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Published in: Perspectives on Medical Education 3/2018

Open Access 01-06-2018 | Original Article

How are competency frameworks perceived and taught?

An exploratory study in the context of pharmacy education

Authors: Elise Paradis, Rebecca Zhao, Jamie Kellar, Alison Thompson

Published in: Perspectives on Medical Education | Issue 3/2018

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Abstract

Introduction

Faculties of Pharmacy worldwide have to adapt their curriculum to accreditation criteria. The present study explored how the Association of Faculties of Pharmacy of Canada’s (AFPC’s) 2010 Educational Outcomes are perceived and taught at the Leslie Dan Faculty of Pharmacy (LDFP). These outcomes were adapted from the CanMeds Physician Competency Framework which describes both medical expert and non-expert roles.

Methods

We wondered if pharmacy would struggle, as medicine has, to integrate these roles into curricula in meaningful ways, given the absence of previous studies from Pharmacy. We conducted an exploratory interview study with 10 core faculty members in charge of courses where non-expert roles were taught. Data were analysed using conventional content analysis.

Results

Faculty members understood that the AFPC Outcomes are important for students, patients, and the profession of pharmacy, and some saw the roles as knowledge-based and teachable using content from academic disciplines. However, most saw them as skills taught informally or through clinical experience. They used the roles as a framing device to legitimize their course content and relied on informal role modelling to do most of the teaching. The few faculty members who taught content related to these roles had postgraduate education in a social science or humanities discipline.

