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Related Experiment Video

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Defining a competency framework: the first step toward competency-based medical education.

Azim Mirzazadeh1, Sara Mortaz Hejri2, Mohammad Jalili3

  • 1Department of Internal Medicine, Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran. mirzazad@tums.ac.ir.

Acta Medica Iranica
|October 18, 2014
PubMed
Summary

Tehran University of Medical Sciences developed a competency framework for medical graduates using a participatory approach. This framework, comprising 8 domains, serves as a foundation for curriculum reform tailored to local needs.

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Area of Science:

  • Medical Education
  • Curriculum Development
  • Health Professions Education

Background:

  • Diverse competency frameworks exist for medical graduates, but a universal standard is lacking.
  • Nations often develop context-specific competencies to address local healthcare needs.
  • Curriculum reform is essential to align medical education with evolving healthcare demands.

Purpose of the Study:

  • To report the development process of a medical graduate competency framework at Tehran University of Medical Sciences (TUMS).
  • To establish a foundational document for subsequent curriculum reform initiatives at TUMS.
  • To create a competency framework that reflects local needs and conditions.

Main Methods:

  • A participatory approach involving literature review and nominal group meetings with students and faculty.
  • Iterative refinement of proposed domains based on expert feedback.
  • Dissemination of the draft framework for broader faculty comment and subsequent approval.

Main Results:

  • An initial 9-domain framework was proposed after literature review and group meetings.
  • Following review and faculty feedback, the framework was finalized with 8 domains.
  • The approved TUMS competency framework includes domains such as Clinical Skills, Communication, Patient Management, and Professionalism.

Conclusions:

  • The participatory development of a competency framework is a crucial first step for curriculum reform.
  • The TUMS competency framework is tailored to local needs and conditions.
  • Lessons learned from this process can inform similar competency framework development projects globally.