Competence By Design: a transformational national model of time-variable competency-based postgraduate medical education
Date
2024-03-18
Authors
Frank, Jason R.
Sherbino, Jonathan
Atkinson, Adelle
Snell, Linda
Atkinson, Adelle
Oswald, Anna
Hall, Andrew Koch
Cooke, Lara
Dojeiji, Sue
Richardson, Denyse
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Ubiquity Press
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Article
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Abstract
Postgraduate medical education is an essential societal enterprise that prepares highly skilled physicians for the health workforce. In recent years, PGME systems have been criticized worldwide for problems with variable graduate abilities, concerns about patient safety, and issues with teaching and assessment methods. In response, competency based medical education approaches, with an emphasis on graduate outcomes, have been proposed as the direction for 21st century health profession education. However, there are few published models of large-scale implementation of these approaches. We describe the rationale and design for a national, time-variable competency-based multi-specialty system for postgraduate medical education called Competence by Design. Fourteen innovations were bundled to create this new system, using the Van Melle Core Components of competency based medical education as the basis for the transformation. The successful execution of this transformational training system shows competency based medical education can be implemented at scale. The lessons learned in the early implementation of Competence by Design can inform competency based medical education innovation efforts across professions worldwide.
Description
Attribution 4.0 International
Keywords
Postgraduate medical education (PGME), competency based medical education, Van Melle Core Components, Competence by Design
Citation
Frank JR, Karpinski J, Sherbino J, Snell LS, Atkinson A, Oswald A, Hall AK, Cooke L, Dojeiji S, Richardson D, Cheung WJ, Cavalcanti RB, Dalseg TR, Thoma B, Flynn L, Gofton W, Dudek N, Bhanji F, Wong BMF, Razack S, Anderson R, Dubois D, Boucher A, Gomes MM, Taber S, Gorman LJ, Fulford J, Naik V, Harris KA, St. Croix R, van Melle E. Competence By Design: a transformational national model of time variable competency-based postgraduate medical education. Perspectives on Medical Education. 2024; 13(1): 201–223. DOI: https://doi. org/10.5334/pme.1096
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DOI
10.5334/pme.1096