Horizon of Medical Education Development

Identifying the Characteristics of Competency-oriented Medical Science Education

https://doi.org/10.22038/hmed.2024.79662.1365
Volume 16, Issue 2
Spring 2025
Pages 43-52
Horizon of Medical Education Development

Document Type : Original Article

Authors

Mahnaz Fatemi.aqda 1, 2
Javad Hatami 1
Soleiman Ahmady 3
Ebrahim Talaee 1

1 Department of Educational Technology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran.

2 Department of Educational Sciences, Faculty of Humanities, Payam Noor University, Tehran, Iran.

3 Department of Medical Education, Faculty of Medical Education and Learning Technologies, Shahid Beheshti University, Tehran, Iran.

Abstract
Introduction: Despite the Increasing attention to competency in medical science education, how to teach it has received less attention. Therefore, the aim of the current research is to identify the characteristics and components of competency-oriented medical science education.
Materials & Methods: This applied research was conducted using the qualitative content analysis method in two parts: documents and focused group discussion. The selection of cases and participants was done using a targeted approach, including sampling of special or unique cases. This study reviewed 14 articles and 2 books, with 14 faculty members and doctoral students with teaching experience in medical sciences participating. Validation of findings for both sections was carried out through peer review involvement.
Results: Based on the results, the elements and characteristics of competency-oriented medical science education were described in 4 main components including contextual factors-infrastructure, learner, the process of education, and evaluation-feedback and 11 sub-components and their characteristics.  
Conclusion: Competency means the acquisition of transferable knowledge, the result of deep and meaningful learning. As a result, competency-oriented medical science education focuses on learning processes and includes active, collaborative teaching-learning methods, original evaluation, constructive feedback, and metacognitive awareness.

