The Rising Tide of Competency-based Medical Education: A Global View
What is wrong with health professions education? Does it really need a “fix”? Why are so many schools and professions turning to competency-based medical education (CBME)? This session will provide a state-of-the-art overview of the CBME movement and its implications for all medical and health professions educators.
CBME has its origins in teacher education and the outcomes accountability movement in contemporary societies. The WHO called for all health professions programs to use a CBME approach in 1978. Only in recent years has this approach to training gained real momentum, with major standards bodies and whole systems converting.
In this webinar, we will review the origins, rationale, and elements of CBME design. We will provide a tour of the current landscape of competency-based changes around the world using a framework from the International CBME Collaborators. Finally, we will dive deeper into the fundamental redesign of Canadian medical education to illustrate just how different a competency-based world can be.
Learning objectives
By the end of this session, participants will be able to:
- Define “CBME” and discuss its origins
- Describe the van Melle framework of CBME Core Components
- Describe some of the CBME innovations from around the world, and
- Describe Canada’s Competence By Design CBME project, the biggest meded change in Canadian history
The Future of Family Medicine – In China
This web seminar will focus on the work of the International Primary Care Educational Alliance (IPCEA) over the past 10 years in China. From the development of family medicine residencies to the retraining of former subspecialists who are now providing primary care services in Chinese Community Health Centers, the IPCEA has been working with local and provincial health and family planning commissions, medical universities and others to meet the goals of the triple aim: enhancing patient experience (access, enhanced quality of care), improving population health, and reducing the cost of the care delivered.
Global healthcare overview of European model
Recruitment and retention in junior doctors: global issues, local solutions?
Medical education and training systems in the most countries allow doctors in training considerable individual choice about which speciality they select and where they wish to train. This flexibility is desirable to the individual, but not necessarily for the country’s health service: many countries cannot recruit doctors into certain specialties and/or to particular geographical areas. Many studies have identified a number of factors which influence medical and other healthcare careers decision making. However, only relatively recently have methodologies been adopted which examine which are the most important “push-pull” factors in healthcare professional career decision making. In this talk I will give an overview of the global issues, then discuss my own work and that of others in relation to the labour-market choices of healthcare professionals. I will conclude by discussing ways in which we can best select and support the healthcare workforce in order to start to address workforce shortages.
A European Case Study of Rural Health System Strengthening through Rural Medical Academy Development
- Facilitated Exchange on the Role of Medical Educators in Global Health System Strengthening with reference to rural health systems
- Presentation of a Case Study on Rural Medical Academy Development in the West of Ireland
- Dialogue on the human resource challenges in the provision of rural health professional coverage worldwide.
- Discuss the transitioning requirements of the Medical Student moving to the rural health environment.
- Consider the reciprocal benefits to the rural host institution and opportunities for academic advancement
Challenges and Opportunities for (New) Medical Schools in Africa
Over 100 new medical schools are projected to open in Africa over the next decade. These new schools face daunting challenges but are also presented with unique opportunities. This talk will focus on these challenges and opportunities including: the development of context-specific curricula; development of equitable admissions policies; establishment of postgraduate training programs with contextualized accreditation standards; development of sustainable research programs; development inter-and transprofessional programs; and establishment of viable faculty and health worker recruitment and retention policies. The talk will discuss initiatives of consortia such as the former Medical Education Partnership Initiative (MEPI) and the Consortium of New Sub Sahara African Medical Schools (CONSAMS) as models for promoting health professional education in Africa.
Lessons from the Design and Implementation of a Pediatric Critical Care and Emergency Medicine Training Program in a Low Resource Country – The South American Experience
For more than 60 years, the world has recognized the need for pediatric critical care (PCC). Today, most low- and middle-income countries (LMICs) still lack access to pediatric intensive care units (PICUs) and specialists, resulting in high rates of morbidity and mortality. These disparities result from several infrastructure and socioeconomic factors, chief among them is the lack of trained PCC and emergency medicine (PCCEM) frontline providers. In this seminar, we describe a continuing medical education model to increase frontline PCC capacity in Ecuador. The Laude in PCCEM is a program created by a team of Ecuadorian physicians at the University San Francisco de Quito School of Medicine. The program is aimed at providers with no formal training in PCC and who, nonetheless, care for critically ill children. The program resulted in stronger, more cohesive PICU teams with improved resuscitation times and coordination during simulation rounds. In hospitals that implemented the program, we saw decrease PICU mortality rates. Our aim is to identify the opportunities and challenges learned and to offer lessons for other countries that use similar models to cope with the lack of local resource availability.