School of Veterinary Medicine, Louisiana State University, Skip Bertman Drive, Baton Rouge, LA 70803 USA.
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, 1060 William Moore Drive, Raleigh, NC 27606 USA.
J Vet Med Educ. 2024 Apr;51(2):155-163. doi: 10.3138/jvme-2023-0012. Epub 2023 Oct 6.
Competency-based education is increasingly being adopted across the health professions. A model for competency-based education in veterinary medicine was recently developed by a working group of the American Association of Veterinary Medical Colleges (AAVMC) and is being used in institutions worldwide. The purpose of this study was to gather information on progress in and barriers to implementing competency-based education (including use of the AAVMC competency-based veterinary education [CBVE] Model) by AAVMC member schools to inform the development of strategies to support institutions in successful implementation of the CBVE Model. A cross-sectional survey was developed and distributed to AAVMC member institutions via an AAVMC web-based communication platform. Thirty-four of 55 AAVMC member institutions responded to the survey (62% response rate). Twenty schools reported using a competency-based education framework. Eleven of these institutions had implemented the AAVMC CBVE Framework, with an additional 12 institutions anticipating implementing it over the next 3 years. Timing, resources, and change management were the most commonly reported challenges to implementation. Suggestions for development of training resources included translation of milestones to pre-clinical courses, development of assessments, guidance on making progress decisions, illustrative overviews of specific components of the CBVE Model (e.g., the AAVMC CBVE Framework, EPAs, entrustment scales, milestones), and curriculum mapping. This study assesses progress in implementing the CBVE Model in AAVMC member schools and aids in identifying key challenges and resources to support faculty and institutions in the successful adoption and implementation of this educational model.
基于能力的教育在医疗保健专业中正越来越多地被采用。美国兽医协会医学学院(AAVMC)的一个工作组最近开发了一种兽医医学基于能力的教育模式,并在全球范围内的机构中使用。本研究的目的是收集关于 AAVMC 成员学校在实施基于能力的教育(包括使用 AAVMC 基于能力的兽医教育 [CBVE] 模型)方面的进展和障碍的信息,以为支持机构成功实施 CBVE 模型制定策略提供信息。开发了一项横断面调查,并通过 AAVMC 的基于网络的通信平台分发给 AAVMC 成员机构。55 所 AAVMC 成员机构中有 34 所(62%的回应率)对调查做出了回应。有 20 所学校报告使用了基于能力的教育框架。其中 11 所机构实施了 AAVMC CBVE 框架,另有 12 所机构预计在未来 3 年内实施该框架。实施的最常见挑战是时间安排、资源和变革管理。关于开发培训资源的建议包括将里程碑转化为临床前课程、开发评估、指导做出进展决策、说明 CBVE 模型的具体组成部分(例如,AAVMC CBVE 框架、EPA、委托量表、里程碑)、以及课程映射。本研究评估了 AAVMC 成员学校在实施 CBVE 模型方面的进展,并有助于确定关键挑战和资源,以支持教师和机构成功采用和实施这种教育模式。