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Discipline-specific competency-based curricula for leadership learning in medical specialty training A critical review of the literature

机译：基于纪律的竞争力为基于学科学习的医学专业领导学习培训对文献的关键综述

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Purpose - Doctors play a central role in leading improvements to healthcare systems. Leadership knowledge and skills are not inherent, however, and need to be learned. General frameworks for medical leadership guide curriculum development in this area. Explicit discipline-linked competency sets and programmes provide context for learning and likely enhance specialty trainees' capability for leadership at all levels. The aim of this review was to summarise the scholarly literature available around medical specialty-specific competency-based curricula for leadership in the post-graduate training space. Design/methodology/approach - A systematic literature search method was applied using the Medline, EMBASE and ERIC (education) online databases. Documents were reviewed for a complete match to the research question. Partial matches to the study topic were noted for comparison. Findings - In this study, 39 articles were retrieved in full text for detailed examination, of which 32 did not comply with the full inclusion criteria. Seven articles denning discipline-linked competencies/curricula specific to medical leadership training were identified. These related to the areas of emergency medicine, general practice, maternal and child health, obstetrics and gynaecology, pathology, radiology and radiation oncology. Leadership interventions were critiqued in relation to key features of their design, development and content, with reference to modern leadership concepts. Practical implications - There is limited discipline-specific guidance for the learning and teaching of leadership within medical specialty training programmes. The competency sets identified through this review may aid the development of learning interventions and tools for other medical disciplines.Originality/value - The findings of this study provide a baseline for the further development, implementation and evaluation work required to embed leadership learning across all medical specialty training programmes.
机译：目的 - 医生在对医疗系统的领先改进方面发挥着核心作用。然而，领导知识和技能并不是固有的，并且需要学习。该地区医学领导指南课程开发的一般框架。明确的纪律关联的能力集和计划为学习和可能提高各级领导力的专业学员能力提供了背景。本综述的目的是总结医学专用竞争力的学术文学，以便在研究生后培训空间领导。设计/方法/方法 - 使用Medline，Embase和Eric（教育）在线数据库应用系统文献搜索方法。审查了文件与研究问题完全匹配。对研究主题的部分匹配被指出进行比较。调查结果 - 在本研究中，在全文中检索39篇文章以进行详细检查，其中32个不符合完全纳入标准。确定了七章谴责纪律关联的能力/课程特定于医疗领导培训培训。这些与紧急医学领域有关，一般实践，妇幼保健，妇产科，病理学，放射学和放射肿瘤学。关于其设计，开发和内容的主要特征，参考现代领导概念，领导干预措施批评。实际意义 - 医学专业培训计划中的领导学习和教学有限的学科特定指导。通过本综述确定的能力集可以帮助发展其他医学学习干预和工具。民间/价值 - 本研究的调查结果为嵌入所有医疗领导学习所需的进一步发展，实施和评估工作提供了基准。专业培训计划。

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