WEDNESDAY, Dec. 8 (HealthDay News) -- Internal medicine training programs face a number of challenges while considering competency-based education and training, according to an article published in the Dec. 7 issue of the Annals of Internal Medicine.
Steven E. Weinberger, M.D., of the American College of Physicians in Philadelphia, and colleagues from the Alliance for Academic Internal Medicine (AAIM) Education Redesign Task Force II discuss issues involved in building a competency-based educational structure for residents.
According to the authors, a goal of competency-based educational models is the application rather than the acquisition of knowledge. Challenges facing competency-based internal medicine programs include making time for the competencies of practice-based learning and improvement and systems-based practice; having valid measures of resident competency; and determining whether the duration of the residency can accommodate residents who are achieving competencies at a different pace.
"Clinical competence is not defined by the knowledge, skills, and attitudes that physicians acquire during training but rather by how they incorporate those attributes into actual patient care. Huddle and Heudebert argued persuasively that focusing on whether residents acquire certain knowledge and skills during their training rather than whether they are truly capable of providing high-quality care threatens the future quality of internal medicine residency training. The AAIM needs to heed this warning," writes the author of an accompanying editorial.
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