Developing Educational Competencies Required for the Infectious Diseases Specialty Residency Program in Iran: A Competency-based Curriculum

Document Type : Original Article

Authors

1 Infectious Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran

2 Department of Family Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Infectious disease department, Imam Sajjad Syrik Hospital, Hormozgan University of Medical Sciences, Hormozgan, Iran

4 Antimicrobial Resistance Research Center, Buali (Avicenna) Research Institute, Mashhad University of Medical Sciences, Mashhad, Iran

5 Department of Microbiology and Virology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

6 Department of Medical Education, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

7 Department of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

8 PhD Candidate in Medical education, Tehran University of Medical Sciences, Tehran, Iran

9 PhD Candidate in Medical education, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran

Abstract

Background: Curriculum design and development are among the key components of medical education. Today, the dominant approach to curriculum planning is the competency-based approach. However, despite the emphasis posed by the medical education scientific community on this approach, medical education in both undergraduate and graduate levels in Iran continues to be delivered traditionally. As it is highly important for infectious diseases specialists to acquire the necessary competencies for the treatment of patients with infectious diseases, this study aimed to identify and present such competencies through localizing the competencies laid down by the Accreditation Council for Graduate Medical Education (ACGME) of the United States.
Methods: This study built on ACGME competencies as its point of departure. The Delphi method was used to extract the required items (i.e., competencies) into a questionnaire. When the content and face validity as well as the reliability of the questionnaire was confirmed, copies of the questionnaire were distributed among faculty members, specialists and residents. The items were prioritized according to the scores given by the participants.
Results: According to the results of this study, one general rotation and ten specialized rotations were defined for infectious diseases residents. In each rotation, the expected competencies are enlisted. These competencies are categorized differently in competency-based curricula for the infectious diseases specialty residency programs.  
Conclusion: According to characteristics of a competency-based curriculum, accountable physicians can be assuredly expected to be trained according to the requirements of the community in case they are trained within such a program.

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Main Subjects

References

1. Harden RM. Curriculum planning and development. A practical guide for medical teachers Edinburgh: Elsevier Churchill Livingstone. 2005:10-8.
2. Touchie C, Cate O. The promise, perils, problems and progress of competency‐based medical education. Medical education. 2016;50(1):93-100.
3. Frank JR, Danoff D. The CanMEDS initiative: implementing an outcomes-based framework of physician competencies. Medical teacher. 2007;29(7):642-7.
4. Norman G, Norcini J, Bordage G. Competency-Based Education: Milestones or Millstones 1? : The Accreditation Council for Graduate Medical Education Suite 2000, 515 North State Street, Chicago, IL 60654; 2014.
5. Frank JR, Snell LS, Cate OT, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Medical teacher. 2010;32(8):638-45.
6. CanMEDS: Better standards, better physicians, better care Canada2017 [Available from: http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework-e.
7. Swing SR. The ACGME outcome project: retrospective and prospective. Medical teacher. 2007;29(7):648-54.
8. Malik MU, Diaz Voss Varela DA, Stewart CM, Laeeq K, Yenokyan G, Francis HW, et al. Barriers to implementing the ACGME outcome project: a systematic review of program director surveys. Journal of graduate medical education. 2012;4(4):425-33.
9. Orgill BD, Simpson D. Toward a glossary of competency-based medical education terms. Journal of graduate medical education. 2014;6(2):203-6.
10. Fawzi WW, Holmes KK, Gardner P. Global Health in Medical Education: A Call for More Training and Opportunities. Acad Med. 2007;82:226-30.
11. Cohen S, Keenan C. Curriculum For Resident Training in Clinical Infectious Diseases USA: University of California, Davis School of Medicine; 2008 [Available from: http://www.ucdmc.ucdavis.edu/internalmedicine/education_programs/residencycurricula/InfectiousDiseases.pdf.
12. Incorporating Combined Infection Training dicwtRCoP. Curriculum for Specialty Training in Infectious Diseases: Joint Royal Colleges of Physicians Training Board; 2014 [Available from: https://www.gmc-uk.org/2014_Infectious_Diseases.pdf_61354066.pdf.
13. Woodward K. Infectious Diseases Residency Programme Residency Handbook  Canada: Mc Master University; 2017 [Available from:  https://fhs.mcmaster.ca/id/about_intro.htm.
14. Infectious Disease fellowship program. USA: USCF Fresno Medical Education Program; 2017 [Available from: http://www.fresno.ucsf.edu/infectious-disease/.
15. fellowship USA: Emory University school of Medicine; 2017 [Available from: Emory University school of Medicine.
16. Armstrong W. Program Curriculum Infectious Disease Fellowship Training Program: Infectious Diseases Society of America; 2017 [Available from: https://www.idsociety.org/uploadedFiles/IDSA/Careers_and_Training/Program_Director_Resources/Generic ID  Fellowship Curriculum.2.12.pdf.
17. Core Clinical Curriculum USA: Infectious Diseases Society of America; 2017 [Available from: http://www.idsociety.org/ID_Core_Curriculum/.

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