Competency-based medical education (CBME) has been defined as is an outcomes-based approach to the design, implementation, assessment and evaluation of a medical education program using an organizing framework of competencies. One competency framework frequently utilized for this purpose is the ACGME Six General Competencies. The outcome has evolved to include meeting the needs of our highly complex and evolving health care system. One example of this outcome would be to prepare students to meet the goals of the Institute of Medicine’s Triple Aim. To ensure that students are progressing towards appropriate levels of competence, the graduate medical education community has created sets of developmental milestones that define the knowledge, skill and attitudes that define the six general competencies. This community has also embraced the concept of entrustment (Entrustable Professional Activities) as a strategy to inform the work-based assessment of trainees.
This presentation will review basic definitions of CBME, will discuss how milestones and entrustment are being used in graduate medical education and will introduce how these strategies might apply to undergraduate medical education.