Ai Li Erica, Wilson Claire A, Davidson Jacob, Kwong Aaron, Kirpalani Amrit, Wang Peter Zhan Tao
Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Division of Pediatric Surgery, London Health Sciences Centre, London, Ontario, Canada.
Adv Med Educ Pract. 2023 Apr 20;14:381-389. doi: 10.2147/AMEP.S399851. eCollection 2023.
There is limited work exploring competency-based medical education (CBME) in undergraduate medical education. We aimed to assess medical students' and faculty's perception of CBME in the undergraduate medicine setting after its implementation at our institution through a Content, Input, Process, Product (CIPP) program evaluation model.
We explored the rationale for the transition to a CBME curriculum (Content), the changes to the curriculum and the teams involved in the transition (Input), medical students' and faculty's perception of the current CBME curriculum (Process), and benefits and challenges of implementing undergraduate CBME (Product). A cross-sectional online survey was delivered over 8-weeks in October 2021 to medical students and faculty as part of the Process and Product evaluation.
Medical students displayed greater optimism towards CBME, compared to faculty, in terms of its role in medical education (p<0.05). Faculty were less certain about how CBME was currently implemented (p<0.05), as well as how feedback to students should be delivered (p<0.05). Students and faculty agreed on perceived benefits to CBME implementation. Faculty time commitment to teaching and logistical concerns were reported as perceived challenges.
Education leaders must prioritize faculty engagement and continued professional development of faculty to facilitate the transition. This program evaluation identified strategies to aid the transition to CBME in the undergraduate setting.
在本科医学教育中,探索基于胜任力的医学教育(CBME)的工作有限。我们旨在通过内容、投入、过程、产出(CIPP)项目评估模型,评估我校实施本科医学教育中的CBME后,医学生和教师对其的看法。
我们探讨了向CBME课程转变的基本原理(内容)、课程的变化以及参与转变的团队(投入)、医学生和教师对当前CBME课程的看法(过程),以及实施本科CBME的益处和挑战(产出)。作为过程和产出评估的一部分,于2021年10月对医学生和教师进行了为期8周的横断面在线调查。
与教师相比,医学生对CBME在医学教育中的作用表现出更大的乐观态度(p<0.05)。教师对CBME目前的实施方式(p<0.05)以及应如何向学生提供反馈(p<0.05)不太确定。学生和教师对实施CBME的感知益处达成了共识。教师用于教学的时间投入和后勤问题被报告为感知到的挑战。
教育领导者必须优先考虑教师的参与以及教师的持续专业发展,以促进这种转变。该项目评估确定了有助于在本科环境中向CBME转变的策略。