Preprint Concept Paper Version 2 Preserved in Portico This version is not peer-reviewed

A Six-Step Model for Developing Competency Frameworks in the Healthcare Professions

Version 1 : Received: 9 March 2021 / Approved: 11 March 2021 / Online: 11 March 2021 (07:42:38 CET)
Version 2 : Received: 5 October 2021 / Approved: 7 October 2021 / Online: 7 October 2021 (10:26:52 CEST)
Version 3 : Received: 5 November 2021 / Approved: 8 November 2021 / Online: 8 November 2021 (13:17:06 CET)

A peer-reviewed article of this Preprint also exists.

Batt, A.M., Williams, B., Brydges, M. et al. New ways of seeing: supplementing existing competency framework development guidelines with systems thinking. Adv in Health Sci Educ 26, 1355–1371 (2021). https://doi.org/10.1007/s10459-021-10054-x Batt, A.M., Williams, B., Brydges, M. et al. New ways of seeing: supplementing existing competency framework development guidelines with systems thinking. Adv in Health Sci Educ 26, 1355–1371 (2021). https://doi.org/10.1007/s10459-021-10054-x

Abstract

Competency frameworks are developed for a variety of purposes, including describing professional practice and informing education and assessment frameworks. Despite the volume of competency frameworks developed in the healthcare professions, guidance remains unclear and is inconsistently adhered to (perhaps in part due to a lack of organising frameworks), there is variability in methodological choices, inconsistently reported outputs, and a lack of evaluation of frameworks. As such, we proposed the need for improved guidance. In this paper we outline a six-step model for developing competency framework that is designed to address some of these shortcomings. The six-steps comprise [1] identifying purpose, intended uses, scope, and stakeholders; [2] theoretically informed ways of identifying the contexts of complex, ‘real-world’ professional practice, which includes [3] aligned methods and means by which practice can be explored; [4] the identification and specification of competencies required for professional practice, [5] how to report the process and outputs of identifying such competencies, and [6] built-in strategies to continuously evaluate, update and maintain competency framework development processes and outputs. The model synthesizes and organizes existing guidance and literature, and furthers this existing guidance by highlighting the need for a theoretically-informed approach to describing and exploring practice that is appropriate, as well as offering guidance for developers on reporting the development process and outputs, and planning for the ongoing maintenance of frameworks.

Keywords

competency framework; professional competency; competency development; CBME

Subject

Public Health and Healthcare, Public Health and Health Services

Comments (1)

Comment 1
Received: 7 October 2021
Commenter: Alan Batt
Commenter's Conflict of Interests: Author
Comment: The manuscript has since been split into two individual articles based on peer-review feedback. One is the systems thinking conceptual model (since published). The other is the six-step model (in submission). Two authors invlved with the systems thinking concept paper withdrew from the six-step model paper, and an additional author joined.
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