The transition to competency-based pediatric training in the United Arab Emirates

BMC Medical Education

Eric S Holmboe³  Hossam Al Tatari¹  Halah Ibrahim² 

[1] Tawam Hospital, Department of Pediatrics, Abu Dhabi, Al Ain, United Arab Emirates;Johns Hopkins Graduate School of Education, Baltimore, MD, USA;Accreditation Council for Graduate Medical Education, Chicago, Ill, USA

关键词: Residency;    International medical education;    Outcomes-based training;    Competency-based medical education;    Pediatrics;   

Others  :  1206369
DOI  :  10.1186/s12909-015-0340-3

 received in 2014-05-21, accepted in 2015-03-09,  发布年份 2015

【 摘 要 】

Although competency-based medical education has become the standard for physician training in the West, many developing countries have not yet adopted competency-based training. In 2009 in the United Arab Emirates, the government regulatory and operational authorities for healthcare in Abu Dhabi mandated a wide-scale reform of the emirate’s postgraduate residency programs to the competency-based framework of the newly formed Accreditation Council for Graduate Medical Education-International (ACGME-I). This article briefly describes the rationale for competency-based medical education and provides an overview of the transition from traditional, time-based residency training to competency-based postgraduate medical education for the Pediatrics residency programs in Abu Dhabi. We will provide data on the initial impact of this transition on resident performance and patient outcomes in a Pediatrics residency program in an academic medical center in the United Arab Emirates.

【 授权许可】

   
2015 Ibrahim et al.; licensee BioMed Central.

【 参考文献 】

• [1]Frank JR, Danoff D. The CanMeds initiative: implementing an outcomes-based framework of physician competencies. Med Teach. 2007; 29:630-5.
• [2]Brightwell A, Grant J. Competency-based training: who benefits? Postgrad Med J. 2013; 89(1048):107-10.
• [3]Kjaer NK, Kodal T, Shaughnessy AF, Qvesel D. Introducing competency-based postgraduate medical training: gains and losses. Int J Med Educ. 2011; 2:110-5.
• [4]Bloom BS. Taxonomy of educational objectives. Handbook I: cognitive domain. David McKay Company, New York; 1956.
• [5]Neufeld VR, Maudsley RF, Pickering RJ, Turnbull JM, Weston WW, Brown MG et al.. Educating future physicians for Ontario. Acad Med. 1998; 73:1133-48.
• [6]Harden RM, Crosby JR, Davis MH. AMEE guide no 14: outcome-based education: Part I- an introduction to outcome-based education. Med Teach. 1998; 21:7-14.
• [7]Frank JR, Snell LS, ten Cate O, Holmboe ES, Carraccio C, Swing SR et al.. Competency-based medical education: theory to practice. Med Teach. 2010; 32:638-45.
• [8]Cooke M, Irby DM, O’Brien BC. Educating physicians. A call for reform of medical school and residency. Jossey-Bass, San Francisco; 2010.
• [9]Hirsh D, Gaufberg E, Ogur B, Cohen P, Krupat E, Cox M et al.. Educational outcomes of the Harvard Medical School- Cambridge integrated clerkship: A way forward for medical education. Acad Med. 2012; 87:643-50.
• [10]Sargeant J, Mann K, van der Vleuten C, Metsemakers J. “Directed” self-assessment: practice and feedback within a social context. J Contin Educ Health Prof. 2008; 28:47-54.
• [11]Watling C, Driessen E, van der Vleuten CP, Vanstone M, Lingard L. Understanding responses to feedback: the potential and limitations of regulatory focus theory. Med Educ. 2012; 46:593-603.
• [12]Norcini J, Burch V. AMEE guide 31: workplace-based assessments as an educational tool. Med Teach. 2007; 29(9):855-71.
• [13]Glover Takahashi S, Waddell A, Kennedy M, Hodges B. Innovations, integration and implementation issues in competency-based training in postgraduate medical education. Members of the FMEC PG consortium; 2011
• [14]Huddle TS, Heudebert GR. Internal medicine training in the 21st century. Acad Med. 2008; 83:910-5.
• [15]Keirns CC, Bosk CL. The unintended consequences of training residents in dysfunctional outpatient settings. Acad Med. 2008; 83:498-502.
• [16]Frenk J, Chen L, Zulfiqar AB, Cohen J, Crisp N, Evans T et al.. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010; 376(9756):1923-58.
• [17]Babbott SF, Beasley BW, Hinchey KT, Blotzer JW, Holmboe ES. The predictive validity of the internal medicine in-training examination. Am J Med. 2007; 120:735-40.
• [18]Wenghofer E, Klass D, Abrahamowicz M, Dauphinee D, Jacques A, Smee S et al.. Doctor scores on national qualifying examinations predict quality of care in future practice. Med Educ. 2009; 43(12):1166-73.
• [19]Asch DA, Nicholson S, Srinivas S, Herrin J, Epstein AJ. Evaluating obstetrical residency programs using patient outcomes. JAMA. 2009; 302(12):1277-83.
• [20]Carraccio C, Englander R. From Flexner to competencies: reflections on a decade and the journey ahead. Acad Med. 2013; 88(8):1067-73.