Competency-Based Medical Education for Fellowship Training During the COVID-19 Pandemic

Journal of the American College of Cardiology (04/21) Vol. 77, No. 13, P. 1681 Arrighi, James A.; Mendes, Lisa A.; McConnaughey, Shannon; et al.

The American College of Cardiology Competency Management Committee stresses the value of communicating competency-based medical education's (CBME) role to all stakeholders as the COVID-19 pandemic threatens to potentially disrupt fellowship training. "In a time of extraordinary pressure on the healthcare system and its professionals, it is important to keep the public interest in mind by maintaining a rigorous educational infrastructure while also providing flexibility in training so the workforce can serve the public good when and where needed," they emphasize. The committee endorses recommendations from the Accreditation Council for Graduate Medical Education to achieve this goal, including the need to base advancement, graduation, and board eligibility decision on CBME principles. "We remind fellows that the principles of CBME imply that competence is not achieved simply by meeting a time- or number-based metric, but by demonstrating proficiency in the knowledge, skills, and behaviors related to our field," they state. In view of the continuing pandemic, the committee suggests more self-directed learning, remote case review, or incorporation of alternative training methods such as simulation. "Irrespective of the degree to which 'flexibility' is considered in training, the program director has both the authority and obligation to sign off on competency only when competency has been achieved using the CBME educational framework," the group notes.

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