1.When traditional model meets competencies in Singapore: beyond conflict resolution.
See Meng KHOO ; Manjari LAHIRI ; Paul J HUGGAN ; Sophia ARCHULETA ; Dariusz P OLSZYNA ; Wei Ping GOH ; Gerald S W CHUA ; Khek Yu HO
Annals of the Academy of Medicine, Singapore 2014;43(11):544-549
<p>INTRODUCTIONThe implementation of competency-based internal medicine (IM) residency programme that focused on the assurance of a set of 6 Accreditation Council for Graduate Medical Education (ACGME) core competencies in Singapore marked a dramatic departure from the traditional process-based curriculum. The transition ignited debates within the local IM community about the relative merits of the traditional versus competency-based models of medical education, as well as the feasibility of locally implementing a training structure that originated from a very different healthcare landscape. At the same time, it provided a setting for a natural experiment on how a rapid integration of 2 different training models could be achieved.p><p>MATERIALS AND METHODSOur department reconciled the conflicts by systematically examining the existing training structure and critically evaluating the 2 educational models to develop a new training curriculum aligned with institutional mission values, national healthcare priorities and ACGME-International (ACGME-I) requirements.p><p>RESULTSGraduate outcomes were conceptualised as competencies that were grouped into 3 broad areas: personal attributes, interaction with practice environment, and integration. These became the blueprint to guide curricular design and achieve alignment between outcomes, learning activities and assessments. The result was a novel competency-based IM residency programme that retained the strengths of the traditional training model and integrated the competencies with institutional values and the unique local practice environment.p><p>CONCLUSIONWe had learned from this unique experience that when 2 very different models of medical education clashed, the outcome may not be mere conflict resolution but also effective consolidation and transformation.p>
Accreditation
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Clinical Competence
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Curriculum
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Education, Medical, Graduate
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Internal Medicine
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education
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Internship and Residency
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Models, Educational
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Negotiating
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Singapore