Towards a shared mental model of progressive competence in postgraduate medical education

Many professions have hierarchies and a promotion structure. Postgraduate medicine has a tradition of promoting residents based on time spent in a certain specialty. The military, too, may promote its personnel based on factors other than just merit. Both professions have been criticized for divorci...

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Autor principal: Eric Prost
Formato: article
Lenguaje:EN
Publicado: Canadian Medical Education Journal 2018
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Acceso en línea:https://doaj.org/article/c4132d4941cf47e682e96f7d50a857c5
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Sumario:Many professions have hierarchies and a promotion structure. Postgraduate medicine has a tradition of promoting residents based on time spent in a certain specialty. The military, too, may promote its personnel based on factors other than just merit. Both professions have been criticized for divorcing competence from promotion. While Competency-Based Medical Education (CBME) partly solves this problem in medicine, many models of CBME, including the Canadian one, retain distinct stages of training. We urgently need a shared mental model of what a learner in each stage looks like. Some models have been proposed but fall short.