
    • (2011) Med Teach , vol.33 , pp. 608-613
    • Aretz, H.T.1
  • 7
    • 70349308645 scopus 로고    scopus 로고
    • Evaluating obstetrical residency programs using patient outcomes
    • Asch DA, Nicholson S, Srinivas S, Herrin J, Epstein AJ., 2009. Evaluating obstetrical residency programs using patient outcomes. JAMA. 302:1277–1283.
    • (2009) JAMA , vol.302 , pp. 1277-1283
    • Asch, D.A.1    Nicholson, S.2    Srinivas, S.3    Herrin, J.4    Epstein, A.J.5
  • 8
    • 84889870177 scopus 로고    scopus 로고
    • Are we in a medical education bubble market?
    • Asch DA, Nicholson S, Vujicic M., 2013. Are we in a medical education bubble market? N Engl J Med. 369:1973–1975.
    • (2013) N Engl J Med , vol.369 , pp. 1973-1975
    • Asch, D.A.1    Nicholson, S.2    Vujicic, M.3
  • 9
    • 84946833794 scopus 로고    scopus 로고
    • Washington (DC): Association of American Medical Colleges
    • Association of American Medical Colleges. 2014. Core entrustable professional activities for entering residency. Washington (DC):Association of American Medical Colleges; [cited 2015 Jul 30]. Available from:www.aamc.org/download/379308/data/coreentrustableprofessionalactivities.pdf
    • (2014) Core entrustable professional activities for entering residency
  • 10
    • 84872923871 scopus 로고    scopus 로고
    • Competency-based training: who benefits?
    • Brightwell A, Grant J., 2013. Competency-based training:who benefits? Postgrad Med J. 89:107–110.
    • (2013) Postgrad Med J , vol.89 , pp. 107-110
    • Brightwell, A.1    Grant, J.2
  • 11
    • 63349110678 scopus 로고    scopus 로고
    • Medical education and the tyranny of competency
    • Brooks MA., 2009. Medical education and the tyranny of competency. Perspect Biol Med. 52:90–102.
    • (2009) Perspect Biol Med , vol.52 , pp. 90-102
    • Brooks, M.A.1
  • 13
    • 84916912554 scopus 로고    scopus 로고
    • Spending patterns in region of residency training and subsequent expenditures for care provided by practicing physicians for Medicare beneficiaries
    • Chen C, Petterson S, Phillips R, Bazemore A, Mullan F., 2014. Spending patterns in region of residency training and subsequent expenditures for care provided by practicing physicians for Medicare beneficiaries. JAMA. 312:2385–2393.
    • (2014) JAMA , vol.312 , pp. 2385-2393
    • Chen, C.1    Petterson, S.2    Phillips, R.3    Bazemore, A.4    Mullan, F.5
  • 14
    • 0034269134 scopus 로고    scopus 로고
    • Will disruptive innovations cure health care?
    • Christensen CM, Bohmer R, Kenagy J., 2000. Will disruptive innovations cure health care? Harv Bus Rev. 78:102–112, 199.
    • (2000) Harv Bus Rev , vol.78 , pp. 102-112,
    • Christensen, C.M.1    Bohmer, R.2    Kenagy, J.3
  • 15
    • 84889081863 scopus 로고    scopus 로고
    • Going “all in” to transform the Tulsa community’s health and health care workforce
    • Clancy GP, Duffy FD., 2013. Going “all in” to transform the Tulsa community’s health and health care workforce. Acad Med. 88:1844–1848.
    • (2013) Acad Med , vol.88 , pp. 1844-1848
    • Clancy, G.P.1    Duffy, F.D.2
  • 17
    • 33749062559 scopus 로고    scopus 로고
    • American medical education 100 years after the Flexner report
    • Cooke M, Irby DM, Sullivan W, Ludmerer KM., 2006. American medical education 100 years after the Flexner report. N Engl J Med. 355:1339–1344.
