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When traditional model meets competencies in Singapore: beyond conflict resolution
Annals of the Academy of Medicine, Singapore ; : 544-549, 2014.
Artigo em Inglês | WPRIM | ID: wpr-312227
ABSTRACT
<p><b>INTRODUCTION</b>The implementation of competency-based internal medicine (IM) residency programme that focused on the assurance of a set of 6 Accreditation Council for Graduate Medical Education (ACGME) core competencies in Singapore marked a dramatic departure from the traditional process-based curriculum. The transition ignited debates within the local IM community about the relative merits of the traditional versus competency-based models of medical education, as well as the feasibility of locally implementing a training structure that originated from a very different healthcare landscape. At the same time, it provided a setting for a natural experiment on how a rapid integration of 2 different training models could be achieved.</p><p><b>MATERIALS AND METHODS</b>Our department reconciled the conflicts by systematically examining the existing training structure and critically evaluating the 2 educational models to develop a new training curriculum aligned with institutional mission values, national healthcare priorities and ACGME-International (ACGME-I) requirements.</p><p><b>RESULTS</b>Graduate outcomes were conceptualised as competencies that were grouped into 3 broad areas personal attributes, interaction with practice environment, and integration. These became the blueprint to guide curricular design and achieve alignment between outcomes, learning activities and assessments. The result was a novel competency-based IM residency programme that retained the strengths of the traditional training model and integrated the competencies with institutional values and the unique local practice environment.</p><p><b>CONCLUSION</b>We had learned from this unique experience that when 2 very different models of medical education clashed, the outcome may not be mere conflict resolution but also effective consolidation and transformation.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Singapura / Negociação / Competência Clínica / Modelos Educacionais / Currículo / Educação / Educação de Pós-Graduação em Medicina / Acreditação / Medicina Interna / Internato e Residência País/Região como assunto: Ásia Idioma: Inglês Revista: Annals of the Academy of Medicine, Singapore Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Singapura / Negociação / Competência Clínica / Modelos Educacionais / Currículo / Educação / Educação de Pós-Graduação em Medicina / Acreditação / Medicina Interna / Internato e Residência País/Região como assunto: Ásia Idioma: Inglês Revista: Annals of the Academy of Medicine, Singapore Ano de publicação: 2014 Tipo de documento: Artigo