Competency-Based Medical Education: Considering Its Past, Present, and a Post-COVID-19 Era
Competency-Based Medical Education: Considering Its Past, Present, and a Post-COVID-19 Era
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DOI：
10.1097/acm.0000000000004535
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发表时间：
2022-03-01
影响因子：
7.4
通讯作者：
Chandra, Subani
中科院分区：
文献类型：
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作者：
Ryan, Michael S.;Holmboe, Eric S.;Chandra, Subani
推进以能力为基础的医学教育（CBME）一直受到惰性和无数的实施挑战，包括与能力评估，认证/监管和后勤方面的考虑。2019冠状病毒病大流行扰乱了各个层面的医学教育。培训时间有时会缩短或显著改变，临床暴露的数量和种类也会减少。对现有模式的这些和其他意料之外的变化突出了推进CBME核心原则的必要性。本文描述了COVID-19对正在进行的CBME过渡的影响，包括对医学院和研究生医学教育计划的培训，课程和评估过程的影响。作者概述了COVID-19中断对学习者培训和能力评估的影响，例如在医学院转换为虚拟学习模式，在卫生系统内重新部署住院医生，以及根据能力的实现提前毕业学员。最后，作者反思了COVID-19大流行在医学教育界期待大流行后的未来时，对CBME实现的启示。
Advancement toward competency-based medical education (CBME) has been hindered by inertia and a myriad of implementation challenges, including those associated with assessment of competency, accreditation/regulation, and logistical considerations. The COVID-19 pandemic disrupted medical education at every level. Time-in-training sometimes was shortened or significantly altered and there were reductions in the number and variety of clinical exposures. These and other unanticipated changes to existing models highlighted the need to advance the core principles of CBME. This manuscript describes the impact of COVID-19 on the ongoing transition to CBME, including the effects on training, curricular, and assessment processes for medical school and graduate medical education programs. The authors outline consequences of the COVID-19 disruption on learner training and assessment of competency, such as conversion to virtual learning modalities in medical school, redeployment of residents within health systems, and early graduation of trainees based on achievement of competency. Finally, the authors reflect on what the COVID-19 pandemic taught them about realization of CBME as the medical education community looks forward to a postpandemic future.