Competency-based medical education: The spark to ignite healthcare's escape fire.
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| Title: | Competency-based medical education: The spark to ignite healthcare's escape fire. |
|---|---|
| Authors: | Schumacher, Daniel J.1 (AUTHOR) daniel.schumacher@cchmc.org, Kinnear, Benjamin2 (AUTHOR), Carraccio, Carol3 (AUTHOR), Holmboe, Eric4 (AUTHOR), Busari, Jamiu O.5 (AUTHOR), van der Vleuten, Cees6 (AUTHOR), Lingard, Lorelei7 (AUTHOR) |
| Source: | Medical Teacher. Jan2024, Vol. 46 Issue 1, p140-146. 7p. |
| Subject Terms: | *Outcome-based education, *Curriculum planning, *Medical education, Medical quality control, Wildfires |
| Abstract: | High-value care is what patients deserve and what healthcare professionals should deliver. However, it is not what happens much of the time. Quality improvement master Dr. Don Berwick argued more than two decades ago that American healthcare needs an escape fire, which is a new way of seeing and acting in a crisis situation. While coined in the U.S. context, the analogy applies in other Western healthcare contexts as well. Therefore, in this paper, the authors revisit Berwick's analogy, arguing that medical education can, and should, provide the spark for such an escape fire across the globe. They assert that medical education can achieve this by fully embracing competency-based medical education (CBME) as a way to place medicine's focus on the patient. CBME targets training outcomes that prepare graduates to optimize patient care. The authors use the escape fire analogy to argue that medical educators must drop long-held approaches and tools; treat CBME implementation as an adaptive challenge rather than a technical fix; demand genuine, rich discussions and engagement about the path forward; and, above all, center the patient in all they do. [ABSTRACT FROM AUTHOR] |
| Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
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| Header | DbId: ehh DbLabel: Education Research Complete An: 175233473 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Competency-based medical education: The spark to ignite healthcare's escape fire. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Schumacher%2C+Daniel+J%2E%22">Schumacher, Daniel J.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> daniel.schumacher@cchmc.org</i><br /><searchLink fieldCode="AR" term="%22Kinnear%2C+Benjamin%22">Kinnear, Benjamin</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carraccio%2C+Carol%22">Carraccio, Carol</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Holmboe%2C+Eric%22">Holmboe, Eric</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Busari%2C+Jamiu+O%2E%22">Busari, Jamiu O.</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22van+der+Vleuten%2C+Cees%22">van der Vleuten, Cees</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lingard%2C+Lorelei%22">Lingard, Lorelei</searchLink><relatesTo>7</relatesTo> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Jan2024, Vol. 46 Issue 1, p140-146. 7p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Outcome-based+education%22">Outcome-based education</searchLink><br />*<searchLink fieldCode="DE" term="%22Curriculum+planning%22">Curriculum planning</searchLink><br />*<searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Wildfires%22">Wildfires</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: High-value care is what patients deserve and what healthcare professionals should deliver. However, it is not what happens much of the time. Quality improvement master Dr. Don Berwick argued more than two decades ago that American healthcare needs an escape fire, which is a new way of seeing and acting in a crisis situation. While coined in the U.S. context, the analogy applies in other Western healthcare contexts as well. Therefore, in this paper, the authors revisit Berwick's analogy, arguing that medical education can, and should, provide the spark for such an escape fire across the globe. They assert that medical education can achieve this by fully embracing competency-based medical education (CBME) as a way to place medicine's focus on the patient. CBME targets training outcomes that prepare graduates to optimize patient care. The authors use the escape fire analogy to argue that medical educators must drop long-held approaches and tools; treat CBME implementation as an adaptive challenge rather than a technical fix; demand genuine, rich discussions and engagement about the path forward; and, above all, center the patient in all they do. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/0142159X.2023.2232097 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 7 StartPage: 140 Subjects: – SubjectFull: Outcome-based education Type: general – SubjectFull: Curriculum planning Type: general – SubjectFull: Medical education Type: general – SubjectFull: Medical quality control Type: general – SubjectFull: Wildfires Type: general Titles: – TitleFull: Competency-based medical education: The spark to ignite healthcare's escape fire. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Schumacher, Daniel J. – PersonEntity: Name: NameFull: Kinnear, Benjamin – PersonEntity: Name: NameFull: Carraccio, Carol – PersonEntity: Name: NameFull: Holmboe, Eric – PersonEntity: Name: NameFull: Busari, Jamiu O. – PersonEntity: Name: NameFull: van der Vleuten, Cees – PersonEntity: Name: NameFull: Lingard, Lorelei IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 0142159X Numbering: – Type: volume Value: 46 – Type: issue Value: 1 Titles: – TitleFull: Medical Teacher Type: main |
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