Professor Emeritus, Korea University College of Medicine, Seoul, Korea.
J Educ Eval Health Prof. 2020;17:30. doi: 10.3352/jeehp.2020.17.30. Epub 2020 Oct 21.
Currently, accreditation in medical education is a priority for many countries worldwide. The World Federation for Medical Education’s (WFME) launch of its 1st trilogy of standards in 2003 was a seminal event promoting accreditation in basic medical education (BME) globally. In parallel, the WFME also actively spearheaded a project to recognize accrediting agencies within individual countries. The introduction of competency-based medical education (CBME), with the 2 key concepts of entrusted professional activity and milestones, has enabled researchers to identify the relationships between patient outcomes and medical education. The recent data-driven approach to CBME has been used for ongoing quality improvement of trainees and training programs. The accreditation goal has shifted from the single purpose of quality assurance to balancing quality assurance and quality improvement. Although there are many types of postgraduate medical education (PGME), it may be possible to accredit resident programs on a global scale by adopting the concept of CBME. It will also be possible to achieve accreditation alignment for BME and PGME, which center on competency. This approach may also make it possible to measure accreditation outcomes against patient outcomes. Therefore, evidence of the advantages of costly and labor-consuming accreditation processes will be available soon, and quality improvement will be the driving force of the accreditation process.
目前,医学教育认证是许多国家的优先事项。世界医学教育联合会(WFME)于 2003 年发布了其第一部三部曲标准,这是在全球范围内推动基础医学教育(BME)认证的一个重要事件。与此同时,WFME 还积极推动了一个在各个国家认可认证机构的项目。以委托专业活动和里程碑为核心概念的以能力为基础的医学教育(CBME)的引入,使研究人员能够确定患者结果与医学教育之间的关系。最近,采用数据驱动的方法进行 CBME 已用于不断改进学员和培训计划的质量。认证目标已经从单一的质量保证目的转变为平衡质量保证和质量改进。尽管有许多类型的研究生医学教育(PGME),但通过采用 CBME 的概念,有可能在全球范围内对住院医师培训项目进行认证。也有可能实现以能力为核心的 BME 和 PGME 的认证一致性。这种方法还可能使我们能够根据患者结果来衡量认证结果。因此,昂贵且耗时的认证过程的优势的证据很快就会出现,而质量改进将成为认证过程的驱动力。