    • (2006) N Engl J Med , vol.355 , pp. 1339-1344
    • Cooke, M.1    Irby, D.M.2    Sullivan, W.3    Ludmerer, K.M.4
  • 18
    • 84855675336 scopus 로고    scopus 로고
    • Gaps in residency training should be addressed to better prepare doctors for a twenty-first-century delivery system
    • Crosson FJ, Leu J, Roemer BM, Ross MN., 2011. Gaps in residency training should be addressed to better prepare doctors for a twenty-first-century delivery system. Health Aff (Millwood). 30:2142–2148.
    • (2011) Health Aff (Millwood) , vol.30 , pp. 2142-2148
    • Crosson, F.J.1    Leu, J.2    Roemer, B.M.3    Ross, M.N.4
  • 20
    • 84914674034 scopus 로고    scopus 로고
    • Reframing medical education to support professional identity formation
    • Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y., 2014. Reframing medical education to support professional identity formation. Acad Med. 89:1446–1451.
    • (2014) Acad Med , vol.89 , pp. 1446-1451
    • Cruess, R.L.1    Cruess, S.R.2    Boudreau, J.D.3    Snell, L.4    Steinert, Y.5
  • 23
    • 84858641325 scopus 로고    scopus 로고
    • Shortening medical training by 30%
    • Emanuel EJ, Fuchs VR., 2012. Shortening medical training by 30%. JAMA. 307:1143–1144.
    • (2012) JAMA , vol.307 , pp. 1143-1144
    • Emanuel, E.J.1    Fuchs, V.R.2
  • 24
    • 0030866509 scopus 로고    scopus 로고
    • The Federated Council of Internal Medicine’s resource guide for residency education: an instrument for curricular change
    • Ende J, Kelley M, Sox H., 1997. The Federated Council of Internal Medicine’s resource guide for residency education:an instrument for curricular change. Ann Intern Med. 127:454–457.
    • (1997) Ann Intern Med , vol.127 , pp. 454-457
    • Ende, J.1    Kelley, M.2    Sox, H.3
  • 25
    • 85020680699 scopus 로고    scopus 로고
    • Changing the culture of medical training: an important step toward the implementation of competency-based medical education
    • Ferguson PC, Caverzagie KJ, Nousiainen MT, Snell L,; ICBME Collaborators. 2017. Changing the culture of medical training:an important step toward the implementation of competency-based medical education. Med Teach. 39:599--602.
    • (2017) Med Teach , vol.39 , pp. 599-602
    • Ferguson, P.C.1    Caverzagie, K.J.2    Nousiainen, M.T.3    Snell, L.4
  • 28
    • 78649871039 scopus 로고    scopus 로고
    • Health professionals for a new century: transforming education to strengthen health systems in an interdependent world
    • Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, García PJ, Ke Y, Kelley P, et al. 2010. Health professionals for a new century:transforming education to strengthen health systems in an interdependent world. Lancet. 376:1923–1958.
    • (2010) Lancet , vol.376 , pp. 1923-1958
    • Frenk, J.1    Chen, L.2    Bhutta, Z.A.3    Cohen, J.4    Crisp, N.5    Evans, T.6    Fineberg, H.7    García, P.J.8    Ke, Y.9    Kelley, P.10
  • 29
    • 33845476861 scopus 로고    scopus 로고
    • Ottawa: Royal College of Physicians and Surgeons of Canada
    • Frank JR, Snell L, Sherbino S, editors. 2015. The CanMEDS 2015 physician competency framework. Ottawa:Royal College of Physicians and Surgeons of Canada; [cited 2016 Jan 5]. Available from:www.royalcollege.ca/portal/page/portal/rc/canmeds/framework
    • (2015) The CanMEDS 2015 physician competency framework
    • Frank, J.R.1    Snell, L.2    Sherbino, S.3
  • 31
    • 0008153399 scopus 로고    scopus 로고
    • The incapacitating effects of competence: a critique
    • Grant J., 1999. The incapacitating effects of competence:a critique. Adv Health Sci Educ Theory Pract. 4:271–277.
    • (1999) Adv Health Sci Educ Theory Pract , vol.4 , pp. 271-277
    • Grant, J.1
  • 32
    • 1442281173 scopus 로고    scopus 로고
    • Direct observation of students during clerkship rotations: a multiyear descriptive study
    • Howley LD, Wilson WG., 2004. Direct observation of students during clerkship rotations:a multiyear descriptive study. Acad Med. 79:276–280.
