A Scoping Umbrella Review of Competency-Based Education: Part I – A Descriptive Analysis of Trends, Practices, and Gaps
DOI:
https://doi.org/10.17161/cberj.v2.24118Keywords:
competency-based education, taxonomy of theoretical approaches, scoping umbrella reviewAbstract
Competency-based education (CBE) has been increasingly adopted and popularized across diverse disciplines and professional fields. However, its implementation faces challenges due to the absence of a unified framework. Part I of this study aims to explore different theoretical approaches to CBE and to identify key approaches, emerging trends, and focal areas across diverse educational contexts, fields, and regions. A scoping umbrella review was conducted to synthesize evidence on CBE from systematic reviews, meta-analyses, and other reviews. Searches were performed across five databases by an experienced librarian, focusing on CBE frameworks and outcomes. Only peer-reviewed articles published in English were included. Four reviewers screened articles using Covidence software, resolving disagreements through discussion and collaboration. The umbrella review of 36 articles reveals key trends: (1) most are literature or systematic reviews, (2) published between 2017 and 2022, (3) primarily from the U.S. and Canada, and (4) focused on higher education and medical/health sciences. The review identifies three categories of theoretical approaches: theories, models, and frameworks. This review highlights the evolving theoretical foundations of CBE and its expansion across disciplines. The integration of various theories, models, and frameworks into a cohesive meta-framework emerges as a critical next step.
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Açıkgöz, T., & Babadoğan, M. C. (2021). Competency-based education: Theory and practice. Psycho-Educational Research Reviews, 10(3), 67-95. http://dx.doi.org/10.52963/PERR_Biruni_V10.N3.06
Bisgaard, C. H., Rubak, S. L. M., Rodt, S. A., Petersen, J. A. K., & Musaeus, P. (2018). The effects of graduate competency-based education and mastery learning on patient care and return on investment: A narrative review of basic anesthetic procedures. BMC Medical Education, 18, 1-15. https://doi.org/10.1186/s12909-018-1262-7
Brooks, C., Mirzoev, T., Chowdhury, D., Deuri, S. P., & Madill, A. (2023). Using evidence in mental health policy agenda-setting in low-and middle-income countries: A conceptual meta-framework from a scoping umbrella review. Health Policy and Planning, 38(7), 876-893. https://doi.org/10.1093/heapol/czad038
Cook, D. A., Brydges, R., Zendejas, B., Hamstra, S. J., & Hatala, R. (2013). Mastery learning for health professionals using technology-enhanced simulation: A systematic review and meta-analysis. Academic Medicine, 88(8), 1178-1186. https://doi.org/10.1097/ACM.0b013e31829a365d
Cravero, A., Álvarez, D., Sepúlveda, S., Valdivieso, M. -I., & Muñoz, L. (2024). Meta4CBC: Metamodel for competency-based curriculum design in higher education. Applied Sciences, 14(22), 10110. https://doi.org/10.3390/app142210110
Ericsson, K. A., Krampe, R. T., & Tesch-Römer, C. (1993). The role of deliberate practice in the acquisition of expert performance. Psychological Review, 100(3), 363-406.
Farbman, D., Davis, J., Goldberg, D., and Rowland, J. (2015). Learning time in America: Trends to reform the American school calendar: A snapshot of federal, state and local action. Washington, DC: Education Commission of the States.
Frank, J. R., Karpinski, J., Sherbino, J., Snell, L. S., Atkinson, A., Oswald, A., Hall, A. K., Cooke, L., Dojeiji, S., Richardson, D., Cheung, W. J., Cavalcanti, R. B., Dalseg, T. R., Thoma, B., Flynn, L., Gofton, W., Dudek, N., Bhanji, F., Wong, B. M., … van Melle, E. (2024). Competence by design: A transformational national model of time-variable competency-based postgraduate medical education. Perspectives on Medical Education, 13(1), 201–223. https://doi.org/10.5334/pme.1096.
Guthrie, H. (2009). Competence and competency-based training: What the literature says. National Centre for Vocational Education Research Ltd. PO Box 8288, Stational Arcade, Adelaide, SA 5000, Australia.
Hamed, R., Banks, T. M., Mahoney, D., Simon, P., Timmerberg, J. F., & Nilsen, D. M. (2023). A call to shift to competency-based education. The American Journal of Occupational Therapy, 77(6), 7706347010. https://doi.org/10.5014/ajot.2023.050402
Henri, M., Johnson, M. D., & Nepal, B. (2017). A review of competency‐based learning: Tools, assessments, and recommendations. Journal of Engineering Education, 106(4), 607-638. https://doi.org/10.1002/jee.20180
Imanipour, M., Ebadi, A., Monadi Ziarat, H., & Mohammadi, M. M. (2022). The effect of competency‐based education on clinical performance of health care providers: A systematic review and meta‐analysis. International Journal of Nursing Practice, 28(1), e13003. https://doi.org/10.1111/ijn.13003
Katoue, M. G., & Schwinghammer, T. L. (2020). Competency‐based education in pharmacy: A review of its development, applications, and challenges. Journal of Evaluation in Clinical Practice, 26(4), 1114-1123. https://doi.org/10.1111/jep.13362
Kerth, J. L., van Treel, L., & Bosse, H. M. (2022). The use of entrustable professional activities in pediatric postgraduate medical education: A systematic review. Academic Pediatrics, 22(1), 21-28. https://doi.org/10.1016/j.acap.2021.07.007
La Chimea, T., Kanji, Z., & Schmitz, S. (2020). Assessment of clinical competence in competency-based education. Canadian Journal of Dental Hygiene, 54(2), 83-91.
Lengetti, E., Kronk, R., & Cantrell, M. A. (2020). A theory analysis of Mastery Learning and Self-Regulation. Nurse Education in Practice, 49, 102911. https://doi.org/10.1016/j.nepr.2020.102911
Lewis, L. S., Rebeschi, L. M., & Hunt, E. (2022). Nursing education practice update 2022: Competency-based education in nursing. SAGE Open Nursing, 8, 23779608221140774. https://doi.org/10.1177/23779608221140774
Martin, L., Blissett, S., Johnston, B., Tsang, M., Gauthier, S., Ahmed, Z., & Sibbald, M. (2023). How workplace‐based assessments guide learning in postgraduate education: A scoping review. Medical Education, 57(5), 394-405. https://doi.org/10.1111/medu.14960
Morcke, A. M., Dornan, T., & Eika, B. (2013). Outcome (competency) based education: An exploration of its origins, theoretical basis, and empirical evidence. Advances in Health Sciences Education, 18, 851-863. https://doi.org/10.1007/s10459-012-9405-9
Morrison, C. M. K. (2018). College Choice and Competency-Based Education Learner Motivations (Order No. 10791668). Available from ProQuest Dissertations & Theses Global. (2048222688). https://www.proquest.com/dissertations-theses/college-choice-competency-based-education-learner/docview/2048222688/se-2
Parker, D. A., & Roumell, E. A. (2020). A functional contextualist approach to mastery learning in vocational education and training. Frontiers in Psychology, 11, 1479. https://doi.org/10.3389/fpsyg.2020.01479
Poh, C. O. C. (2024). Advancing workforce competency: Singapore’s integration of competency-based education. Journal of Applied Learning and Teaching, 7(2), 421–432. https://doi.org/10.37074/jalt.2024.7.2.3
Rajaratnam, V., