Perspectives of Teachers at Medical Colleges Across India regarding the Competency based Medical Education Curriculum – A Qualitative, Manual, Theoretical Thematic Content Analysis
Keywords:Cross-Sectional Studies, Feedback, Goals, Search Engine, Curriculum, Faculty, Students, Attitude
Background: Competency-based medical education (CBME) curriculum has been implemented in India since 2019 with a goal to create an “Indian Medical Graduate” (IMG) possessing requisite knowledge, skills, attitudes, values, and responsiveness. Objectives: To explore teachers’ perceptions across India at medical colleges on the newly implemented competency-based medical education curriculum.
Methods: This was a qualitative cross?sectional study conducted among teachers working at medical colleges across India, between February and April 2022 (n = 192). The data collection was done using Google forms online survey platform on teachers’ perception regarding CBME, its specific components, and perceived bottlenecks. We analyzed this qualitative data using manual, theoretical thematic content analysis following the steps endorsed in Braun and Clarke’s six-phase framework.
Results: The majority of the teachers (64.1%) have positively responded to the CBME curriculum’s implementation. However, it came with a caution that the curriculum should continuously evolve and adapt to regional demands. The foundation course, early clinical exposure, and the family adoption program were the specific components of CBME curriculum over which the teachers raised concerns. The need for additional teachers in each department (department-specific teacher or faculty per hundred students ratio to be worked out) and the need for enabling faculty preparedness through adequate training was highlighted. Concerns were also raised regarding implementing CBME with teachers without a medical background (especially in preclinical departments). Conclusion: It is the need of the hour for the curriculum to incorporate a systematic feedback mechanism built into the system, though which such critical appraisals can be meaning collated and acted upon, to ultimately evolve, thereby creating an “Indian Medical Graduate” for the needs of todays’ society.
Ryan MS, Holmboe ES, Chandra S. Competency-Based Medical Education: Considering Its Past, Present, and a Post-COVID-19 Era. Acad Med. 2022;97(3s):S90-s7.
Tran TD, Vu PM, Pham HTM, Au LN, Do HP, Doan HTT, et al. Transforming medical education to strengthen the health professional training in Viet Nam: A case study. Lancet Reg Health West Pac. 2022;27:100543.
Shah N, Desai C, Jorwekar G, Badyal D, Singh T. Competency-based medical education: An overview and application in pharmacology. Indian J Pharmacol. 2016;48(Suppl 1):S5-s9.
The Regulations on Graduate Medical Education (1997, Amendment notification dated 4th November, 2019) [Available from: https://www.nmc.org.in/ActivitiWebClient/ open/getDocument?path=/Documents/Public/Portal/Gazette/GME-06.11.2019.pdf.
Jacob KS. Medical Council of India’s New Competency-Based Curriculum for Medical Graduates: A Critical Appraisal. Indian J Psychol Med. 2019;41(3):203-9.
Medical Council of India. Competency based Undergraduate curriculum for the Indian Medical Graduate - Volume 3 2018 [Available from: https://www.nmc.org.in/wp-content/ uploads/2020/01/UG-Curriculum-Vol-III.pdf.
Medical Council of India. Competency based Undergraduate curriculum for the Indian Medical Graduate - Volume 2 2018 [Available from: https://www.nmc.org.in/wp-content/ uploads/2020/01/UG-Curriculum-Vol-II.pdf.
Medical Council of India. Competency based Undergraduate curriculum for the Indian Medical Graduate - Volume 1 2018 [Available from: https://www.nmc.org.in/wp-content/ uploads/2020/01/UG-Curriculum-Vol-I.pdf.
Medical Council of India. Attitude, Ethics and Communication(AETCOM) Competencies for the Indian Medical Graduate 2018 [Available from: https://www.nmc.org.in/wp-content/ uploads/2020/01/AETCOM_book.pdf.
Caverzagie K, Nousiainen M, Ferguson P, ten Cate O, Ross S, Harris K, et al. Overarching challenges to the implementation of competency-based medical education. Medical Teacher. 2017;39:588-93.
Shaterjalali M, Yamani N, Changiz T. Who are the right teachers for medical clinical students? Investigating stakeholders’ opinions using modified Delphi approach. Adv Med Educ Pract. 2018;9:801-9.
