The Question of Competence: Reconsidering Medical Education in the Twenty-First Century

Overview

Medical competence is a hot topic surrounded by much controversy about how to define competency, how to teach it, and how to measure it. While some debate the pros and cons of competence-based medical education and others explain how to achieve various competencies, the authors of the seven chapters in The Question of Competence offer something very different. They critique the very notion of competence itself and attend to how it has shaped what we pay attention to—and what we ...

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The Question of Competence: reconsidering medical education in the twenty-first century

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Overview

Medical competence is a hot topic surrounded by much controversy about how to define competency, how to teach it, and how to measure it. While some debate the pros and cons of competence-based medical education and others explain how to achieve various competencies, the authors of the seven chapters in The Question of Competence offer something very different. They critique the very notion of competence itself and attend to how it has shaped what we pay attention to—and what we ignore—in the education and assessment of medical trainees.

Two leading figures in the field of medical education, Brian D. Hodges and Lorelei Lingard, draw together colleagues from the United States, Canada, and the Netherlands to explore competency from different perspectives, in order to spark thoughtful discussion and debate on the subject. The critical analyses included in the book's chapters cover the role of emotion, the implications of teamwork, interprofessional frameworks, the construction of expertise, new directions for assessment, models of self-regulation, and the concept of mindful practice. The authors juxtapose the idea of competence with other highly valued ideas in medical education such as emotion, cognition and teamwork, drawing new insights about their intersections and implications for one another.

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Editorial Reviews

From the Publisher

"If you think you understand competence, think again. The Question of Competence challenges all of our naïve notions about competency-based education and assessment through captivating narratives, multiple theoretical frameworks, empirical research,and applications to medical education. This book is a must-read for everyone invested in improving medical education."—David M. Irby, UCSF School of Medicine

"The move to competency-based education is the most important development in medical education in the past decade. This book provides a critical insight into the idea of competence from a range of disciplinary perspectives. It is refreshing and at the same time challenging to find a book that does not simply argue for or against the concept of competence, or provides a 'cookbook' prescription for specifying competence, but rather encourages the reader to have a creative vision of the nature of competence and the implications for medical education. All with an interest in the training of health care professionals will benefit from reading this book."—Ronald M. Harden, Professor of Medical Education, University of Dundee, and General Secretary, Association for Medical Education in Europe

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Product Details

  • ISBN-13: 9780801479502
  • Publisher: Cornell University Press
  • Publication date: 3/18/2014
  • Series: Culture and Politics of Health Care Work Series
  • Edition description: Reprint
  • Edition number: 1
  • Pages: 219
  • Sales rank: 430,063
  • Product dimensions: 8.80 (w) x 5.90 (h) x 0.70 (d)

Meet the Author

Brian D. Hodges is Vice-President Education at the University Health Network, Professor of Psychiatry, Scientist at the Wilson Centre for Research in Education, and Richard and Elizabeth Currie Chair in Health Professions Education Research at the University of Toronto. He is the coauthor of Creating the Health Care Team of the Future: The Toronto Model for Interprofessional Education and Care and coeditor of The Question of Competence: Reconsidering Medical Education in the Twenty-First Century, both from Cornell. He is also the author of The Objective Structured Clinical Examination.

Lorelei Lingard is Professor in the Department of Medicine and Faculty of Education and Director of the Centre for Education Research & Innovation, Schulich School of Medicine & Dentistry, Western University. She is coeditor of The Rhetoric and Ideology of Genre.

M. Brownell Anderson is Senior Academic Officer, International Programs, National Board of Medical Examiners.

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Table of Contents

Foreword M. Brownell Anderson ix

Acknowledgments xiii

List of Abbreviations xv

Introduction Brian D. Hodges Lorelei Lingard 1

1 The Shifting Discourses of Competence Brian D. Hodges 14

2 Rethinking Competence in the Context of Teamwork Lorelei Lingard 42

3 Perturbations: The Central Role of Emotional Competence in Medical Training Nancy McNaughton Vicki LeBlanc 70

4 Competence as Expertise: Exploring Constructions of Knowledge in Expert Practice Maria Mylopoulos 97

5 Assessing Competence: Extending the Approaches to Reliability Lambert W. T. Schuwirth Cees P. M. van der Vleuten 113

6 Blinded by "Insight": Self-Assessment and Its Role in Performance Improvement Kevin W. Eva Glenn Regehr Larry D. Gruppen 131

7 The Competent Mind: Beyond Cognition Annie S. O. Leung Ronald M. Epstein Carol-Anne E. Moulton 155

References 177

Contributors 205

Index 209

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