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首页> 外文期刊>Family medicine >Implementing Competency-Based Medical Education in Family Medicine: A Scoping Review on Residency Programs and Family Practices in Canada and the United States
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Implementing Competency-Based Medical Education in Family Medicine: A Scoping Review on Residency Programs and Family Practices in Canada and the United States

机译：在家庭医学中实施基于能力的医学教育：加拿大和美国居住计划和家庭习俗的范围

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BACKGROUND AND OBJECTIVES: While family medicine has been one of thefrst specialties to implement competency-based medical education (CBME) inresidency, the nature and level of its integration with continuing professionaldevelopment (CPD) is neither well understood nor well studied. The purposeof this review was to examine the current state of CBME implementation infamily medicine residency and CPD programs in the North American education literature, with the aim of identifying implementation concepts and strategies that are generalizable to other medical settings to inform the design andimplementation of residency training and CPD.METHODS: Using an Arksey and O’Malley six-step framework, we searched fveonline databases and the gray literature over the period between January 2000through April 2017. We included full-text articles that focused on the key wordsCBME, residency, CPD, and family medicine.RESULTS: Of the articles reviewed, 37 met the inclusion criteria and wereselected for full review. Eighty six percent of included articles focused onfoundation elements related to designing competency-based curriculum andassessment strategies rather than program evaluation or other outcome measures. Only 19% of the articles were related to CPD that focused only on theimplementation at the program and/or institution/organization levels.CONCLUSIONS: Given that the implementation of CBME is in its relative infancy, the pattern of implementation activities described in this scoping reviewre?ected a limited focus on a broad range of issues related to fdelity of implementation of this complex intervention.
机译：背景和目标：虽然家庭医学一直是实施基于能力的医学教育（CBME）的专家之一（CBME）Inresidency，其与持续专业发展（CPD）的整合的性质和水平既不良好地理解也没有很好地研究。该评论的目的是审查北美教育文学中的CBME实施令人难度的医学居住和CPD计划的现状，目的是确定宽大的实施概念和策略，以告知设计安捷地培训的设计和估计和CPD.Methods和家庭医学。结果：审查的文章，37符合纳入标准和软化，以进行全面审查。百分之八十六百分之含量集中在举行的onfoundation元素，与设计能力的课程安排策略而不是计划评估或其他结果措施。只有19％的文章与CPD有关，只关注计划和/或机构/组织水平的基调。结论：鉴于CBME的实施是其相对婴儿期，该范围评价中描述的实施活动模式？对与实施这种复杂干预的实施有关的广泛问题的有利重点。

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