Questioning medical competence: Should the Covid-19 crisis affect the goals of medical education?
Med Teach
; 43(7): 817-823, 2021 07.
Article
in English
| MEDLINE | ID: covidwho-1246484
ABSTRACT
The COVID-19 pandemic has disrupted many societal institutions, including health care and education. Although the pandemic's impact was initially assumed to be temporary, there is growing conviction that medical education might change more permanently. The International Competency-based Medical Education (ICBME) collaborators, scholars devoted to improving physician training, deliberated how the pandemic raises questions about medical competence. We formulated 12 broad-reaching issues for discussion, grouped into micro-, meso-, and macro-level questions. At the individual micro level, we ask questions about adaptability, coping with uncertainty, and the value and limitations of clinical courage. At the institutional meso level, we question whether curricula could include more than core entrustable professional activities (EPAs) and focus on individualized, dynamic, and adaptable portfolios of EPAs that, at any moment, reflect current competence and preparedness for disasters. At the regulatory and societal macro level, should conditions for licensing be reconsidered? Should rules of liability be adapted to match the need for rapid redeployment? We do not propose a blueprint for the future of medical training but rather aim to provoke discussions needed to build a workforce that is competent to cope with future health care crises.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Education, Medical
/
COVID-19
/
Internship and Residency
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Med Teach
Year:
2021
Document Type:
Article
Affiliation country:
0142159X.2021.1928619
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