Challenges and opportunities in the implementation of competency-based medical education – A cross-sectional survey among medical faculty in India
Volume 12, Issue 5, June 2022, Pages 1-7
. Shivkumar Gopalakrishnan, . A. Precilla Catherine, . Sangeetha Kandasamy, . Harissh Ganesan
Abstract BACKGROUND: In India, competency‑based medical education (CBME) is gaining foothold to
transform the medical student into a doctor fulfilling community and societal needs. With that end
in view the teaching faculty are getting sensitized and trained by the National Faculty Development
Program (FDP). We aimed to assess the awareness about FDP among teaching faculty in medical
colleges and study the attitude and perceived barriers to implementation of CBME.
METHODOLOGY: A cross‑sectional, electronically distributed, questionnaire‑based study was
conducted among medical faculty in India. The questionnaire identified participants’ awareness,
attitude, and perceived barriers to CBME. Descriptive analysis was employed for continuous variables
and internal comparison employing Chi‑square test with α <0.05 for statistical significance.
RESULTS: Among 251 participants 90.2% faculties from private institutes had undergone FDP as
against 71% from Government sector (P = 0.008). We observed that 92.4% were aware, 80.2%
had undergone Curriculum Implementation Support Program and 95.2% did agree that CBME will
improve the medical education system. Major challenges perceived were high student to faculty
ratio (67.7%), ill developed infrastructure (41.4%) and difficulties in assessment (41.1%). The popular
solutions suggested were to increase faculty strength (73.7%), improve infrastructure (69.3%), extra
remuneration (35.9%) and increase administrative support (30.7%). There was significant difference
of opinions between teaching faculty of government and private sector (P = 0.017).
CONCLUSION: Most of the medical faculty are aware of the need and have acquired a positive
attitude towards enforcement of CBME. However, significant barriers do exist in the form of manpower
and resources which need to be addressed.
