Competency-based faculty development: applying transformations from lessons learned in competency-based medical education

Authors

DOI:

https://doi.org/10.36834/cmej.75768

Abstract

Faculty development in medical education is often delivered in an ad hoc manner instead of being a deliberately sequenced program matched to data-informed individual needs. In this article, the authors, all with extensive experience in Faculty Development (FD), present a competency-based faculty development (CBFD) framework envisioned to enhance the impact of FD.  Steps and principles in the CBFD framework reflect the lessons learned from competency-based medical education (CBME) with its foundational goal to better train physicians to meet societal needs.  The authors see CBFD as a similar framework, this one to better train faculty to meet educational needs.  CBFD core elements include: articulated competencies for the varied educational roles faculty fulfill, deliberately designed curricula structured to build those competencies, and an assessment program and process to support individualized faculty learning and professional growth.  The framework incorporates ideas about where and how CBFD should be delivered, the use of coaching to promote reflection and identity formation and the creation of communities of learning. As with CBME, the CBFD framework has included the important considerations of change management, including broad stakeholder engagement, continuous quality improvement and scholarship. The authors have provided examples from the literature as well as challenges and considerations for each step. 

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Author Biographies

Klodiana Kolomitro, Queen's University

K Kolomitro is associate vice-principal (Teaching and Learning) and cross-appointed to the Department of Biomedical and Molecular Sciences at Queen’s University, Kingston, Canada;

Sudha Koppula, University of Alberta

S Koppula is associate professor, Department of Family Medicine, University of Alberta, Edmonton, Alberta

Cheri H Bethune, Northern Ontario School of Medicine

CH Bethune is a professor at the Northern Ontario School of Medicine and a clinical professor at Memorial University, Saint John’s, Newfoundland. 

References

Kornegay JG, Kraut A, Manthey D, et al. Feedback in medical education: a critical appraisal. AEM Educ Train. 2017; 1: 98-109. https://doi.org/10.1002/aet2.10024 DOI: https://doi.org/10.1002/aet2.10024

Frank JR, Snell LS, Cate OT, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638-45. https://doi.org/10.3109/0142159X.2010.501190 DOI: https://doi.org/10.3109/0142159X.2010.501190

Fitzgerald JT, Burkhardt JC, Kasten SJ, et al. Assessment challenges in competency-based education: a case study in health professions education. Med Teach. 2016; 38:5: 482-490, https://doi.org/10.3109/0142159X.2015.1047754 DOI: https://doi.org/10.3109/0142159X.2015.1047754

Dath D, Iobst W. The importance of faculty development in the transition to competency-based medical education. Med Teach. 2010;32(8):683-6. https://doi.org/10.3109/0142159X.2010.500710 DOI: https://doi.org/10.3109/0142159X.2010.500710

Sirianni G, Glover Takahashi S, Myers J. Taking stock of what is known about faculty development in competency-based medical education: a scoping review paper. Med Teach. 2020; 42 (8): 909-915. https://doi.org/10.1080/0142159X.2020.1763285 DOI: https://doi.org/10.1080/0142159X.2020.1763285

Walsh A, Koppula S, Antao V, et al. Preparing teachers for competency-based medical education: fundamental teaching activities, Med Teach. 2018; 40(1): 80-85. https://doi.org/10.1080/0142159X.2017.1394998 DOI: https://doi.org/10.1080/0142159X.2017.1394998

Academy of Medical Educators. Professional standards (3rd edn, 2014). Cardiff: Academic of Medical Educators. 2014.

Srinivasan M, Li S-TT, Meyers FJ, et al. Teaching as a competency: Competencies for medical educators. Acad Med: 2011; 86 (10): 1211-122. https://doi.org/10.1097/ACM.0b013e31822c5b9a DOI: https://doi.org/10.1097/ACM.0b013e31822c5b9a

Dewey CM, Jonker G, ten Cate O, Turner T. Entrustable professional activities (EPAs) for teachers in medical education: has the time come? Med Teach. 2017; 39 (8): 894-896, https://doi.org/10.1080/0142159X.2016.1270447 DOI: https://doi.org/10.1080/0142159X.2016.1270447

Favreau MA, Tewksbury L, Lupi C, Cutrer WB, Jokela JA, Yarris LM. AAMC core entrustable professional activities for entering residency faculty development concept group. Constructing a shared mental model for faculty development for the core entrustable professional activities for entering residency. Acad Med. 2017;92(6):759-764. https://doi.org/10.1097/ACM.0000000000001511 DOI: https://doi.org/10.1097/ACM.0000000000001511

Yilmaz Y, Carey R, Chan T, et al. Developing a dashboard for faculty development in competency-based training programs: a design-based research project. CMEJ. 2021Sep.15; 12(4):48-64. https://doi.org/10.36834/cmej.72067 DOI: https://doi.org/10.36834/cmej.72067

Schultz KW, Griffiths J. Implementing competency-based medical education in a postgraduate family medicine residency training program: a stepwise approach, facilitating factors, and processes or steps that would have been helpful. Acad Med. 2016; 91 (5): 685-689 https://doi.org/10.1097/ACM.0000000000001066 DOI: https://doi.org/10.1097/ACM.0000000000001066

