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http://dx.doi.org/10.17496/kmer.2011.13.1.013

Competency-Based Medical Education: Possibilities and Limitations  

Kim, Young Jon (Seoul National University Education Department)
Lim, Cheol Il (Seoul National University Education Department)
Publication Information
Korean Medical Education Review / v.13, no.1, 2011 , pp. 13-23 More about this Journal
Abstract
Competency and competency-based education are topics of great interest to educators and administrators at most stages of undergraduate and postgraduate medical training. A competency-based approach in medical setting has been valued as a more effective way to strengthen learners' performance compared to the traditional education program. This article aims to explore theoretical and practical possibilities and limitations of competency-based medical education. We approached the topic in 3 gradual steps: the comprehension of background of competency-based education, the conceptual understanding of competency in professional education, and the exploration of possibilities and limitations of competency-based medical education. The last step of analysis was performed in three dimensions: educational objectives, references to judge performance, and performance evaluation criteria. In conclusion, we suggest 4 factors which need to be considered to implement a competency-based medical education.
Keywords
Competency-based education; The possibilities and limitation of competency; The concept of competency;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
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1 오헌석(2007). 역량중심 인적자원개발의 비판과 쟁점 분석. 경영교육논총, 47, 191-213.
2 윤정일, 김민성, 윤순경, 박민정(2007). 역량의 개념 및 연구 동향. 핵심역량센터 연구보고서 2007-1, 서울대학교 BK21 역량기반교육혁신 연구 사업단.
3 이상숙, 서민호, 김준식, 김재룡, 박우현, 천경희, 박영순 (2007).' 의사와 리더십'교육과정개발 및 평가. 한국의학교육, 19(4), 279-286.
4 이영미, 오연재, 안덕선, 윤석민(2007). 의학과 학생을 위한 커뮤니케이션 교육과정 시행경험. 한국의학교육, 19(2), 171-175.
5 Albanese, M.A., Mejicano, G., Mullan, P., Kokotailo, P. & Gruppen, L.(2008). Defining characteristics of educational competencies. Med Educ, 42, 248-255.   DOI   ScienceOn
6 Bhatti, N.I. & Cummings, C.W.(2007). Competency in surgical residency training: defining and raising the bar. Acad Med, 82(6), 569-573.   DOI   ScienceOn
7 Boyatzis, R. E.(1982). The competent manager: A model for effective performance. New York: John Wiley.
8 Carraccio, C., Wolfsthal, S.D., Englander, R., Ferentz, K. & Martin, C.(2002). Shifting paradigms: from Flexner to competencies. Acad Med, 77(5), 361-367.   DOI   ScienceOn
9 Carraccio, C., Englander, R., Wolfsthal, S.D., Martin, C., & Ferentz, K.(2004). Educating the Pediatrician of the 21st Century: Defining and Implementing a Competency-Based System. PEDIATRICS, 113(2), 252-258.   DOI   ScienceOn
10 Dannfer, E.F. & Henson, L.C.(2007). The portfolio approach to competency-based assessment at the Cleveland clinic lerner college of medicine. Acad Med, 82(5), 493-502.   DOI   ScienceOn
11 Epstein, R.M & Hundert, E.M.(2002). Defining and assessing professional competence. JAMA, 287, 226-235   DOI   ScienceOn
12 Goldstein, E.A, Maclaren, C.F, Smith, S, Mengert, T.J., Maestas, R.R., Foy, H.M., Wenrich, M.D., & Ramsey, P.G.(2005). Promoting fundamental clinical skills: a competency-based college approach at the University of Washington. Acad Med, 80(5), 423-433.   DOI   ScienceOn
13 Indiana University School of Medicine. Educational blueprint for the indiana initiative: Physicians for the 21st century. Available at(http://meded.iusm.iu. edu/programs/ comptmanual.pdf). Accessed May 1. 2011.
14 Leung, W.C.(2002). Competency based medical training: review. BMJ, 325(28), 693-696.   DOI
15 Litzelman, D.K., & Cottingham, A.H.(2007). The new formal competency-based curriculum and informal curriculum at Indiana University School of Medicine: overview and five-year analysis. Acad Med, 82(4), 410-421.   DOI   ScienceOn
16 Long, D.M.(2000). Competency-based residency training: the next advance in graduate medical education. Acad Med, 75(12), 1178-1183.   DOI   ScienceOn
17 McClelland, D.C.(1993)." Testing for competency rather than for intelligence", American Psychologist, 28(1), 1-14.   DOI
18 McGaghie, W.C., Miller, G.E., Sajid, A.W. & Telder, T.V. (1978). Competency-based curriculum development in medical education: An introduction. Geneva: World Health Organization.
19 Smith, S.R. & Fuller, B.(1996). MD2000: A competencybased curriculum for the Brown University School of Medicine. Med Health RI, 79, 292-298.
20 Smith, S.R. & Fuller B.(1999). An Educational Blueprint for the Brown University School of Medicine. Available at (http://med.brown.edu/download/curriculum/Educat ionalBlueprint.pdf). Accessed May 1. 2011.
21 Spencer, L.M. & Spencer, S.M.(1993). Competence at work: Models for superior performance. NY: Wiley & Sons, Inc. 민병모 외(역)(1998). 핵심역량모델의 개발 과 활용. 서울: PSI 컨설팅.
22 Ten Cate O, & Scheele, F.(2007). Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Acad Med, 82(6), 542-547.   DOI   ScienceOn
23 Quillen, D.M.(2001). Challenges and Pitfalls of Developing and Applying a Competency-based Curriculum. Fam Med, 33(9), 652-654.
24 Van der Klintk, M. & Boon, J.(2007). Design and implementing views on competencies. In M. A. Siciliar (Ed.), competencies in organization e-learning: Concept and tools. Hershey, PA : Information Science Pub.