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When Traditional Model Meets Competencies in Singapore: Beyond Conflict Resolution

Authors :
See Meng, Khoo
Manjari, Lahiri
Paul J, Huggan
Sophia, Archuleta
Dariusz P, Olszyna
Wei Ping, Goh
Gerald S W, Chua
Khek Yu, Ho
Source :
Annals of the Academy of Medicine, Singapore. 43:544-549
Publication Year :
2014
Publisher :
Academy of Medicine, Singapore, 2014.

Abstract

Introduction: 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. Materials and Methods: 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. Results: 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. Conclusion: 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. Key words: ACGME-I, Graduate medical education, Internal medicine residency programme

Details

ISSN :
03044602
Volume :
43
Database :
OpenAIRE
Journal :
Annals of the Academy of Medicine, Singapore
Accession number :
edsair.doi.dedup.....8cbe9e207261658667add590871e328a