Academic Journal
From competency mapping to curriculum development: Identifying gaps in an undergraduate general practice clerkship - a mixed-methods study.
| Τίτλος: | From competency mapping to curriculum development: Identifying gaps in an undergraduate general practice clerkship - a mixed-methods study. |
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| Συγγραφείς: | Schüle D; Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany., Sonnek B; Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany., Lübbert J; Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany., Kurczyk S; Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany., Glassen K; Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany., Loukanova S; Heidelberg University Hospital, Department of General Practice and Health Services Research, Heidelberg, Germany. |
| Πηγή: | GMS journal for medical education [GMS J Med Educ] 2026 Sep 15; Vol. 43 (6), pp. Doc79. Date of Electronic Publication: 2026 Sep 15 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Gesellschaft für Medizinische Ausbildung in the Association of Scientific Medical Societies (AWMF) Country of Publication: Germany NLM ID: 101676086 Publication Model: eCollection Cited Medium: Internet ISSN: 2366-5017 (Electronic) Linking ISSN: 23665017 NLM ISO Abbreviation: GMS J Med Educ Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Erlangen] : Gesellschaft für Medizinische Ausbildung in the Association of Scientific Medical Societies (AWMF), [2016]- |
| Ιατρικοί όροι (MeSH): | Curriculum*/trends , Curriculum*/standards , Clinical Clerkship*/methods , Clinical Clerkship*/standards , General Practice*/education , Clinical Competence*/standards , Competency-Based Education*/methods , Competency-Based Education*/standards, Education, Medical, Undergraduate/methods ; Education, Medical, Undergraduate/standards ; Focus Groups/methods ; Students, Medical/psychology ; Students, Medical/statistics & numerical data ; Humans ; Surveys and Questionnaires ; Germany ; Female ; Male |
| Περίληψη: | Objectives: This study aims to show the process of developing a competency-based medical education (CBME) General Practice (GP) block clerkship at the University of Heidelberg, aligned with frameworks such as CanMEDS, Entrustable Professional Activities (EPAs), and the National Competency-based Learning Objectives Catalogue (NKLM 2.0). Objectives are to identify competencies addressed in the current two-week clerkship, determine additional content needed to cover all required competencies, and assess student perspectives. Methods: A questionnaire completed by 165 students in 2023 evaluated perceived competence in various areas and their interest in GP before and after the clerkship. Data were analysed using a 5-point Likert scale ((1=fully agree to 5=completely disagree), and the curriculum was mapped to NKLM 2.0, CanMEDS, and EPAs to identify represented and missing competencies. Focus group meetings with lecturers and students were held to develop a new concept. Results: The current clerkship received an overall rating of 1.8 (SD: 1.06) but did not significantly increase interest in GP careers. Some competencies were well-covered, but areas like interprofessional skills or leadership and management were lacking. A six-week longitudinal clerkship was proposed to address these gaps, focusing on interprofessional collaboration, leadership, and patient-centred care, and including digital teaching, reflection and simulation training, and shadowing experiences. Conclusion: The proposed CBME curriculum addresses evolving needs in medical education. Successful implementation will require longitudinal integration, interdisciplinary cooperation, trained preceptors, and centralised coordination. This study provides a roadmap for emphasising key competencies, promoting GP career choice, and contributing to high-quality patient care. (Copyright © 2026 Schüle et al.) |
| Competing Interests: | The authors declare that they have no competing interests. |
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| Contributed Indexing: | Keywords: clinical clerkship; competency-based education; curriculum; family practice; general practice; medical schools/organization & administration; teaching; undergraduate medical education Local Abstract: [Publisher, German] Diese Studie beschreibt den Prozess der Entwicklung eines kompetenzbasierten allgemeinmedizinischen Blockpraktikums an der Universität Heidelberg, das an Rahmenwerken wie CanMEDS, Entrustable Professional Activities (EPAs) und dem Nationalen Kompetenzbasierten Lernzielkatalog Medizin (NKLM 2.0) ausgerichtet ist. Ziel war es, die im bestehenden zweiwöchigen Blockpraktikum vermittelten Kompetenzen zu identifizieren, zusätzliche Inhalte zur Abdeckung aller erforderlichen Kompetenzen zu definieren sowie die Perspektive der Studierenden zu erfassen. [Publisher, German] Im Jahr 2023 füllten 165 Studierende einen Fragebogen zur wahrgenommenen Kompetenzentwicklung und zum Interesse an der Allgemeinmedizin vor und nach dem Praktikum aus. Die Auswertung erfolgte mittels fünfstufiger Likert-Skala (1=stimme voll zu bis 5=stimme überhaupt nicht zu). Das Curriculum wurde anhand von NKLM 2.0, CanMEDS und EPAs kartiert, um vermittelte und fehlende Kompetenzen zu identifizieren. Fokusgruppen mit Studierenden und Lehrenden dienten der Entwicklung eines neuen Curriculummodells. [Publisher, German] Das bestehende Blockpraktikum erhielt eine Gesamtnote von 1,8 (SD: 1,06), führte jedoch nicht zu einer signifikanten Steigerung des Interesses an einer allgemeinmedizinischen Laufbahn. Einige Kompetenzen waren gut abgedeckt, während Bereiche wie interprofessionelle Zusammenarbeit sowie Führung und Management fehlten. Zur Schließung dieser Lücken wurde ein sechs Wochen umfassendes longitudinales Praktikum mit Schwerpunkt auf interprofessionelle Zusammenarbeit, Führungskompetenzen und patientenzentrierte Versorgung erarbeitet, welches digitale Lehrformate, Reflexions- und Simulationstrainings sowie Hospitationen integriert. [Publisher, German] Das vorgeschlagene kompetenzbasierte Curriculum trägt den sich wandelnden Anforderungen der medizinischen Ausbildung Rechnung. Für eine erfolgreiche Umsetzung bedarf es longitudinaler Integration, interdisziplinärer Zusammenarbeit, qualifizierter Lehrärztinnen und Lehrärzte sowie einer zentralen Koordination. Die vorliegende Studie bietet einen Leitfaden zur Stärkung zentraler Kompetenzen, zur Förderung der Berufswahl Allgemeinmedizin und zur Verbesserung der Versorgungsqualität. |
| Entry Date(s): | Date Created: 20260929 Date Completed: 20260929 Latest Revision: 20260930 |
| Update Code: | 20260930 |
| PubMed Central ID: | PMC13617322 |
| DOI: | 10.3205/zma001873 |
| PMID: | 42807621 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2366-5017 |
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| DOI: | 10.3205/zma001873 |