EurekaMag.com logo
+ Site Statistics
References:
53,869,633
Abstracts:
29,686,251
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Competency-based residency training: the next advance in graduate medical education



Competency-based residency training: the next advance in graduate medical education



Academic Medicine 75(12): 1178-1183



The goal of all graduate medical education is to ensure that the graduating physician is competent to practice in his or her chosen field of medicine. The evaluation of a resident's competency to practice, however, has never been clearly defined, nor has the fixed period of time given for residency training in each specialty been shown to be the right amount of time for each individual resident to achieve competency. To better ensure that new physicians have the competencies they need, the author proposes the replacement of the current approach to residents' education, which specifies a fixed number of years in training, with competency-based training, in which each resident remains in training until he or she has been shown to have the required knowledge and skills and can apply them independently. Such programs, in addition to tailoring the training time to each individual, would make it possible to devise and test schemes to evaluate competency more surely than is now possible. The author reviews the basis of traditional residency training and the problems with the current training approach, both its fixed amount of time for training and the uncertainty of the methods of evaluation used. He then explains competency-based residency education, notes that it is possible, indeed probable, that some trainees will become competent considerably sooner than they would in the current required years of training, quotes a study in which this was the case, and explains the implications. He describes the encouraging experience of his neurosurgery department, which has used competency-based training for its residents since 1994. He then discusses issues of demonstrating competency in procedural and nonprocedural fields, as well as the evaluation of competency in traditional and competency-based training, emphasizing that the latter approach offers hope for better ways of assessing competency.

(PDF emailed within 1 workday: $29.90)

Accession: 045601648

Download citation: RISBibTeXText

PMID: 11112714



Related references

Competency based residency training: the next advance in graduate medical education. Acta Neurochirurgica. Supplement 78: 153-158, 2002

Graduate Medical Education - Structured, competency based training in Anesthesiology. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie 51(7-08): 482-487, 2016

Development of a Competency-based Training in Obstetrics and Gynecology Ultrasound for Undergraduate and Graduate Medical Education. Donald School Journal of Ultrasound in Obstetrics & Gynecology 8: 83-86, 2014

Patient safety training simulations based on competency criteria of the Accreditation Council for Graduate Medical Education. Mount Sinai Journal of Medicine, New York 78(6): 842-853, 2012

The electronic residency application service application can predict accreditation council for graduate medical education competency-based surgical resident performance. Journal of Surgical Education 67(6): 444-448, 2011

Competency-based graduate medical education? Of course! But how should competency be assessed?. Academic Medicine 77(5): 359-360, 2002

Residency training: neurology training: a comparison of Australian and American graduate medical education. Neurology 84(6): E38-E40, 2015

Nutrition training in graduate medical (residency) education: a survey of selected training programs. American Journal of Clinical Nutrition 54(6): 957-962, 1991

Cultural competency training requirements in graduate medical education. Journal of Graduate Medical Education 5(2): 227-231, 2014

Residency training in graduate medical education (nine-year view). Journal of the Royal Society of Health 114(1): 14-16, 1994

Graduate medical education at the Medical College of Wisconsin: new initiatives to respond to the changing residency training environment. Wmj 102(2): 38-42, 2003

Otolaryngology residency education: a scoping review on the shift towards competency-based medical education. Clinical Otolaryngology, 2016

Graduate medical education in radiology: a proposal for subspecialty training during residency. Academic Radiology 2(9): 816-819, 1995

Graduate medical education in ophthalmology: moving from the apprenticeship model to competency-based education. Archives of Ophthalmology 126(9): 1290-1291, 2008

The state of pediatrics residency training: a period of transformation of graduate medical education. Pediatrics 114(3): 832-841, 2004