[COMPETENCY-BASED MEDICAL EDUCATION (CBME) PROPOSAL OF AN ORTHOPEDIC SKILLS-BASED SPECIALIZATION PROGRAM IN ISRAEL]

Competency-based medical education (CBME) is an approach to medical education that focuses on assessing learners, based on their ability to perform skills or acquire specific skills. This approach is characterized by gradual training, oriented towards clinical training goals, according to the needs of the patient and the health system. To train an orthopedic surgeon, one must develop diverse clinical and surgical skills. Until recently, the orthopedic training course in Israel was characterized by significant gaps between the periphery and the center. Among the interns who complete the internship program, there were gaps, both in terms of the acquisition of knowledge and in terms of the independence required from a clinical and surgical point of view. To face the challenge, a national team was established, to rebuild the specialization program, under an outline of skills-based medical education. A program was built based on advanced learning tools and feedback. The program is characterized by gradualness, depending on the level of the intern, with a division into the introductory phase, core A, core B, and finally the professionalization phase.