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. 2022 Jun 30:11:206.
doi: 10.4103/jehp.jehp_1130_21. eCollection 2022.

Challenges and opportunities in the implementation of competency-based medical education - A cross-sectional survey among medical faculty in India

Shivkumar Gopalakrishnan  1 , A Precilla Catherine  2 , Sangeetha Kandasamy  3 , Harissh Ganesan  1
Affiliations

Challenges and opportunities in the implementation of competency-based medical education - A cross-sectional survey among medical faculty in India

Shivkumar Gopalakrishnan et al. J Educ Health Promot. .

Abstract

Background: In India, competency-based medical education (CBME) is gaining foothold to transform the medical student into a doctor fulfilling community and societal needs. With that end in view the teaching faculty are getting sensitized and trained by the National Faculty Development Program (FDP). We aimed to assess the awareness about FDP among teaching faculty in medical colleges and study the attitude and perceived barriers to implementation of CBME.

Methodology: A cross-sectional, electronically distributed, questionnaire-based study was conducted among medical faculty in India. The questionnaire identified participants' awareness, attitude, and perceived barriers to CBME. Descriptive analysis was employed for continuous variables and internal comparison employing Chi-square test with α <0.05 for statistical significance.

Results: Among 251 participants 90.2% faculties from private institutes had undergone FDP as against 71% from Government sector (P = 0.008). We observed that 92.4% were aware, 80.2% had undergone Curriculum Implementation Support Program and 95.2% did agree that CBME will improve the medical education system. Major challenges perceived were high student to faculty ratio (67.7%), ill developed infrastructure (41.4%) and difficulties in assessment (41.1%). The popular solutions suggested were to increase faculty strength (73.7%), improve infrastructure (69.3%), extra remuneration (35.9%) and increase administrative support (30.7%). There was significant difference of opinions between teaching faculty of government and private sector (P = 0.017).

Conclusion: Most of the medical faculty are aware of the need and have acquired a positive attitude towards enforcement of CBME. However, significant barriers do exist in the form of manpower and resources which need to be addressed.

Keywords: Competency-based Medical Education; Faculty Development Program; Graduate Medical Education Regulations; Indian Medical Graduate; Medical Education.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Shows link between Graduate Medical Regulations 2019 and societal need. C2 L2 P: Clinician, Communicator, Lifelong learner, Leader, Professional
Figure 2
Figure 2
Shows rollout plan for the implementation of CBME in India
Figure 3
Figure 3
Pictogram showing number of participants undergone faculty development program (n= 251)
See this image and copyright information in PMC

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