Discussion

Similar to studies of Faculties of Medicine, our study highlights the difficulty of translating a role-based, competency framework into concrete, integrated curricula for students. Competency development should be explicitly embedded into the curriculum and cannot be left to individual instructors.
Literature
1.
go back to reference Frank JR. The CanMEDS 2005 physician competency framework: better standards, better physicians, better care. Ottawa: Royal College of Physicians and Surgeons of Canada; 2005. Frank JR. The CanMEDS 2005 physician competency framework: better standards, better physicians, better care. Ottawa: Royal College of Physicians and Surgeons of Canada; 2005.
2.
go back to reference Frankel G, Louizos C, Austin Z. Canadian educational approaches for the advancement of pharmacy practice. Am J Pharm Educ. 2014;78:1–9.CrossRef Frankel G, Louizos C, Austin Z. Canadian educational approaches for the advancement of pharmacy practice. Am J Pharm Educ. 2014;78:1–9.CrossRef
3.
go back to reference Waite N, Mailhot C, Mitchell S, Richer M. Pondering the PharmD question. Can Pharm J. 2006;139:12–3.CrossRef Waite N, Mailhot C, Mitchell S, Richer M. Pondering the PharmD question. Can Pharm J. 2006;139:12–3.CrossRef
4.
go back to reference Association of Faculties of Pharmacy of Canada. Educational outcomes for a post-baccalaureate doctor of pharmacy graduate in Canada. Ottawa: Association of Faculties of Pharmacy of Canada; 1999. Association of Faculties of Pharmacy of Canada. Educational outcomes for a post-baccalaureate doctor of pharmacy graduate in Canada. Ottawa: Association of Faculties of Pharmacy of Canada; 1999.
5.
go back to reference Association of Faculties of Pharmacy of Canada. Educational outcomes for first professional degree programs in pharmacy in Canada. Vancouver: Association of Faculties of Pharmacy of Canada; 2010. Association of Faculties of Pharmacy of Canada. Educational outcomes for first professional degree programs in pharmacy in Canada. Vancouver: Association of Faculties of Pharmacy of Canada; 2010.
6.
go back to reference Malone K, Supri S. A critical time for medical education: the perils of competence-based reform of the curriculum. Adv Health Sci Educ Theory Pract. 2012;17:241–6.CrossRef Malone K, Supri S. A critical time for medical education: the perils of competence-based reform of the curriculum. Adv Health Sci Educ Theory Pract. 2012;17:241–6.CrossRef
7.
go back to reference Parent F, Jouquan J, Ketele J‑M. CanMEDS and other ‘competency and outcome-based approaches’ in medical education: clarifying the ongoing ambiguity. Adv Health Sci Educ Theory Pract. 2013;18:115–22.CrossRef Parent F, Jouquan J, Ketele J‑M. CanMEDS and other ‘competency and outcome-based approaches’ in medical education: clarifying the ongoing ambiguity. Adv Health Sci Educ Theory Pract. 2013;18:115–22.CrossRef
8.
go back to reference Chou S, Cole G, McLaughlin K, Lockyer J. CanMEDS evaluation in Canadian postgraduate training programmes: tools used and programme director satisfaction. Med Educ. 2008;42:879–86.CrossRef Chou S, Cole G, McLaughlin K, Lockyer J. CanMEDS evaluation in Canadian postgraduate training programmes: tools used and programme director satisfaction. Med Educ. 2008;42:879–86.CrossRef
9.
go back to reference Whitehead CR, Kuper A, Hodges B, Ellaway R. Conceptual and practical challenges in the assessment of physician competencies. Med Teach. 2015;37:245–51.CrossRef Whitehead CR, Kuper A, Hodges B, Ellaway R. Conceptual and practical challenges in the assessment of physician competencies. Med Teach. 2015;37:245–51.CrossRef
10.
go back to reference Kuper A, Veinot P, Leavitt J, Levitt S, Li A, Goguen J, et al. Epistemology, culture, justice and power: nonbioscientific knowledge for medical training. Med Educ. 2017;51:158–73.CrossRef Kuper A, Veinot P, Leavitt J, Levitt S, Li A, Goguen J, et al. Epistemology, culture, justice and power: nonbioscientific knowledge for medical training. Med Educ. 2017;51:158–73.CrossRef
11.
go back to reference Kuper A, D’Eon M. Rethinking the basis of medical knowledge. Med Educ. 2011;45:36–43.CrossRef Kuper A, D’Eon M. Rethinking the basis of medical knowledge. Med Educ. 2011;45:36–43.CrossRef
12.
go back to reference Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88.CrossRef Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88.CrossRef
13.
go back to reference Whitehead CR, Austin Z, Hodges BD. Flower power: the armoured expert in the CanMEDS competency framework? Adv Health Sci Educ Theory Pract. 2011;16(5):681–94.CrossRef Whitehead CR, Austin Z, Hodges BD. Flower power: the armoured expert in the CanMEDS competency framework? Adv Health Sci Educ Theory Pract. 2011;16(5):681–94.CrossRef
14.
go back to reference Côté L, Laughrea P‑A. Preceptors’ understanding and use of role modeling to develop the CanMEDS competencies in residents. Acad Med. 2014;89:934.CrossRef Côté L, Laughrea P‑A. Preceptors’ understanding and use of role modeling to develop the CanMEDS competencies in residents. Acad Med. 2014;89:934.CrossRef
15.
go back to reference Whitehead CR, Martin D, Fernandez N, et al. Integration of CanMEDS expectations and outcomes. Members of the FMEC PG consortium. 2011. Whitehead CR, Martin D, Fernandez N, et al. Integration of CanMEDS expectations and outcomes. Members of the FMEC PG consortium. 2011.
16.
go back to reference Renting N, Raat ANJ, Dornan T, et al. Integrated and implicit: how residents learn CanMEDS roles by participating in practice. Med Educ. 2017;51:942–52.CrossRef Renting N, Raat ANJ, Dornan T, et al. Integrated and implicit: how residents learn CanMEDS roles by participating in practice. Med Educ. 2017;51:942–52.CrossRef
17.
go back to reference Ellaway R. CanMEDS is a theory. Adv Health Sci Educ Theory Pract. 2016;21:915–7.CrossRef Ellaway R. CanMEDS is a theory. Adv Health Sci Educ Theory Pract. 2016;21:915–7.CrossRef
18.
go back to reference Association of Faculties of Pharmacy of Canada. Educational outcomes for first professional degree programs in pharmacy in Canada. Ottawa: Association of Faculties of Pharmacy of Canada; 2017. Association of Faculties of Pharmacy of Canada. Educational outcomes for first professional degree programs in pharmacy in Canada. Ottawa: Association of Faculties of Pharmacy of Canada; 2017.
Metadata
Title
How are competency frameworks perceived and taught?
An exploratory study in the context of pharmacy education
Authors
Elise Paradis
Rebecca Zhao
Jamie Kellar
Alison Thompson
Publication date
01-06-2018
Publisher
Bohn Stafleu van Loghum
Published in
Perspectives on Medical Education / Issue 3/2018
Print ISSN: 2212-2761
Electronic ISSN: 2212-277X
DOI
https://doi.org/10.1007/s40037-018-0432-y

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