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Describing the Journey and Lessons Learned Implementing a Competency-Based, Time-Variable Undergraduate Medical
George C Mejicano1, Tracy N Bumsted
1G.C. Mejicano is professor of medicine and senior associate dean for education, Oregon Health & Science University School of Medicine, Portland, Oregon. T.N. Bumsted is associate professor of pediatrics and associate dean for undergraduate medical education, Oregon Health & Science University School of Medicine, Portland, Oregon.
Summary
Oregon Health & Science University transformed its medical education using a competency-based framework with frequent assessments and academic coaching. Future plans include time-variable progression for MD students, focusing on core entrustable professional activities.
Area of Science:
- Medical Education
- Curriculum Development
- Competency-Based Education
Background:
- Oregon Health & Science University School of Medicine initiated a major curriculum overhaul in 2014.
- The transformation impacted instructional content, pedagogy, assessment methods, and introduced academic coaching and programmatic entrustment.
- A key component is the competency-based framework with frequent assessment and electronic portfolio tracking.
Purpose of the Study:
- To describe the progress of a medical school's curricular transformation.
- To articulate lessons learned from implementing a competency-based framework and associated changes.
- To outline the ongoing implementation of time-variable progression in medical education.
Main Methods:
- Implementation of a competency-based framework.
- Integration of frequent assessments and electronic portfolios for student progression tracking.
- Development of academic coaching and programmatic entrustment systems.
Main Results:
- Successful transformation of the undergraduate medical education curriculum.
- Establishment of a competency-based framework optimizing learning and customization.
- Ongoing planning for time-variable progression, addressing logistical and regulatory challenges.
Conclusions:
- The curricular transformation has profoundly impacted students, faculty, and administrators.
- Competency-based education with robust assessment and coaching enhances medical training.
- Successful implementation of time-variable progression will enable graduation based on mastery of Core Entrustable Professional Activities.
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