    • (2004) Acad Med , vol.79 , pp. 276-280
    • Howley, L.D.1    Wilson, W.G.2
  • 33
    • 0141472959 scopus 로고    scopus 로고
    • Washington (DC): National Academies Press
    • [IOM] Institute of Medicine Committee on the Health Professions Education Summit. 2003. Health professions education:a bridge to quality. Washington (DC):National Academies Press.
    • (2003) Health professions education: a bridge to quality
  • 34
    • 85020683091 scopus 로고    scopus 로고
    • [IPEC Expert Panel] Interprofessional Education Collaborative Expert Panel. 2011. Core competencies for interprofessional collaborative practice:report of an expert panel. Washington (DC):IPEC; [cited 2015 Jul 30]. Available from:www.aacn.nche.edu/education-resources/ipecreport.pdf
    • (2011)
  • 36
    • 21244467436 scopus 로고    scopus 로고
    • A survey of staff attitudes to increasing medical undergraduate education in a district general hospital
    • Macdonald J., 2005. A survey of staff attitudes to increasing medical undergraduate education in a district general hospital. Med Educ. 39:688–695.
    • (2005) Med Educ , vol.39 , pp. 688-695
    • Macdonald, J.1
  • 38
    • 0017868202 scopus 로고
    • Competency-based curriculum development in medical education: an introduction
    • McGaghie WC, Sajid AW, Miller GE, Telder TV., 1978. Competency-based curriculum development in medical education:an introduction. Public Health Pap. 68:11–91.
    • (1978) Public Health Pap , vol.68 , pp. 11-91
    • McGaghie, W.C.1    Sajid, A.W.2    Miller, G.E.3    Telder, T.V.4
  • 40
    • 84858226994 scopus 로고    scopus 로고
    • The next GME accreditation system–rationale and benefits
    • Nasca TJ, Philibert I, Brigham T, Flynn TC., 2012. The next GME accreditation system–rationale and benefits. N Engl J Med. 366:1051–1056.
    • (2012) N Engl J Med , vol.366 , pp. 1051-1056
    • Nasca, T.J.1    Philibert, I.2    Brigham, T.3    Flynn, T.C.4
  • 41
    • 85020638103 scopus 로고    scopus 로고
    • Implementing competency-based medical education: what changes in curricular structure and processes are needed?
    • Nousiainen M, Caverzagie K, Ferguson P, Frank JR, International CBME Collaborators. 2017. Implementing competency-based medical education:what changes in curricular structure and processes are needed? Med Teach.
    • (2017) Med Teach
    • Nousiainen, M.1    Caverzagie, K.2    Ferguson, P.3    Frank, J.R.4
  • 42
    • 79959279843 scopus 로고    scopus 로고
    • Oandasan I, Working Group on Postgraduate Curriculum Review. 2011. Advancing Canada’s family medicine curriculum:triple C. Can Fam Physician. 57:739–740, e237–e238.
    • (2011) , vol.57 , pp. 739-740
    • Oandasan, I.1
  • 43
    • 78650589643 scopus 로고    scopus 로고
    • What is value in health care?
    • Porter ME., 2010. What is value in health care? N Engl J Med. 363:2477–2481.
    • (2010) N Engl J Med , vol.363 , pp. 2477-2481
    • Porter, M.E.1
  • 44
    • 80052974622 scopus 로고    scopus 로고
    • Competency-based achievement system: using formative feedback to teach and assess family medicine residents’ skills
    • Ross S, Poth CN, Donoff M, Humphries P, Steiner I, Schipper S, Janke F, Nichols D., 2011. Competency-based achievement system:using formative feedback to teach and assess family medicine residents’ skills. Can Fam Physician. 57:e323–e330.
