Design and Implementation of a Competency-Based Family Medicine Clerkship Curriculum

Benjamin (Ben) Schneider, Frances Biagioli, Ryan Palmer, Peggy O'Neill, Sean C. Robinson, Rebecca E. Cantone

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND OBJECTIVES: Competency-based medical education (CBME) has been incorporated into graduate medical education accreditation and is being introduced in undergraduate medical education. Family medicine (FM) faculty at one institution developed a CBME FM clerkship to intentionally maintain the integrity of FM specialty-specific teaching during their institutional CBME curricular revision. METHODS: From the five FM domains (Access to Care, Continuity of Care, Comprehensive Care, Coordination of Care, and Contextual Care), 10 competencies and 23 FM educational activities (EAs) were defined. The set of EAs encompasses the wide scope of care available to FM clerkship students. Students complete four required EAs (preventive care, care transitions, chronic disease management, and acute care) and select four additional EAs matching their interests. EA selection frequency and course evaluations were assessed for the first cohort of learners (N=156; February 2016-July 2017). RESULTS: The most frequently selected EAs were: information coordination, procedures, and care of the family. The least selected were: patient e-communication, end-of-life care, and shared medical decision making. Student perceptions of the experience were strong prior to and after implementation. CONCLUSIONS: Having both required and selective EAs ensures a robust FM experience tailored to students' interests. The FM CBME curriculum allowed comparable clinical experiences despite variations in clinical sites and preceptor scope. Because of its breadth, FM is uniquely suited to address multiple competencies; this demonstrates the educational value of required FM clerkships to institutional leaders interested in implementing CBME curriculum. The CBME framework can provide a structure for more intentional student-clinic assignments based on EAs available at specific sites.

Original languageEnglish (US)
Pages (from-to)234-240
Number of pages7
JournalFamily medicine
Volume51
Issue number3
DOIs
StatePublished - Mar 1 2019

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Curriculum
Competency-Based Education
Medicine
Medical Education
Education
Students
Undergraduate Medical Education
Graduate Medical Education
Patient Transfer
Preventive Medicine
Continuity of Patient Care
Terminal Care
Accreditation
Disease Management
Decision Making
Teaching
Chronic Disease
Communication

ASJC Scopus subject areas

  • Family Practice

Cite this

Design and Implementation of a Competency-Based Family Medicine Clerkship Curriculum. / Schneider, Benjamin (Ben); Biagioli, Frances; Palmer, Ryan; O'Neill, Peggy; Robinson, Sean C.; Cantone, Rebecca E.

In: Family medicine, Vol. 51, No. 3, 01.03.2019, p. 234-240.

Research output: Contribution to journalArticle

Schneider, Benjamin (Ben) ; Biagioli, Frances ; Palmer, Ryan ; O'Neill, Peggy ; Robinson, Sean C. ; Cantone, Rebecca E. / Design and Implementation of a Competency-Based Family Medicine Clerkship Curriculum. In: Family medicine. 2019 ; Vol. 51, No. 3. pp. 234-240.
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