G.C. Mejicano is professor of medicine and senior associate dean for education, Oregon Health & Science University School of Medicine, Portland, Oregon. T.N. Bumsted is associate professor of pediatrics and associate dean for undergraduate medical education, Oregon Health & Science University School of Medicine, Portland, Oregon.
Acad Med. 2018 Mar;93(3S Competency-Based, Time-Variable Education in the Health Professions):S42-S48. doi: 10.1097/ACM.0000000000002068.
Oregon Health & Science University School of Medicine launched a completely new undergraduate medical education curriculum in 2014. This initiative dramatically transformed the MD degree program, changing the instructional content taught, the pedagogical methods used by the faculty, and the methods of assessment, and it added new elements such as academic coaching and programmatic entrustment to the program. One of the most exciting and impactful aspects to date of this curricular transformation has been the deliberate implementation of a competency-based framework that incorporates frequent assessment, tracking of student progression using an electronic portfolio, and academic coaching to optimize learning and customize curricular elements for each student. The next major step in this process-the implementation of time-variable progression-is currently ongoing as a planning group at the school works through the conceptual, logistical, legal, and regulatory issues related to implementing such a system. When implementation is complete, MD students will graduate only once they have earned entrustment for all 13 Core Entrustable Professional Activities for Entering Residency. This article describes the school's progress to date in its curricular transformation and articulates lessons learned thus far in driving substantive and dramatic institutional changes that profoundly impact students, faculty, and administrators in one academic health center.
俄勒冈健康与科学大学医学院于 2014 年推出了全新的本科医学教育课程。这一举措彻底改变了医学博士学位项目，改变了所教授的教学内容、教师使用的教学方法以及评估方法，并为该项目增加了学术指导和计划委托等新元素。迄今为止，课程改革最令人兴奋和最具影响力的方面之一是，精心实施了基于能力的框架，该框架结合了频繁的评估、使用电子档案跟踪学生的进展情况，以及学术指导，以优化学习并为每个学生定制课程元素。这一过程的下一个重要步骤——实施可变进度——目前正在进行中，因为学校的一个规划小组正在解决与实施这样一个系统相关的概念、后勤、法律和监管问题。实施完成后，只有当 MD 学生获得所有 13 项核心委托专业活动的委托时，他们才会毕业。本文介绍了该校在课程改革方面迄今为止的进展，并阐述了在推动对一个学术医疗中心的学生、教师和管理人员产生深远影响的实质性和戏剧性机构变革方面所取得的经验教训。