    • (2011) Can Fam Physician , vol.57 , pp. e323-e330
    • Ross, S.1    Poth, C.N.2    Donoff, M.3    Humphries, P.4    Steiner, I.5    Schipper, S.6    Janke, F.7    Nichols, D.8
  • 45
    • 84871728485 scopus 로고    scopus 로고
    • Ottawa: Royal College of Physicians and Surgeons
    • Sherbino J, Frank JR, editors. 2011. Educational design:a CanMEDS guide for the health professions. Ottawa:Royal College of Physicians and Surgeons; [cited 2015 Jul 30]. Available from:www.royalcollege.ca/portal/page/portal/rc/common/documents/canmeds/resources/publications/educational_design_preview_e.pdf
    • (2011) Educational design: a CanMEDS guide for the health professions
    • Sherbino, J.1    Frank, J.R.2
  • 46
    • 77955079932 scopus 로고    scopus 로고
    • Competencies, the tea bag model, and the end of time
    • Snell LS, Frank JR., 2010. Competencies, the tea bag model, and the end of time. Med Teach. 32:629–630.
    • (2010) Med Teach , vol.32 , pp. 629-630
    • Snell, L.S.1    Frank, J.R.2
  • 47
    • 38849137287 scopus 로고    scopus 로고
    • The ACGME outcome project: retrospective and prospective
    • Swing SR., 2007. The ACGME outcome project:retrospective and prospective. Med Teach. 29:648–654.
    • (2007) Med Teach , vol.29 , pp. 648-654
    • Swing, S.R.1
  • 48
    • 3042586778 scopus 로고    scopus 로고
    • Monkey see, monkey do: a critique of the competency model in graduate medical education
    • Talbot M., 2004. Monkey see, monkey do:a critique of the competency model in graduate medical education. Med Educ. 38:587–592.
    • (2004) Med Educ , vol.38 , pp. 587-592
    • Talbot, M.1
  • 50
    • 28644437138 scopus 로고    scopus 로고
    • Entrustability of professional activities and competency-based training
    • ten Cate O., 2005. Entrustability of professional activities and competency-based training. Med Educ. 39:1176–1177.
    • (2005) Med Educ , vol.39 , pp. 1176-1177
    • ten Cate, O.1
  • 51
    • 84925453506 scopus 로고    scopus 로고
    • . Competency-based medical education
    • Cockerham W.S., Dingwell R.S., Quah S., (eds), Hoboken (NJ): Wiley Blackwell
    • ten Cate O., 2014. Competency-based medical education. In:Cockerham WS, Dingwell RS, Quah S, editors. The Wiley-Blackwell encyclopedia of health, illness, behavior and society. Hoboken (NJ):Wiley Blackwell; p. 1329–1335.
    • (2014) The Wiley-Blackwell encyclopedia of health, illness, behavior and society , pp. 1329-1335
    • ten Cate, O.1
  • 52
    • 34249651907 scopus 로고    scopus 로고
    • Competency-based postgraduate training: can we bridge the gap between theory and clinical practice?
    • ten Cate O, Scheele F., 2007. Competency-based postgraduate training:can we bridge the gap between theory and clinical practice? Acad Med. 82:542–547.
    • (2007) Acad Med , vol.82 , pp. 542-547
    • ten Cate, O.1    Scheele, F.2
  • 53
    • 84930626562 scopus 로고    scopus 로고
    • Edinburgh: Scottish Deans’ Medical Curriculum Group
    • The Scottish Doctor. 2011. Learning outcomes for the role of the doctor within the health service. Edinburgh:Scottish Deans’ Medical Curriculum Group; [cited 2015 Jul 3]. Available from:www.scottishdoctor.org/node.asp?id=1100000000
    • (2011) Learning outcomes for the role of the doctor within the health service
  • 54
    • 84861375830 scopus 로고    scopus 로고
    • Assessing value in health care programs
    • Volpp KG, Loewenstein G, Asch DA., 2012. Assessing value in health care programs. JAMA. 307:2153–2154.
    • (2012) JAMA , vol.307 , pp. 2153-2154
    • Volpp, K.G.1    Loewenstein, G.2    Asch, D.A.3
  • 55
    • 33745308296 scopus 로고    scopus 로고
    • Redesigning training for internal medicine
    • Weinberger SE, Smith LG, Collier VU, Education Committee of the American College of Physicians. 2006. Redesigning training for internal medicine. Ann Intern Med. 144:927–932.
    • (2006) Ann Intern Med , vol.144 , pp. 927-932
    • Weinberger, S.E.1    Smith, L.G.2    Collier, V.U.3


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