The future of residency education: implementing a competency-based educational model.

Full Abstract

Graduate medical programs are faced with increasing calls for competency-based education. All accredited residencies and fellowships must now demonstrate that graduates are competent in six key areas, and outcomes data must be used to improve each program. The transition to competency-based education has challenged programs in all specialties. We describe the design, implementation, and outcomes measurement of a comprehensive, competency-based family medicine curriculum that uses multiple educational components and assessment tools in various settings and relies on both formative and summative feedback. Components include inpatient and outpatient core competencies, a longitudinal didactic curriculum, a competency-based procedures curriculum, and use of medical evidence to improve individual patient care in ambulatory practice. In addition to multiple evaluation tools (eg, video monitoring, rotation-specific evaluations, adviser-advisee meetings, faculty meetings, and checklist evaluations of procedures and physical examinations), residents receive feedback from patients, faculty, nurses, transcriptionists, and referring physicians. The curriculum demonstrates resident competence in six core areas and resident confidence in skills acquired by the completion of training. The evaluation system promotes greater objectivity in information provided to future employers and hospitals about residents. This model provides a curricular template for other accredited residency programs.

Learn Faster Today Improve your study skills

Author information

Author/s: Edwards, Frederick D (FD); Frey, Keith A (KA);

Affiliation: Department of Family Medicine, Mayo Clinic, Scottsdale, Arizona 85260, USA. edwards.frederick(-atsign-)mayo.edu

Journal and publication information

Publication Type: Journal Article

Journal: Family medicine (Fam Med), published in United States. (Language: eng)

Reference: 2007-Feb; vol 39 (issue 2) : pp 116-25

Dates: Created 2007/02/02; Completed 2007/04/16;

PMID: 17273954, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Clinical Competence - standards
Competency-Based Education - organization & administration
Educational Measurement
Humans

These are the highest related articles currently in the database:

See 100+ related articles.