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What can regulatory bodies do to help implement competency-based medical education?
Markku Nousiainen1, Fedde Scheele2, Stanley J Hamstra3,4,5
1Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada.
Medical Teacher
|August 28, 2020
Summary
Regulatory bodies can advance competency-based medical education (CBME) by aligning accreditation criteria and fostering innovation. This supports global implementation of CBME for improved physician training.
Area of Science:
- Medical Education
- Healthcare Regulation
- Physician Training
Background:
- Medical trainees face challenges in acquiring essential skills and knowledge for graduation.
- Competency-based medical education (CBME) is a proposed solution to enhance training outcomes.
- Global implementation of CBME has revealed challenges, particularly concerning regulatory bodies.
Purpose of the Study:
- To examine the role of regulatory bodies in the implementation of CBME.
- To identify how regulatory frameworks can support or hinder CBME adoption worldwide.
- To provide recommendations for successful global CBME implementation.
Main Methods:
- Analysis of experiences from Canada, the USA, and the Netherlands regarding CBME implementation.
- Examination of the impact of regulatory bodies on CBME initiatives.
- Identification of best practices for regulatory support of CBME.
Main Results:
- Regulatory bodies significantly influence the success or failure of CBME implementation.
- Misaligned accreditation and regulatory criteria can impede CBME progress.
- Varied international experiences highlight common challenges and facilitators.
Conclusions:
- Restructuring accreditation to align with CBME principles is crucial.
- Coordinated regulatory efforts across the physician training continuum are essential.
- Incentivizing innovation in adapting CBME to local contexts will drive successful global adoption.
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