Competency-Based Education: Purposes and Promises

Abstract

Competency-based education (CBE) is described and the reported advantages to CBE are discussed. The need for a stronger evidence base to support CBE is acknowledged. As we continue to develop this evidence base, the practices of (1) focusing on outcomes and (2) being flexible in the time needed for trainee mastery of competencies hold promise and are consistent with good pedagogy. A model for clinical supervision that includes a focus on outcomes, as well as built-in acknowledgment of time for mastery, is briefly described.

Keywords

competency-based education - speech-language pathology - audiology - higher education - clinical supervision

• References

• 1 American Speech-Language-Hearing Association. Information about ASHA Certification for Audiology and Speech-Language Pathology. American Speech-Language-Hearing Association; . Available at: https://www.asha.org/certification/AboutCertificationGenInfo/ . Accessed February 13, 2020
• 2 Ferguson A. Competency-based occupational standards: influences on Australian speech pathology education. Folia Phoniatr Logop 2006; 58 (01) 23-31
• 3 Canadian Association of Speech-Language Pathologists and Audiologists. Assessing and Certifying Clinical Competency: Foundations of Clinical Practice for Audiology and Speech-Language Pathology. 2004: 40 . Available at: https://www.sac-oac.ca/sites/default/files/resources/AssessingandCertifyingClinicalCompetency.pdf . Accessed May 30, 2020
• 4 Royal College of Speech & Language Therapists. RCSLT Curriculum Guidance for the Pre-Registration Education of Speech and Language Therapists. 2018: 66 . Available at: https://www.rcslt.org/-/media/Project/RCSLT/curriculum-guidance-2018.pdf . Accessed May 30, 2020
• 5 Speech Pathology Australia. Competency-Based Occupational Standards for Speech Pathologists. 2017: 47 . javascript://[Uploaded files/Resources for the public/University Program/CBOS 2011 Revised ATSI.pdf]
• 6 ASHA; Audiology Certification Standards. American Speech-Language-Hearing Association; 2020 . Available at: https://www.asha.org/certification/2020-audiology-certification-standards/ . Accessed April 1, 2019
• 7 ASHA; Certification Standards in Speech-Language Pathology. American Speech-Language-Hearing Association; 2020 . Available at: https://www.asha.org/certification/2020-slp-certification-standards/ . Accessed April 1, 2019
• 8 Yegdich T. Clinical supervision and managerial supervision: some historical and conceptual considerations. J Adv Nurs 1999; 30 (05) 1195-1204
• 9 Ylvisaker M, Coelho C, Kennedy M. , et al. Reflections on evidence-based practice and rational clinical decision-making. J Med Speech-Lang Pathol 2002; 10: xxv-xxxiii
• 10 Leung K, Trevena L, Waters D. Development of a competency framework for evidence-based practice in nursing. Nurse Educ Today 2016; 39: 189-196
• 11 Knowles MS. Andragogy: adult learning theory in perspective. Community Coll Rev 1978; 5 (03) 9-20
• 12 Mace KL, Welch Bacon CE. The future of health professions education: considerations for competency-based education in athletic training. Athl Train Educ J. 2019; 14 (03) 215-222
• 13 Marzano RJ, Norford JS, Finn M, Finn III D. A Handbook for Personalized Competency-Based Education. Bloomington, IN: Marzano Research; 2017
• 14 Common Core State Standards Initiative. About the Standards | Common Core State Standards Initiative. Available at: http://www.corestandards.org/about-the-standards/ . Accessed February 21, 2020
• 15 College- and Career-Ready Standards | U.S. Department of Education. Available at: https://www.ed.gov/k-12reforms/standards . Accessed February 21, 2020
• 16 Touchie C, ten Cate O. The promise, perils, problems and progress of competency-based medical education. Med Educ 2016; 50 (01) 93-100
• 17 Frank JR, Mungroo R, Ahmad Y, Wang M, De Rossi S, Horsley T. Toward a definition of competency-based education in medicine: a systematic review of published definitions. Med Teach 2010; 32 (08) 631-637
• 18 Brightwell A, Grant J. Competency-based training: who benefits?. Postgrad Med J 2013; 89 (1048): 107-110
• 19 Glass JM. Competency based training is a framework for incompetence. BMJ 2014; 348: g2909
• 20 Klamen DL, Williams RG, Roberts N, Cianciolo AT. Competencies, milestones, and EPAs - Are those who ignore the past condemned to repeat it?. Med Teach 2016; 38 (09) 904-910
• 21 Holmboe ES, Sherbino J, Englander R, Snell L, Frank JR. ; ICBME Collaborators. A call to action: the controversy of and rationale for competency-based medical education. Med Teach 2017; 39 (06) 574-581
• 22 Rotthoff T. Standing up for subjectivity in the assessment of competencies. GMS J Med Educ 2018; 35 (03) Doc29
• 23 Wu W, Martin BC, Ni C. A systematic review of competency-based education effort in the health professions: seeking order out of chaos. In: Rasmussen K, Northrup P, Colson R. , eds. Handbook of Research on Competency-Based Education in University Settings. Hershey, PA: IGI Global; 2017: 352-378
• 24 Wagner P, Hendrich J, Moseley G, Hudson V. Defining medical professionalism: a qualitative study. Med Educ 2007; 41 (03) 288-294
• 25 Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA 1997; 277 (07) 553-559
• 26 Stelfox HT, Gandhi TK, Orav EJ, Gustafson ML. The relation of patient satisfaction with complaints against physicians and malpractice lawsuits. Am J Med 2005; 118 (10) 1126-1133
• 27 Fink LD. Creating Significant Learning Experiences. San Francisco, CA: Jossey-Bass; 2013
• 28 Walden PR. Learning from experience: future directions for clinical supervision. In: Carozza L. , ed. Science of Successful Supervision and Mentorship. San Diego, CA: Plural Publishing; 2011: 165-179
• 29 Walden PR, Gordon-Pershey M. Applying adult experiential learning theory to clinical supervision: a practical guide for supervisors and supervisees. Perspect Adm Superv 2013; 23 (03) 121-144
• 30 Jarvis P. Adult Learning in the Social Context. New York, NY: Croom Helm; 1987
• 31 Gordon-Pershey M, Walden PR. Supervisor and supervisee perceptions of an adult learning model of graduate student supervision. Perspect Adm Superv 2013; 23 (01) 12-21