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Twelve Tips for Implementing Competency-Based Medical Education (CBME) in Resource-Limited Educational Settings
Somaye Sohrabi1, John Sandars2, Fahimeh Hajizadeh Bandeghara3
1Department of Medical Education, School of Medical Education and Learning Technologies, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Advances in Medical Education and Practice
|July 26, 2026
Summary
This article offers twelve practical tips for implementing Competency-Based Medical Education (CBME) in resource-limited settings. These strategies address infrastructure and faculty challenges for sustainable medical training in low-resource environments.
Area of Science:
- Medical Education
- Global Health Education
Background:
- Competency-Based Medical Education (CBME) is a global framework for aligning medical training with patient care outcomes.
- Implementation in resource-limited settings (RLS) faces significant challenges including infrastructure, faculty capacity, and system readiness.
Purpose of the Study:
- To present twelve practical, experience-informed tips for implementing CBME in resource-limited educational settings (RLS).
- To provide guidance for educators and administrators in low- and middle-income countries (LMICs) to adapt CBME sustainably and contextually.
Main Methods:
- The twelve tips were derived from the authors' direct experience implementing CBME in RLS.
- Findings were triangulated with a targeted narrative literature review and finalized through iterative consensus.
Main Results:
- Twelve practical tips for CBME implementation in RLS were identified, covering institutional commitment, curriculum adaptation, learner engagement, assessment strategies, technology leverage, and faculty development.
- Key strategies include adapting CBME to local needs, using Entrustable Professional Activities (EPAs), prioritizing low-cost assessments, and building communities of practice.
Conclusions:
- Sustainable CBME implementation in RLS requires a contextually appropriate, phased approach.
- Investing in faculty development and assessing system readiness are crucial for successful adaptation and long-term sustainability of CBME in resource-limited environments.
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