Challenges and opportunities in the implementation of competency-based medical education – A cross-sectional survey among medical faculty in India
نویسندگان
1 Department of Biochemistry, Government Sivagangai Medical College and Hospital, Sivagangai, Tamil Nadu, India
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3 Department of Physiology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India
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doi
چکیده
BACKGROUND: In India, competency‑based medical education (CBME) is gaining foothold totransform the medical student into a doctor fulfilling community and societal needs. With that endin view the teaching faculty are getting sensitized and trained by the National Faculty DevelopmentProgram (FDP). We aimed to assess the awareness about FDP among teaching faculty in medicalcolleges and study the attitude and perceived barriers to implementation of CBME.METHODOLOGY: A cross‑sectional, electronically distributed, questionnaire‑based study wasconducted among medical faculty in India. The questionnaire identified participants’ awareness,attitude, and perceived barriers to CBME. Descriptive analysis was employed for continuous variablesand 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 asagainst 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 willimprove the medical education system. Major challenges perceived were high student to facultyratio (67.7%), ill developed infrastructure (41.4%) and difficulties in assessment (41.1%). The popularsolutions suggested were to increase faculty strength (73.7%), improve infrastructure (69.3%), extraremuneration (35.9%) and increase administrative support (30.7%). There was significant differenceof 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 positiveattitude towards enforcement of CBME. However, significant barriers do exist in the form of manpowerand resources which need to be addressed.