London School of Paediatrics, London Deanery, London, UK.
Postgrad Med J. 2013 Feb;89(1048):107-10. doi: 10.1136/postgradmedj-2012-130881. Epub 2012 Sep 27.
Competency based training describes progression through training referenced to the demonstrated ability to perform certain tasks. In recent years, this has become the dominant curriculum model. We seek to examine who benefits from a competency based approach to medical education. For the regulators and service, the apparent advantage is in terms of apparent measurable accountability and flexibility. For assessors, the promise of competence based assessments in the workplace to provide a reliable and objective measurement of a trainee's performance has not been demonstrated in practice. For the doctor in training, there is very little evidence to show benefit from competency based training. Competency based training places emphasis on individual skills rather than overall learning experience thus risks diminishing the role of the trainee in the workplace. Any form of medical education that devalues workplace based learning will ultimately harm the profession and, in turn, patient care.
能力本位培训是指根据完成特定任务的能力来描述培训进展。近年来，这种方法已经成为主导的课程模式。我们试图研究谁从医学教育的能力本位方法中受益。对于监管机构和服务机构来说，明显的优势在于明显的可衡量的问责制和灵活性。对于评估者来说，能力本位评估在工作场所提供可靠和客观的学员表现衡量的承诺尚未在实践中得到证明。对于受训医生来说，几乎没有证据表明能力本位培训有益。能力本位培训强调个人技能而不是整体学习经验，因此有可能削弱学员在工作场所的作用。任何贬低基于工作场所学习的医学教育形式最终都会损害该专业，并反过来影响患者护理。
