Abstract:
BACKGROUND:Given the increasing mobility of medical students and practitioners, there is a growing need for harmonization of medical education and qualifications. Although several initiatives have sought to compare national outcome frameworks, this task has proven a challenge. Drawing on an analysis of existing outcome frameworks, we identify factors that hinder comparability and suggest ways of facilitating comparability during framework development and revisions. METHODS:We searched MedLine, EmBase and the Internet for outcome frameworks in medical education published by national or governmental organizations. We analyzed these frameworks for differences and similarities that influence comparability. RESULTS:Of 1816 search results, 13 outcome frameworks met our inclusion criteria. These frameworks differ in five core features: history and origins, formal structure, medical education system, target audience and key terms. Many frameworks reference other frameworks without acknowledging these differences. Importantly, the level of detail of the outcomes specified differs both within and between frameworks. CONCLUSION:The differences identified explain some of the challenges involved in comparing outcome frameworks and medical qualifications. We propose a two-level model distinguishing between "core" competencies and culture-specific "secondary" competencies. This approach could strike a balance between local specifics and cross-national comparability of outcome frameworks and medical education.
journal_name
Med Teachjournal_title
Medical teacherauthors
Hautz SC,Hautz WE,Feufel MA,Spies CDdoi
10.3109/0142159X.2015.1012490subject
Has Abstractpub_date
2015-01-01 00:00:00pages
1051-9issue
11eissn
0142-159Xissn
1466-187Xjournal_volume
37pub_type
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