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The Digital Health Competencies in Medical Education Framework: An International Consensus Statement Based on a

Josip Car1,2, Qi Chwen Ong3,4, Tatiana Erlikh Fox3,5

  • 1School of Life Course and Population Sciences, King's College London, London, United Kingdom.

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|January 31, 2025
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Summary

A new digital health competencies framework (DECODE) was developed to guide medical education globally. This framework aims to equip future physicians with essential digital health skills for modern healthcare.

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Area of Science:

  • Medical Education
  • Digital Health
  • Health Informatics

Background:

  • The rapid digitalization of healthcare necessitates enhanced digital health education for medical students and junior physicians.
  • A global shortage of digital health training poses a challenge to preparing healthcare professionals for evolving technologies.

Purpose of the Study:

  • To develop an adaptable, evidence-informed digital health competencies framework for global medical education.
  • The framework aims to guide the design and development of digital health curricula in medical institutions worldwide.

Main Methods:

  • A core group oversaw the development of the Digital Health Competencies in Medical Education (DECODE) framework.
  • A modified Delphi survey involving 211 international experts across 79 countries was conducted in two rounds.
  • Consensus was reached through a meeting and subsequent feedback, defining framework structure, wording, and learning outcomes.

Main Results:

  • The DECODE framework includes 4 domains: professionalism in digital health, patient/population digital health, health information systems, and health data science.
  • It comprises 19 competencies and 33 mandatory, 145 discretionary learning outcomes.
  • Key considerations for educators include nomenclature, digital health distinctiveness, literacy, curriculum implementation, and socioeconomic inequities.

Conclusions:

  • The DECODE framework provides a vital resource for medical institutions to prepare physicians for digital transformation in healthcare.
  • Adoption and adaptation of this framework are encouraged to align with institutional needs, resources, and circumstances.