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The last decades of the 20th century saw a pronounced shift in medical education, with a growing emphasis on competency-based medical education (CBME). Especially in English-speaking countries like the USA, UK, Canada, and Australia, there was an increasing call to ensure that medical graduates had specific competencies to guarantee patient ...
The ACGME introduced milestones in internal medicine, pediatrics, and surgery for assessing progress of residents toward the six identified competencies. [7] Milestones can be evaluated by numerous methods ranging from direct observation of clinical encounters to medical simulation .
Graduates of LCME-approved institutions are considered to have an educational experience sufficient to prepare them for internship programs that are approved for the purposes of the Accreditation Council for Graduate Medical Education as well as allowing them access to selected federal grants and programs and medical licensure by state boards. [7]
While these elements are consistent across all Member Boards, what may vary, according to the specialty, are the specific activities the Member Boards use to measure these competencies. Despite some variation in the activities, they are all built upon evidence-based guidelines, national clinical and quality standards, and specialty best practices.
The Accreditation Council for Graduate Medical Education has established Common Program Requirements and a shared competency framework [31] for all accredited residencies, although each specialty defines its own learning objectives and required experiences. Programs range from 3 years after medical school for internal medicine and pediatrics ...
That year, the Accreditation Council for Graduate Medical Education also included systems-based practice as one of its six core competency domains. [11] In 2001, the Health Resources and Services Administration funded an 18-medical-school consortium to launch several pilots related to systems-based education. [ 12 ]
Medical education applies theories of pedagogy specifically in the context of medical education. Medical education has been a leader in the field of evidence-based education, through the development of evidence syntheses such as the Best Evidence Medical Education collection, formed in 1999, which aimed to "move from opinion-based education to evidence-based education". [2]
The intent of the clinical clerkship is to teach the medical student the fundamentals of clinical examination, evaluation, and care provision, and to enable the student to select the course of further study. Another purpose of the clerkship is for the student to determine if they really want to pursue a career in the field of medicine. [6]