PubMed · 10754719
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D Gallup, K Beauchemin, M Gillis. Competency-based training program design.. https://pubmed.ncbi.nlm.nih.gov/10754719/
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Dental education was previously structured in such a way that students largely learned what teachers chose to teach them. The aim was to produce a dentist with prescribed packages of knowledge upon graduation. This traditional approach was mainly disciplined-based. Increasingly, the current trend is towards competency-based education, which provides a sequence of defined learning experiences to students so that on graduation they may be considered as qualified beginners in dental practice. The adoption of competency-based learning requires the re-assessment and revision of old curricula, but there remains some common ground between traditional and competency-based education.
Skills in counselling for behaviour change may help staff working in diabetes care to facilitate self management in people with diabetes. A feasibility study was conducted to define the essential competencies (attitudes, knowledge and skills), training methods, and assess whether this approach was practicable in a diabetes resource centre. Semi structured interviews with staff were routinely conducted throughout the duration of the study. The findings suggest that the stages of change model, motivational interviewing and behavioural techniques are relevant to work in this area. Acquiring the competencies was harder to achieve than anticipated, though most were evident after one years training. The most valued training methods were individual supervision and video examples. However, the competencies were difficult to apply in the clinical setting given time constraints, the strength of existing staff routines and the patients' readiness to change. The lessons learned and suggestions for future work are presented.
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