Competencies Over Courses in Medical Education

Ben Eisen, Inside Higher Ed, Jun 05, 2009
Commentary by Stephen Downes

This is reflective of trends I have seen elsewhere: a shift from the organization of learning into courses into an organization via the demonstration of competencies. The AAMC report, scientific foundations for future physicians, outlines a total of sixteen foundational competencies.

From the report: "In a seminal article (PDF) in 2002, Hundert and Epstein reviewed work done on achieving competency and established a definition of competency that is widely accepted in medical education: 'Competency is the habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily practice for the benefit of the individual and the community being served.' Competence develops over time, and as competence is nurtured by reflection on experiences, it becomes a habit."
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