Fairness: the hidden challenge for competency-based postgraduate medical education programs

Perspectives on Medical Education
Colleen Y ColbertElaine F Dannefer

Abstract

Competency-based medical education systems allow institutions to individualize teaching practices to meet the needs of diverse learners. Yet, the focus on continuous improvement and individualization of curricula does not exempt programs from treating learners in a fair manner. When learners fail to meet key competencies and are placed on probation or dismissed from training programs, issues of fairness may form the basis of their legal claims. In a literature search, we found no in-depth examination of fairness. In this paper, we utilize a systems lens to examine fairness within postgraduate medical education contexts, focusing on educational opportunities, assessment practices, decision-making processes, fairness from a legal standpoint, and fairness in the context of the learning environment. While we provide examples of fairness issues within US training programs, concerns regarding fairness are relevant in any medical education system which utilizes a competency-based education framework.Assessment oversight committees and annual programmatic evaluations, while recommended, will not guarantee fairness within postgraduate medical education programs, but they can provide a window into 'hidden' threats to fairness, as everyth...Continue Reading

References

Nov 13, 2003·Teaching and Learning in Medicine·Reed G WilliamsWilliam C McGaghie
Jul 28, 2004·Academic Medicine : Journal of the Association of American Medical Colleges·Elizabeth G ArmstrongSteven J Spear
Mar 1, 2005·Medical Education·Cees P M van der Vleuten, Lambert W T Schuwirth
Mar 29, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Terry D StrattonLois Margaret Nora
Jan 24, 2006·Patient Education and Counseling·Barbara C Schouten, Ludwien Meeuwesen
Jul 29, 2010·Medical Teacher·Jason R FrankKenneth A Harris
Jul 29, 2010·Medical Teacher·Eric S HolmboeJason R Frank
Mar 4, 2011·Journal of General Internal Medicine·Matthew R ThomasKris G Thomas
Apr 23, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·S Beth Bierer, Elaine F Dannefer
Oct 14, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·Andrea GingerichKevin W Eva
Feb 24, 2012·The New England Journal of Medicine·Thomas J NascaTimothy C Flynn
Mar 1, 2012·Medical Teacher·C P M van der Vleuten, Elaine F Dannefer
Mar 1, 2012·Medical Teacher·Faysal AltahawiElaine F Dannefer
Aug 16, 2012·Medical Education·Kevin W Eva, Brian D Hodges
Sep 4, 2012·Journal of Graduate Medical Education·Lily C PienCraig A Nielsen
Sep 19, 2012·Advances in Health Sciences Education : Theory and Practice·Anne Mette MorckeBerit Eika
Jan 10, 2014·Journal of Graduate Medical Education·Christopher NaborsEric Holmboe
Mar 25, 2014·American Journal of Physical Medicine & Rehabilitation·Karen P Barr, Teresa L Massagli
Mar 29, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Naif FnaisAndrea C Tricco
Mar 29, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Jennifer R KoganEric S Holmboe
Jun 1, 2014·Journal of Surgical Education·Judith C FrenchColleen Y Colbert
Jun 30, 2014·Journal of Surgical Education·Kathreen P LeeJon B Morris
Aug 12, 2014·Medical Teacher·Richard B HaysLinda Crane
Feb 5, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Matthew ManshMitchell R Lunn
Apr 18, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Teresa ChanUNKNOWN McMAP Collaborators
Apr 23, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·Karen E HauerPatricia S O'Sullivan
Jul 16, 2015·Journal of General Internal Medicine·S Beth BiererJohn E Tetzlaff
Jul 16, 2015·Academic Medicine : Journal of the Association of American Medical Colleges·M L Jennings, Stuart J Slavin
Jul 18, 2015·Advances in Health Sciences Education : Theory and Practice·Shiphra GinsburgLorelei Lingard
Jul 30, 2015·Journal of Graduate Medical Education·Colleen Y ColbertJudith C French
Oct 24, 2015·Medical Education·Richard E HawkinsSusan E Skochelak
Oct 29, 2015·Teaching and Learning in Medicine·Amanda KostSubha Ramani
Jul 29, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·Constance M Bowe, Elizabeth Armstrong
Oct 26, 2016·Academic Medicine : Journal of the Association of American Medical Colleges·S Beth Bierer, Elaine F Dannefer

❮ Previous
Next ❯

Citations

Mar 30, 2019·Medical Education·Evan R TannenbaumAyelet Kuper
May 1, 2019·Medical Education·Rachael PackSayra M Cristancho
Aug 1, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Justin L BullockKaren E Hauer
Oct 2, 2020·Perspectives on Medical Education·Daniel J Schumacher, Benjamin Kinnear
Jan 29, 2019·Medical Education·Anahita Dehmoobad SharifabadiAsif Doja
Aug 10, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Justin L BullockKaren E Hauer
Sep 6, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Catherine R LuceyAlicia Fernandez
Mar 14, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Karen E HauerRobert Sterling
Oct 31, 2020·Advances in Health Sciences Education : Theory and Practice·Nyoli ValentineLambert Schuwirth
May 4, 2021·Journal of Graduate Medical Education·Laura EdgarKaren E Hauer
May 4, 2021·Journal of Graduate Medical Education·Jamie S PadmoreKerry M Richard
Oct 22, 2021·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Lily C PienJudith C French
Jul 3, 2021·The American Journal of Gastroenterology·Lauren Deborah Feld

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Farhan VakaniAmina Ahmad
American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Eric A WrightLynette R Bradley-Baker
JAMA : the Journal of the American Medical Association
Lindsay Melvin, Rodrigo B Cavalcanti
© 2022 Meta ULC. All rights reserved