Wasserman Jason Adam, Lopez Alisa A, Knickerbocker Roberta, Haywood Antwione, Kibble Jonathan, Fraser Rebecca, Fletcher Laura
Acad Med. 2025 Apr 18. doi: 10.1097/ACM.0000000000006065.
ProblemThe 15 core competencies for entering medical students (now "premed competencies") were created in 2011 to describe the skills and characteristics needed for success when starting medical school. Changes in the health care landscape and undergraduate medical education over the past decade required review and revision of the original competencies to ensure they still accurately reflected expectations for entering medical students.ApproachFrom August 2022 to May 2023, the Association of American Medical Colleges formed the Premed Competencies Working Group with members of the medical education community to evaluate the core competencies in 2 phases. In the first phase, focus groups discussed what and how medical students are learning, as well as the qualities and characteristics associated with students who are successful versus those who experience performance issues. In the second phase, focus groups provided feedback on revised competency definitions.OutcomesMuch of the original core competencies remained relevant and important. However, revisions were needed to emphasize or elaborate on specific aspects of the preprofessional competencies (also known as the "core personal competencies") to better reflect expectations for current and future entering medical students. The revised set includes a total of 17 premed competencies that span professional, science, and thinking and reasoning areas.Next StepsThe updated competency model and related guidance materials were disseminated to the medical education community to support its use. For aspiring applicants, the premed competencies provide a developmental roadmap as they prepare for medical school by communicating professional values and expectations. For institutions, the competencies provide an updated framework for evaluating applicant readiness through holistic review and support continuing institutional efforts to evolve curricula and cultures to foster further professional development in students.
问题
2011年制定了本科医学新生的15项核心能力(现称“医学预科能力”),以描述开始医学院学习时取得成功所需的技能和特质。过去十年医疗保健格局和本科医学教育的变化要求对原有能力进行审查和修订,以确保它们仍能准确反映对本科医学新生的期望。
方法
2022年8月至2023年5月,美国医学院协会与医学教育界成员组建了医学预科能力工作组,分两个阶段对核心能力进行评估。在第一阶段,焦点小组讨论了医学生学什么以及如何学习,以及成功学生与存在学习问题的学生所具备的品质和特点。在第二阶段,焦点小组对修订后的能力定义提供反馈。
结果
许多原有核心能力仍然相关且重要。然而,需要进行修订以强调或详细阐述专业前能力(也称为“核心个人能力”)的特定方面,以更好地反映对当前和未来本科医学新生的期望。修订后的能力集共有17项医学预科能力,涵盖专业、科学以及思维和推理领域。
后续步骤
更新后的能力模型和相关指导材料已分发给医学教育界以支持其使用。对于有抱负的申请者而言,医学预科能力通过传达专业价值观和期望,为他们准备医学院学习提供了一份发展路线图。对于院校来说,这些能力为通过全面评估来评估申请者的准备情况提供了一个更新的框架,并支持院校持续努力改进课程和文化,以促进学生的进一步专业发展。