Singh K, Rathie N, Jain P. Competency-Based Medical Education for The Indian Medical Graduate: Implementation & Assessment in Ophthalmology. DJO. 2022;32(4).
Nagoba B, Mantri S. Role of Teachers in Quality Enhancement in Higher Education. Journal of Krishna Institute of Medical Sciences University. 2015;4:177-82.
Metsäpelto R-L, Poikkeus A-M, Heikkilä M, Husu J, Laine A, Lappalainen K, et al. A multidimensional adapted process model of teaching. Educational Assessment, Evaluation and Accountability. 2022;34(2):143-72.
Ellerani P, Maurizio G. The Role of Teachers as Facilitators to Develop Empowering Leadership and School Communities Supported by the Method of Cooperative Learning. Procedia - Social and Behavioral Sciences. 2013;93:12-7.
Hsu T, De Angelis F, Al-Asaaed S, Basi SK, Tomiak A, Grenier D, et al. Ten ways to get a grip on designing and implementing a competency-based medical education training program. Can Med Educ J. 2021;12(2):e81-e7.
Dath D, Iobst W. The importance of faculty development in the transition to competency-based medical education. Med Teach. 2010;32(8):683-6.
Braun V, Clarke V. Thematic analysis: American Psychological Association; 2012.
Maguire M, Delahunt B. Doing a thematic analysis: A practical, step-by-step guide for learning and teaching scholars. All Ireland Journal of Higher Education. 2017;9(3).
McKenzie-White J, Mubuuke AG, Westergaard S, Munabi IG, Bollinger RC, Opoka R, et al. Evaluation of a competency based medical curriculum in a Sub-Saharan African medical school. BMC Medical Education. 2022;22(1):724.
Hawkins RE, Welcher CM, Holmboe ES, Kirk LM, Norcini JJ, Simons KB, et al. Implementation of competency-based medical education: are we addressing the concerns and challenges? Medical Education. 2015;49(11):1086-102.
Park YS, Hodges BD, Tekian A. Evaluating the Paradigm Shift from Time-Based Toward Competency-Based Medical Education: Implications for Curriculum and Assessment. In: Wimmers PF, Mentkowski M, editors. Assessing Competence in Professional Performance across Disciplines and Professions. Cham: Springer International Publishing; 2016. p. 411-25.
Ramanathan R, Shanmugam J, Sridhar MG, Palanisamy K, Narayanan S. Exploring faculty perspectives on competency-based medical education: A report from India. Journal of Education and Health Promotion. 2021;10.
Brightwell A, Grant J. Competency-based training: who benefits? Postgraduate Medical Journal. 2013;89(1048):107.
Telang A, Rathod S, Supe A, Nebhinani N, Mathai S. Faculty views on competency-Based medical education during mentoring and learning web sessions: An observational study. Journal of Education Technology in Health Sciences. 2017;4(1):9-13.
Garett R, Liu S, Young SD. A longitudinal analysis of stress among incoming college freshmen. J Am Coll Health. 2017;65(5):331-8.
Bexelius T, Lachmann H, Järnbert-Pettersson H, Kalén S, Möller R, Ponzer S. Stress among medical students during clinical courses: a longitudinal study using contextual activity sampling system. Int J Med Educ. 2019;10:68-74.
Buja LM. Medical education today: all that glitters is not gold. BMC Medical Education. 2019;19(1):110.
Vanikar A, Kumar V. The family adoption programme: Taking Indian medical undergraduate education to villages. Indian Journal of Preventive & Social Medicine. 2021;52(3):177-83.
Suhas S, Gangadhar B, Vanikar AV, Malik Y, Girish N, Kumar V, et al. Undergraduate Medicine Curriculum in India: Untying the Gordian knot. Indian Journal of Preventive & Social Medicine. 2022;53(2):117-27.
Rustagi S, Mohan C, Verma N, Nair BT. Competency-based Medical Education: The Perceptions of Faculty. Journal of Medical Academics. 2019;2.
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Copyright (c) 2023 Jeevithan Shanmugam, Rashmi Ramanathan, Mohan Kumar, Sridhar M Gopalakrishna, Kalanithi T Palanisamy, Seetharaman Narayanan
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