As we all know, way of teaching and learning medical science is rapidly changing. The recent focus is on Competency based medical education. My question is how do we implement competency based medical education in the field of community medicine?
Hello Sharmistha,
Well noted the changed of medical sciences education. Would I like to clarify a bit of your term using here Medical Education? Is it you focused on only Medical Doctor? if so is OK. But if you mean all in health professions, I would like to suggest you use the term of Health Professions Education while this term will cover all health professions in the health sciences field.
Anyways, to implement competency-based in the community either only for a medical doctor or all health professions we must start with the revising of the curriculum designed, syllabus and instructional design. We need to identify first what will be the terminal competency that we want students to get by the end of this community medicine. Then, we start to designs the actual guideline by putting more real activity to in order to achieve the goal. I would suggest some step as bellow:
1. Identify your student year level
2. Identify terminal competencies that you expected your students can achieve
3. Formulate learning objective based on student available sources and actual condition (SMART method)
4. Select teaching and learning method that fit community activities based on high order thinking as Bloom Taxonomy levels.
5. Instructor directly lead the students in doing actual activities not just in class.
I suggest further reading to get the sense with the book in the title: Teaching and Leaning in the Health Professions by Erlyn A. SANA.
Thank you!
LCV
Historically, residency education has been centered around a time-based learning model, where participating in a particular number of cases, surgeries or years of training will allow one to reach an appropriate level of competence to practice alone. Medical education is in the middle of a paradigm shift across the continuum from premedical studies through practice to competency-based medical education. The shift from the old style of medical education, referred to as “Structure/Process” education, originally outlined by Abraham Flexner in 1910, to a competency-based system, CBME was thus borne out of a need to emphasize an outcomes-based approach to medical education. The construct for CBME relies on four foundations; focusing education on patient outcomes, emphasizing learner abilities, de-emphasizing time-based learning and increasing individualized trainee plans for the learner.
Please go throug this article "Community Medicine Teaching and
Evaluation: Scope of Betterment" (Link 5 among the attached links)
Providing you other links for further read.
http://academicmedicineblog.org/understanding-competency-based-medical-education/
https://www.ncbi.nlm.nih.gov/pubmed/20662574
https://www.ncbi.nlm.nih.gov/pubmed/26061928
https://sites.duke.edu/medicaleducationgrandrounds/files/2012/11/GR-Duke-2-4-13.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347100/
Dear Ms Sharmistha Bhattacherjee,
As for your question I would recommend you book
Shabih Zaidi Mona Nasir (2015) Teaching and Learning Methods in Medicine, Springer New York, London.
In my opinion that book gives to you full details of how can we implement competency based medical education.
I hope I have been of some help.
Best regards,
Andrija
Thanks to all for your comments. I had gone through the links that you have sent.. For an undergraduate curriculum in Community Medicine, the core competencies would be, (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4347100/)
- Understanding of the concept of health and disease.
- Understanding of demography, population dynamics and disease burden in the national and global context.
- Comprehension of principles of health economics and hospital management.
However, I would like to enquire about core competencies other than the aforementioned. Moreover, the list does not include basics of general epidemiology, which is an important part of what we teach.
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