Effective Implementation of CBME in Residency Training - Challenges and Strategies
主講人：Eric S. Holmboe, MD, MACP FRCP FAoME(Accreditation Council for Graduate Medical Education)
簡介：CONTEXT Competency-based medical education (CBME) has emerged as a core strategy to educate and assess the next generation of physicians. Advantages of CBME include a focus on outcomes and learner achievement; requirements for multifaceted assessment that embraces formative and summative approaches; support of flexible, time-independent trajectory through the curriculum; and increased accountability to stakeholders with a shared set of expectations; and a common language for education, assessment and regulation. Despite the advantages of CBME, numerous concerns and challenges to implementation of CBME frameworks have been described, including; increased administrative requirements, need for more faculty development, lack of models for flexible curricula, and inconsistencies in terms and definitions. Additionally, concerns have been raised about reductionist approaches to assessment in CBME, lack of good assessments for some competencies, and whether CBME frameworks include domains of current importance.
METHODS Expressed concerns and challenges are divided into two primary categories: 1) those related to practical, administrative and logistical challenges in implementing CBME frameworks, and 2) those that have more conceptual and/or theoretical bases. This presentation will review the early experience with CBME implementation globally and provide suggestions from implementation science to facilitate the adoption of a CBME approach.
● Discuss current gaps between healthcare system needs and medical education.
● Review early research on CBME implementation efforts, using a core components framework.
● Discuss strategies from implementation science to facilitate adoption of CBME approaches.