Van Melle E, Frank JR, Holmboe ES, Dagnone D, Stockley D, Sherbino J. International competency-based medical education collaborators. a core components framework for evaluating implementation of competency-based medical education programs. Acad Med. 2019 Jul;94(7):1002-1009. https://doi.org/10.1097/ACM.0000000000002743 DOI: https://doi.org/10.1097/ACM.0000000000002743

Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65:S63-S67. https://doi.org/10.1097/00001888-199009000-00045 DOI: https://doi.org/10.1097/00001888-199009000-00045

Orr CJ, Sonnadara RR. Coaching by design: exploring a new approach to faculty development in a competency-based medical education curriculum. Adv. Med Educ Pract. 2019; 10: 229-244. https://doi.org/10.2147/AMEP.S191470 DOI: https://doi.org/10.2147/AMEP.S191470

Steinhart Y. Faculty development in health professions: a focus on research and practice. New York; Springer. 2014. https://doi.org/10.1007/978-94-007-7612-8 DOI: https://doi.org/10.1007/978-94-007-7612-8

Schreurs ML, Huveneers W, Dolmans D. Communities of teaching practice in the workplace: evaluation of a faculty development programme. Med Teach. 2016; 38 (8): 808-814. https://doi.org/10.3109/0142159X.2015.1112892 DOI: https://doi.org/10.3109/0142159X.2015.1112892

Cantillon P, Dornan T, De Grave W. Becoming a clinical teacher: identity formation in context. Acad Med. 2019; 94(10):1610-1618. https://doi.org/10.1097/ACM.0000000000002403 DOI: https://doi.org/10.1097/ACM.0000000000002403

O'Sullivan PS, Irby DM. Educator identity formation: a faculty development workshop. MedEdPORTAL. 2021 Jan 7;17:11070. https://doi.org/10.15766/mep_2374-8265.11070 DOI: https://doi.org/10.15766/mep_2374-8265.11070

de Carvalho-Filho MA, Tio RA, Steinert Y. Twelve tips for implementing a community of practice for faculty development. Med Teach. 2020; 42 (2): 143-149. https://doi.org/10.1080/0142159X.2018.1552782 DOI: https://doi.org/10.1080/0142159X.2018.1552782

The Association of American Medical Colleges. MedEd Portal. https://www.mededportal.org/. [Accessed Oct. 27, 2021].

Kotter JP. Leading change: why transformation efforts fail. Harv Bus Rev. March/April 1995:110.

Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments. J Pers and Soc Psych. 1999; 77(6): 1121-1134. https://doi.org/10.1037/0022-3514.77.6.1121 DOI: https://doi.org/10.1037/0022-3514.77.6.1121

Dann R. Assessment as learning: blurring the boundaries of assessment and learning for theory, policy and practice. Assess Ed. 2014; 21(2): 149-166. https://doi.org/10.1080/0969594X.2014.898128 DOI: https://doi.org/10.1080/0969594X.2014.898128

Foucault ML, Vachon B, Thomas A, Rochette A, Giguère CÉ. Utilisation of an electronic portfolio to engage rehabilitation professionals in continuing professional development: results of a provincial survey. Disabil Rehabil. 2018;40(13):1591-1599. https://doi.org/10.1080/09638288.2017.1300335 DOI: https://doi.org/10.1080/09638288.2017.1300335

Fraser, A.B., Stodel, E.J., Jee, R. et al. Preparing anesthesiology faculty for competency-based medical education. Can J Anesth 2016; 63: 364-1373. https://doi.org/10.1007/s12630-016-0739-2 DOI: https://doi.org/10.1007/s12630-016-0739-2

Lockyer J, Bursey F, Richardson D, Frank JR, Snell L, Campbell C; ICBME Collaborators. Competency-based medical education and continuing professional development: a conceptualization for change. Med Teach. 2017; 39(6):617-622. https://doi.org/10.1080/0142159X.2017.1315064 DOI: https://doi.org/10.1080/0142159X.2017.1315064

Sargeant J, Wong BM, Campbell CM. CPD of the future: a partnership between quality improvement and competency-based education. Med Educ. 2018 Jan;52(1):125-135. https://doi.org/10.1111/medu.13407 DOI: https://doi.org/10.1111/medu.13407

Vygotsky LS. Mind in society: The development of higher psychological processes Cambridge, Mass.: Harvard University Press. 1978

Kolomitro K, Hamilton J, Leslie K, et al. Viewing faculty development through an organizational lens: sharing lessons learned. Med Teach. 2021; 43(8):894-899. https://doi.org/10.1080/0142159X.2021.1931078 DOI: https://doi.org/10.1080/0142159X.2021.1931078

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Published

2023-08-02

How to Cite

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Schultz KW, Kolomitro K, Koppula S, Bethune CH. Competency-based faculty development: applying transformations from lessons learned in competency-based medical education . Can. Med. Ed. J [Internet]. 2023 Aug. 2 [cited 2024 Nov. 18];14(5):95-102. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/75768

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