1 2 The Accreditation Council for Graduate Medical Education (ACGME) 3 and CanMEDS 4 5 competency frameworks incorporate essential competencies relating to quality and safety for medical professionals.
For example, in Financial Planning and Management Skills (COL's domain 7), understanding and using cost-benefit and cost-utility analysis for program decision making mirrors the EBDM competency to incorporate economic evaluation into public health program decision making [ 7, 8].
That is, providing individuals with abilities or expertise in specific activities or tasks whereas competencies incorporate skills but also include abilities and behaviours, as well as knowledge that is fundamental to the use of skills.
A curricular change was designed at the Department of Family and Community Medicine, University of Louisville, to address selected ACGME competencies by incorporating practice-based improvement activities into the routine clinical work of family medicine residents.
Where clinical competencies are incorporated into PSE, responsible instructors and preceptors must be clinically proficient.
Where clinical competencies are incorporated into pre-service education, responsible faculty and preceptors must be clinically proficient.
Broadly, two areas that address the competencies were incorporated into the course: 1) the biological basis and implications of genetic diversity and 2) the technological aspects of assessing genetic diversity in bacteria and viruses.
The Department of Family Medicine at the University of Ottawa has developed a framework (http://familymedicine.uottawa.ca/curriculum-framework/) to guide the adoption of a Triple C competency based curriculum, that incorporates the curricular elements of family medicine.
Instead of a free-standing ultrasound-only OSCE, ultrasound competency assessment was incorporated into an end-of-year Introduction to Clinical Medicine (ICM) comprehensive clinical skills OSCE.
Simulation can be used to facilitate the evaluation of competency, but must incorporate validated assessment tools to ensure quality and consistency.
