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Karalkova N.K., Bizunkov A.B.
Competency-based approach and quality control of medical education: historical aspect and analysis of the modern state of the problem
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus

Vestnik VGMU. 2018;17(6):112-120.

The purpose of this work was to assess the effectiveness of competency-based model introduced into medical education in the world and post-Soviet countries. The investigation revealed that applying competency-based methodology, as it was originally conceived, was connected with some significant difficulties. The most important of them were: lack of consensus concerning the competency conception, high costs of the method, scarcity of convincing evidence that the new approach is more effective than the previous one. The most common challenge of the competency-based model usage in post-Soviet countries is vagueness of the competency concept and its reduction to conventional methodology of knowledge-abilities-skills estimation. The introduction of the competency-based model is associated with the greatest difficulties when using it for the evaluation of the mastery of a clinical discipline taken separately. The analysis of the existing modern trends in the world higher medical school has shown  that the assessment of a case history, understood not as a final text but as a process of its creation, is much closer to the idea of competency-based education than the mechanical fragmentation of an exam into practical skills and formalized knowledge in the form of computer tests.
Key words: competency-based model, quality control, competencies, higher school pedagogy, education quality.


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Information about authors:
Karalkova N.K. – Candidate of Medical Sciences, associate professor, acting head of the Chair of Ophthalmology, Vitebsk State Order of Peoples’ Friendship Medical University,
Bizunkov A.B. – lecturer of the Chair of Otorhinolaryngology, Vitebsk State Order of Peoples’ Friendship Medical University.

Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Otorhinolaryngology.  E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Alexander B.Bizunkov.

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