Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Competency-Based Education
?
Competency-Based Model
Design
Develop Define the
Measures and
Learning Successful
Standards of
Experiences Graduate
Performance
Brown’s 9 Abilities
Effective Communication
Basic Clinical Skills
Using Basic Science in the Practice of Medicine
Diagnosis, Management, and Prevention
Lifelong Learning
Professional Development and Personal Growth
Social and Community Context of Medicine
Moral Reasoning and Clinical Ethics
Problem Solving
ACGME Outcome Project
General Competencies for Residents
• Patient Care
• Medical Knowledge
• Practice-based learning and improvement
• Interpersonal and communication skills
• Professionalism
• Systems-based practice
The Scottish Doctor
• What the doctor is able to do
– Clinical skills
– Practical procedures
– Patient investigations
– Patient management
– Health promotion and disease prevention
– Communication
– Medical informatics
The Scottish Doctor (2)
• How the doctor approaches practice
– Attitudes, ethical understanding, and legal
responsibilities
– Decision-making skills and clinical reasoning
and judgement
– Basic, social and clinical sciences and
underlying principles
The Scottish Doctor (3)
• The doctor as a professional
– Role of the doctor within the health care system
– Personal development
Definition
Lifelong Learning
A competency-based curriculum
introduced into three medical schools in
China rapidly improved the clinical skills
of students compared to the traditional
curriculum.
From Stillman PL. Teaching and assessing clinical skills: a competency-based programme in
China. Med. Educ. 1997; 31:33–40.
Neurosurgical Training
40
35
30
25
20 Traditional
15 CBE
10
5
0
Laminectomy Spinal fusion Pterional Suboccipital
craniotomy craniotomy
72.5
80
70
60
50
33.7 Brown
40 U.S.
30
20
10
0
Evaluation Approaches
• Near Term
– Qualitative assessments
– Intermediate goals
• Long Range
– Comprehensive studies (à la Tamblyn)
– Long-term goals