Challenges of implementing competency-based medical education postgraduate training programs: the issue of context

Desafíos de la implementación de programas de formación de posgrado en educación médica basada en competencias: la cuestión del contexto

Autores/as

  • Marcio Gomes Royal College of Physicians and Surgeons of Canada, University of Ottawa, Ottawa
  • Linda Snell University of Ottawa, Ottawa; Institute for Health Sciences Education, McGill University, Montreal

DOI:

https://doi.org/10.11565/arsmed.v46i4.1862

Palabras clave:

Competence, curriculum development, outcome, fidelity, implementation

Resumen

Introduction: Competency-based medical education (CBME) is being adopted worldwide. The aim of this paper is to discuss the evolution of CBME and address some perceived challenges in CBME curriculum development and implementation in postgraduate (residency) medical education. Methods: This is an opinion paper based on lived experiences and personal beliefs. The authors have professional training in medical education and are actively involved in CBME research, curriculum development and implementation around the world. Results: The issue of local and system-wide context seems to be of particular importance to individuals, programs, institutions, governing bodies and other stakeholders involved in the development and implementation of CBME programs. CBME has evolved differently at different places, and there are concerns regarding the fidelity of implementation. Stakeholders have been dealing with challenging questions in their CBME journeys, which reflect the varied, complex and dynamic nature of health and education systems. Recently, scholars have established core components of any CBME program. Discussion and conclusions: CBME design should benefit from ground-up strategies that consider the local context. It is essential to approach implementation with a quality improvement lens and pay special attention to the fidelity and integrity of the core CBME components.

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Publicado

2021-12-07

Cómo citar

Gomes, M. ., & Snell, L. . (2021). Challenges of implementing competency-based medical education postgraduate training programs: the issue of context: Desafíos de la implementación de programas de formación de posgrado en educación médica basada en competencias: la cuestión del contexto. ARS MEDICA Revista De Ciencias Médicas, 46(4), 40–43. https://doi.org/10.11565/arsmed.v46i4.1862

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Artículos de Investigación