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Challenges in Implementing Competency-based Medical Education in India - Stakeholders' Perspective: A Mixed-method
Sulena Sulena1, Ashwin Kulkarni2, Medha Mathur3
1Division of Neurology, Guru Gobind Singh Medical College, Faridkot, Punjab, India.
International Journal of Applied & Basic Medical Research
|January 3, 2025
Summary
Competency-based Medical Education (CBME) in India faces implementation challenges, primarily due to a lack of trained faculty and adequate infrastructure. Despite these hurdles, students find the new curriculum
Area of Science:
- Medical Education
- Curriculum Development
- Healthcare Professional Training
Background:
- Competency-based Medical Education (CBME) was implemented in India in 2019, shifting towards a learner-centric, outcome-based approach.
- The CBME curriculum emphasizes core competencies and professionalism but has presented implementation challenges for medical institutions.
- Understanding stakeholder perspectives (students, faculty, administrators) is crucial for successful CBME integration.
Purpose of the Study:
- To assess the challenges encountered by students, faculty, and administrators during CBME implementation in Indian medical colleges.
- To gather insights and proposed solutions from stakeholders to address identified challenges.
- To evaluate the overall acceptance and perceived benefits of the CBME curriculum.
Main Methods:
- A 3-month cross-sectional study (October-December 2023) involving 32 medical colleges across India.
- Data collected from 60 faculty, 32 administrators, and 580 undergraduate medical students using validated surveys and one-on-one interviews.
- A mixed-methods approach was employed for comprehensive quantitative and qualitative data analysis.
Main Results:
- Faculty identified a deficiency in trained faculty (66.6%) and inadequate infrastructure (33.3%) as significant challenges.
- Administrators reported dwindling student attendance (37.5%) and lack of collaboration between institutions and regulatory bodies (31.5%) as key issues.
- Students positively perceived simulation-based training (73.2%) and electives (75%), along with integrated teaching and early clinical exposure.
Conclusions:
- The CBME curriculum is generally accepted by medical colleges in India.
- Addressing the need for faculty and administrator training is a critical challenge requiring attention.
- Students reported enhanced learning experiences due to the newer curricular reforms introduced by CBME.
Keywords:
Competency-based medical education curriculumchallenges in competency-based medical educationfoundation courseintegrated teachingstudent centricMore Related Videos
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