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Competency-Based Postgraduate Medical Education: Past, Present and Future.

Olle Ten Cate1

  • 1University Medical Center Utrecht, Center for Research and Development of Education, Utrecht, The Netherlands.

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|December 12, 2017
PubMed
Summary

Competency-based medical education (CBME) is a postgraduate training approach focusing on acquired skills, not training duration. This individualized method is increasingly adopted by medical regulatory bodies worldwide.

Keywords:
CanMEDSCompetency-based medical education (CBME)competencecompetencyentrustable professional activitiesmilestones

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Area of Science:

  • Medical Education
  • Health Professions Education

Background:

  • Competency-based medical education (CBME) has gained prominence in postgraduate medical training globally since the early 2000s.
  • Its roots lie in educational theories like mastery learning and outcome-based education, with a history spanning fifty years.

Purpose of the Study:

  • To define Competency-Based Medical Education (CBME) and related concepts.
  • To elucidate the core principles and characteristics of CBME.

Main Methods:

  • Conceptual analysis and definition of CBME and associated terminology.
  • Review of historical and educational underpinnings of CBME.

Main Results:

  • CBME emphasizes specific domains of competence over fixed training durations.
  • It facilitates an individualized learning approach, well-suited for workplace training.
  • Readiness for practice is determined by achieved competencies, not time spent in training.

Conclusions:

  • CBME represents a significant shift from traditional medical training models.
  • Key features include a focus on competence and time-independent progression.
  • National medical regulatory bodies increasingly endorse this educational paradigm.