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Advancing Competency-Based Medical Education: A Charter for Clinician-Educators
Carol Carraccio1, Robert Englander, Elaine Van Melle
1C. Carraccio is vice president, Competency-Based Assessment, American Board of Pediatrics, Chapel Hill, North Carolina. R. Englander was senior director of competency-based learning and assessment, Association of American Medical Colleges, Washington, DC, at the time this was written. E. Van Melle is education researcher, Queen's University, Kingston, Ontario, Canada, and education scientist, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada. O. ten Cate is professor of medical education and director, Center for Research and Development of Education, University Medical Center, Utrecht, the Netherlands. J. Lockyer is senior associate dean-education and professor, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. M.-K. Chan is associate professor, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada, and clinician educator, CanMEDS & Faculty Development, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada. J.R. Frank is director, Specialty Education, Strategy, and Standards, Office of Specialty Education, Royal College of Physicians and Surgeons of Canada, and director of educational research and development, Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada. L.S. Snell is professor of medicine, Centre for Medical Education, McGill University, Montreal, Quebec, Canada, and senior clinician educator, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada.
This charter outlines fundamental principles for competency-based medical education (CBME) to guide its global implementation. It emphasizes learner outcomes, population health needs, and seamless physician formation across the continuum.
Area of Science:
- Medical Education
- Health Professions Education
- Competency-Based Medical Education (CBME)
Background:
- The International Competency-Based Medical Education (ICBME) Collaborators have worked since 2009 to advance understanding and adoption of CBME globally.
- A 2013 summit initiated the development of a charter to establish a shared mental model for CBME implementation.
Purpose of the Study:
- To present a charter, grounded in literature, to facilitate the widespread implementation of competency-based medical education (CBME).
- To define the fundamental principles and professional responsibilities for medical educators involved in CBME.
Main Methods:
- Literature review to support the charter's rationale.
- Outlining three core principles of CBME.
- Describing the professional responsibilities of medical educators in CBME implementation.
Main Results:
- Three fundamental principles for CBME: alignment with population health needs, focus on learner outcomes, and seamless physician formation.
- Medical educators' responsibilities include teaching, assessing competencies, balancing supervision, using effective assessments, and empowering learners.
- Advancing CBME requires program evaluation, research, faculty development, and collaboration.
Conclusions:
- The charter provides a framework for implementing CBME worldwide.
- Successful CBME relies on adherence to core principles and dedicated professional responsibilities from medical educators.
- Continuous improvement through evaluation, research, and collaboration is essential for realizing CBME's potential.
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