The promise, perils, problems and progress of competency-based medical education
The promise, perils, problems and progress of competency-based medical education
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基于能力的医学教育的前景、危险、问题和进展
DOI：
10.1111/medu.12839
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发表时间：
2016-01-01
影响因子：
6
通讯作者：
ten Cate, Olle
中科院分区：
文献类型：
--
作者：
Touchie, Claire;ten Cate, Olle
背景基于能力的医学教育（CBME）正在被世界各地的组织全心全意地采用，以期满足当今对培养有能力的医生的期望。但是，作为医学教育者，我们是否履行了这一承诺？方法作者通过个人观点探讨了 CBME 所发现的问题以及通过发展里程碑和可信赖的专业活动 (EPA) 所取得的进展。结果 CBME 的支持者有充分的理由继续发展和支持医学教育领域的这一广泛运动。然而，批评者有合理的保留意见。作者观察到，如果实施得当，最近对里程碑和 EPA 的使用有所增加，可以强化 CBME 的目的，并消除一些所表达的担忧。结论作者最后提出了对未来的建议，以及使用 EPA 如何使我们更接近基于能力的医学教育和基于能力的医疗实践的目标。讨论讨论中文章中产生的想法。
ContextCompetency-based medical education (CBME) is being adopted wholeheartedly by organisations worldwide in the hope of meeting today's expectations for training a competent doctor. But are we, as medical educators, fulfilling this promise?MethodsThe authors explore, through a personal viewpoint, the problems identified with CBME and the progress made through the development of milestones and entrustable professional activities (EPAs).ResultsProponents of CBME have strong reasons to keep developing and supporting this broad movement in medical education. Critics, however, have legitimate reservations. The authors observe that the recent increase in use of milestones and EPAs can strengthen the purpose of CBME and counter some of the concerns voiced, if properly implemented.ConclusionsThe authors conclude with suggestions for the future and how using EPAs could lead us one step closer to the goals of not only competency-based medical education but also competency-based medical practice.Discuss ideas arising from the article at discuss.