TAILIEUCHUNG - Competency-based education in the health professions: Implications for improving global health

The past five years have seen an acceleration in the development of competencies in different health professional fields, including medicine, nursing, midwifery, and public health. Many of these efforts have been driven by the professional organizations themselves, in an attempt to define expected knowledge, skills and behaviors of graduate practitioners. While making important contributions, many fall short of a fully implemented CBE model often because of a focus on learning objectives that do not align with how a true competency is defined. . | Competency-based education in the health professions Implications for improving global health Larry D. Gruppen . Rajesh S. Mangrulkar . Joseph C. Kolars Departments of Medical Education1 and Internal Medicine2 University of Michigan Medical School Improvements in global health can only be realized through the development of a workforce that has been educated to promote health and to care for those with disease. Increased attention is being placed on competency-based education as a means for optimizing the preparation of health professionals. The purpose of this paper is to describe the characteristics of competency-based education CBE and how this can be distinguished from the more traditional approaches to training health professionals. An approach to the implementation of CBE will be reviewed along with a discussion on implications for resource poor regions of the world. Competency-based education Competency-based education is a framework for designing and implementing education that focuses on the desired performance characteristics of health care professionals. Although this has always been the implicit goal of more traditional educational frameworks CBE makes this explicit by establishing observable and measureable metrics that learners are expected to accomplish. The ability to perform to established expectations is the criteria by which a health professional is deemed competent. Alternative but complimentary goals have more traditional educational frameworks have been on learning outcomes or In a seminal article Epstein and Hundert2 established a commonly cited definition of competency in health care Competency is the 1 habitual and judicious use of communication knowledge technical skills clinical reasoning emotions values and reflection in daily practice for the benefit of the individual and the community being served. Note that this definition includes any and all possible results of the educational process. It also .

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