Keywords

Medical science education
Competency-oriented
Qualitative study
  1.  Zahedi M, Amirmaleki-Tabrizi H. Effectiveness of medical education from the students Tehran University of Medical Sciences. Iranian Journal of Medical Education. 1386; 2(7):289–99.
  2.  Olivares-Olivares SL, López-Cabrera MV. Self-Assessment of Problem Solving Disposition in Medical Students. J Biomed Educ. 2014; 2014:1–6.
  3. Mulder M. Competence-based Vocational Education. In: Mulder M, editor. Technical and Vocational Education and Training: v (23).2017. URL: 10.1007/978-3-319-41713-4 Library
  4. Oroszi T. Competency-Based Education. 2020; 2467–76.
  5. Nilima Shah CD, Jorwekar G, Badyal D, Singh T. Competency-based medical education: An overview and application in pharmacology. Indian J Pharmacol. 2016; 48. ((Suppl 1)):S5–S9.
  6. Ten Cate O. Competency-Based Postgraduate Medical Education: Past, Present and Future. GMS J Med Educ 2017; 34(5):Doc69.
  7. Wesselink R, Biemans HJ, Mulder M, Elsen ER van den. Competence-based VET Dutch researchers. Eur J Vocat Train 2007; 40(1):38–51.
  8.  Simonds J, Behrens E, Holzbauer J. Competency-Based Education in a Traditional Higher Education Setting. Int J Teach Learn High Educ. 2017; 29(2):412–28.
  9.  Swanwick T, Forrest K, O’Brien BC, Snell L. Understanding Medical Education Evidence, Theory, and Practice, Third Edit. Tim Swanwick, Kirsty Forrest BCO.2019.
  10.  Holmboe ES, Sherbino J, Englander R, Snell L, Frank JR. A call to action: The controversy of and rationale for competency-based medical education. Med Teach. 2017; 39(6):574–81.
  11.  Ghaffari R, Amini A,Yazdani S,Alizadeh M, Ranjbarzadeh Fes, Salmasi Sah. Comparison of the general medical education program in Iran with several prestigious medical schools of the world, Iranian Jurnal of EMS.1390.
  12.  Yal Ghanbari Afra,Sharifi St. Clinical competence and its influencing factors in Iranian nurses: a systematic review. Qom Univ Med Sci J. 2022; 16(1):2–17.
  13.  Sadrzadeh S,Akbari L,Shirvani A.Quality of learning experiences, medical students, quality of educational experiences questionnaire (CEQ. 2017. PhD thesis.
  14.  Barzegar F, Ahmadi S, Rostaminejad M. Educational design for the diagnosis and treatment of celiac disease for internal medicine specialists. 2016. PhD thesis.
  15. Mulder M. Conceptions of professional competence. 2014; In: S. Billett, C. Harteis, H. Gruber (Eds). International Handbook of Research in Professional and Practice-based Learning. Dordrecht: Springer. pp. 107-137
  16.  Mulder M, Winterton J. Competency-Based Medical Education and its Competency Frameworks: 2017; v23.Chapter 1. p. 1-43.
  17. Bagnall RG, Hodge S. Using an Epistemological Perspective to Understand Competence-based Vocational and Professional Education: Mulder M, editor. 2017. V23. Chapter3. p. 125–44.
  18. Gervais J. The operational definition of competency-based education. J Competency-Based Educ. 2016; 1(2):98–106.
  19.  Grant J. The Incapacitating Effects of Competence: A Critique. Adv Heal Sci Educ. 1999; 4(3):271–7.
  20. Billett S, Mulder M. Competence-based Vocational and Professional Education.Volume23. 2017. p47-67.
  21.  Pellegrino JW, Hilton ML. Education for life and work: Developing transferable knowledge and skills in the 21st century: 2013. 1–242 p. Available from http://www.nap.edu.
  22. Merrienboer JJG Van. ID for Competency − based Learning : New Directions for Design, Delivery and Diagnosis. Interactive Educational Multimedia, number 3 (October 2001), pp. 12−26 ub.es/multimedia/iem ID
  23.  Kirschner P, J.G J, Merrienboer V. Ten Steps To Complex Learning-Kirschner-Van Merrienboer. Building Learning Environments. Tech Trends. 62(2), 204-205.
  24.  Rourke L, Kanuka H. Learning in Communities of Inquiry: A Review of the Literature (Winner 2009 Best Research Article Award). Int J E-Learning Distance Educ. 2009; 23(1):19–48.
  25.  Jaap van Lakerveld, PLATO L. Competence Oriented Learning and Teaching in Adult Education Courses. WWW.GINCONET.EU. 2013.
  26.  Mystakidis S. Deep Meaningful Learning. Encyclopedia. 2021; 1(3):988–97.
  27.  McCoy L,Pettit RK, Kellar C, Morgan C. Tracking Active Learning in the Medical School Curriculum: A Learning-Centered Approach. J Med Educ Curric Dev. 2018; 5:238212051876513.
  28.  Hassan Emami, Mohammad Aghdasi. E-learning in medical education. Research in medicine. 2009; 33(2).p (102–11).
  29.  Biggs J, Kember D, Leung DYP. The revised two-factor Study Process Questionnaire: R-SPQ-2F. Br J Educ Psychol. 2001; 71:133–49.
  30. Caccia N, Nakajima A, Kent N. Competency-Based Medical Education: The Wave of the Future. JOGC2015; 37(4):349–53.
  31. Mack HG, Spivey B, Filipe HP. How to add metacognition to your continuing professional development: Scoping review and recommendations. A-PJO. 2019; 8(3):256–63.
  32.  Ahmady S, Shahbazi S. Impact of social problem-solving training on critical thinking and decision making of nursing students. BMC Nurs. 2020; 19(1):1–8.
  33.  Persky AM, Robinson JD. Moving from novice to expertise and its implications for instruction. Am J Pharm Educ. 2017; 81(9):72–80.
  34.  McGaghie WC, Miller GE, Sajid AW, Telder T V. Competency-based curriculum development in medical education Vol. No. 68, Public Health Papers. 1978.
  35.  Kaufman DM. Teaching and learning in medical education. J Med Educ. Third Edit. 2019; 37(7):671–80.
  36.  Desy JR, Reed DA, Wolanskyj AP. Milestones and Millennials: A Perfect Pairing—Competency-Based Medical Education and the Learning Preferences of Generation Y. Mayo Clin Proc.2017;92(2):243–50.
  37.  Mayring P. Qualitative Content Analysis. SAGE Open. 2014; 4(1):215824401452263.
  38.  Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105–12.
  39. Peter van Eeuwijk, Angehrn Z. How to.conduct a focus group discussion (FGD): Methodological manual by Peter van Eeuwijk and Zuzanna Angehrn. Swiss Trop Public Heal Inst. 2017 ;( April):1–16.
  40. Namdar Ahmadabad H, Abbaspour A, Fakari Zaa, Rashidi, Bozormehr M. Analyzing the educational challenges of general medical students. Development of education in medical sciences. 1400; 44(14):10–6.
  41.  Snyder MM. Instructional-Design Theory to Guide the Creation of Online Learning Communities for Adults. 2009.53(1).p (48-56).
  42.  Hay DB, Kehoe C, Miquel ME, Hatzipanagos S, Kinchin IM, Keevil SF, et al. Measuring the quality of e-learning. 2008; 39(6): 1037-1057.
  43.  Maycock B, Jackson L, Howat P, Burns’ S. Orienting health promotion course structure to maximise competency development. 2004 ;( July). Conference Paper ·
  44.  Wilson BG. Constructivism in practical and historical context. Trends issues Instr Des Technol. 2011 ;( February 2010):45–52.
  45. Wang H, Tlili A, Lehman JD, Lu H, Huang R. Investigating feedback implemented by instructors to support online competency-based learning(CBL): a multiple case study. International Journal of Educational Technology in Higher Education 2021; 18(1). Page 1- 21.
  46. Czaplinski I, Fielding AL. Developing a contextualised blended learning framework to enhance medical physics student learning and engagement. Phys Medica. 2020. 72.Apr 1; p22–9.

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