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Related Experiment Video

Updated: Nov 5, 2025

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New ways of seeing: supplementing existing competency framework development guidelines with systems thinking.

Alan M Batt1,2,3, Brett Williams4, Madison Brydges5,6

  • 1Department of Paramedicine, Monash University, Frankston, VIC, Australia. alan.batt@monash.edu.

Advances in Health Sciences Education : Theory and Practice
|May 18, 2021
PubMed
Summary

Systems thinking offers a new approach to developing competency frameworks by considering professional practice complexities. This enhances the utility and validity of frameworks in real-world settings.

Keywords:
CBMECompetencyCompetency frameworkMedical education

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Area of Science:

  • Healthcare Education
  • Professional Development
  • Systems Science

Background:

  • Competency frameworks link practice, education, and assessment but often overlook professional practice complexities.
  • Existing guidelines may limit the utility and validity of competency frameworks due to their inability to account for situated and context-specific practice.

Purpose of the Study:

  • To introduce a conceptual framework informed by systems thinking for developing more robust competency frameworks.
  • To augment existing guidelines by incorporating systems thinking to better represent professional practice.

Main Methods:

  • Adapted Ecological Systems Theory to provide a realist perspective on person-environment interactions.
  • Employed complexity thinking to analyze system features, relationships, and context-embedded problems.
  • Focused on identifying and understanding relevant features and their interactions within practice settings.

Main Results:

  • A systems thinking approach reveals practice features and contextual influences often missed by traditional methods.
  • The proposed framework enhances the representation of clinical practice within competency development.
  • Identified interactions between system features improve understanding of complex practice environments.

Conclusions:

  • Systems thinking provides a valuable lens for developing competency frameworks that better reflect the complexities of professional practice.
  • Integrating Ecological Systems Theory and complexity thinking can improve the utility and validity of competency frameworks.
  • This approach makes visible crucial contextual elements, leading to more effective competency development and assessment.