ADAPTING MEDICAL EDUCATION TO COMPETENCY-BASED TRAINING: CHALLENGES AND OPPORTUNITIES POPULATIONS
Main Article Content
Keywords
CBME, medical education, assessment, implementation, Pakistan, qualitative study, clinical training.
Abstract
Introduction: CBME is becoming recognized as an innovative approach to medical learning, centering on set goals, personalized studies, and the ability to manage clinical challenges. On the other hand, using CBME is difficult for most organizations, especially where resources are limited.
Objective: To explore the challenges and opportunities of adapting medical education to a competency-based framework at a tertiary care hospital in Pakistan.
Materials and Method: A qualitative study was performed at Hamdard University, Karachi, from February, 2024 to July, 2024. Semi-structured interviews and focus group discussions occurred with 20 individuals such as faculty, trainees and curriculum coordinators. Results were examined through thematic analysis.
Results: It was found that the system lacked preparedness, suffered under heavy assessments, had few facilities, and gave inconsistent comments. Despite their concerns, participants still recognized that CBME could help people become more skilled and improve their learning.
Conclusion: Implementing CBME well demands commitment from the organization, faculty preparation, resources, and changes that fit local needs.
References
2- Szulewski, A., Braund, H., Dagnone, D.J., McEwen, L., Dalgarno, N., Schultz, K.W. and Hall, A.K., 2023. The assessment burden in competency-based medical education: how programs are adapting. Academic Medicine, 98(11), pp.1261-1267.
3- Sahadevan, S., Kurian, N., Mani, A.M., Kishor, M.R. and Menon, V., 2021. Implementing competency‐based medical education curriculum in undergraduate psychiatric training in India: Opportunities and challenges. Asia‐Pacific Psychiatry, 13(4), p.e12491.
4- Ryan, M.S., Holmboe, E.S. and Chandra, S., 2022. Competency-based medical education: considering its past, present, and a post–COVID-19 era. Academic Medicine, 97(3S), pp.S90-S97.
5- Leiphrakpam, P.D. and Are, C., 2023. Competency-based medical education (CBME): an overview and relevance to the education of future surgical oncologists. Indian Journal of Surgical Oncology, pp.1-11.
6- Stoffman, J.M., 2022. Overcoming the barriers to implementation of competence-based medical education in post-graduate medical education: a narrative literature review. Medical Education Online, 27(1), p.2112012.
7- Ott, M.C., Dengler, L., Hibbert, K. and Ott, M., 2025. Fixing disconnects: Exploring the emergence of principled adaptations in a competency‐based curriculum. Medical Education, 59(4), pp.428-438.
8- Ross, S., Pirraglia, C., Aquilina, A.M. and Zulla, R., 2022. Effective competency-based medical education requires learning environments that promote a mastery goal orientation: a narrative review. Medical teacher, 44(5), pp.527-534.
9- Gonzalo, J.D., Wolpaw, D.R., Cooney, R., Mazotti, L., Reilly, J.B. and Wolpaw, T., 2022. Evolving the systems-based practice competency in graduate medical education to meet patient needs in the 21st-century health care system. Academic Medicine, 97(5), pp.655-661.
10- Lomis, K.D., Mejicano, G.C., Caverzagie, K.J., Monrad, S.U., Pusic, M. and Hauer, K.E., 2021. The critical role of infrastructure and organizational culture in implementing competency-based education and individualized pathways in undergraduate medical education. Medical teacher, 43(sup2), pp.S7-S16.
11- Danilovich, N., Kitto, S., Price, D., Campbell, C., Hodgson, A. and Hendry, P., 2021. Implementing competency-based medical education in family medicine: a narrative review of current trends in assessment. Family Medicine, 53(1), pp.9-22.
12- Arrighi, J.A., Mendes, L.A., McConnaughey, S. and ACC Competency Management Committee, 2021. Competency-based medical education for fellowship training during the COVID-19 pandemic. Journal of the American College of Cardiology, 77(13), pp.1681-1683.
13- Gomes, M. and 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), pp.40-43.
14- Baboolal, S.O. and Singaram, V.S., 2024. Implementation and impact of an adapted digital perioperative competency-building tool to enhance teaching, learning and feedback in postgraduate competency-based medical education. Journal of Surgical Education, 81(5), pp.722-740.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Dr Saima Siddiqui
Lecturer, Hamdard University, Faculty of Health and Medical Sciences, Karachi
Dr Qaiser Masud Sheikh
Assistant Professor, Department of Dental Education & Research, Foundation University College of Dentistry, Foundation University, Islamabad, Email: qaiser.masud@fui.edu.pk
Dr Omer Hafeez Kaleem
Private Clinic, Email: ohkaleem@yahoo.com
Dr Wajahat Ghafoor Chaudhary
Assistant Professor, Department of Oral Pathology, Foundation University College of Dentistry, Foundation University, Islamabad, Email: wajahat.ghafoor@fui.edu.pk
Dr Shah Salman Khan
Associate Professor, Department of Oral Biology, Bashir College of Dentistry, Islamabad
Email: shahdent@yahoo.com
Dr Rafey Ahmad Jameel
Assistant Professor, Department of Oral Biology, Dow University of Health Sciences, Karachi.
Email: rafey.jameel@duhs.edu.pk