A competency‑based approach to critical care education

Li‑Liang Chuang^a, Ming‑Chen Hsieh^a,b,c*

^aDepartment of Internal Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, ^bDepartment of Medical Education, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, ^cSchool of Medicine, Tzu Chi University, Hualien, Taiwan

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Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation

Abstract

The medical education environment is rapidly changing. Competency‑based medical education (CBME) is a great advance, but operationalizing competencies for teaching and assessment is problematic. Entrustable professional activities (EPAs) can revitalize CBME by connecting competencies to practice, creating flexibility in programs. CBME requires and deepens the nature of workplace‑based assessments. It is important to use EPAs to verify residents’ ability to care for critically ill patients unsupervised in simulation education.

Keywords: Competency‑based medical education, Entrustable professional activities, Simulation