A Call to Shift to Competency-Based Education
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Updated: Jul 11, 2025

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Published on: December 9, 2022
Razan Hamed1, Tyra M Banks2, Danielle Mahoney3
1Razan Hamed, PhD, OTR/L, is Associate Professor, Department of Rehabilitation and Regenerative Medicine, and Associate Director, Programs in Occupational Therapy, Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center, New York, NY; rh2955@cumc.columbia.edu.
Abstract:
This column explores the concept of competency-based education (CBE). A shift to CBE is a key trend for the future of health care education. Health care professions that have adopted, or started to adopt, a CBE framework include physical therapy, speech-language pathology, social work, medicine, nursing, pharmacology, and dentistry. Internationally, many occupational therapy programs are in the process of shifting to, or have shifted to, a CBE model. This column discusses how although select occupational therapy programs in the United States may individually be considering shifting to, or have shifted to, a CBE framework, there is no national movement to explore adopting the model for occupational therapy or a consensus on defined outcomes for the profession.
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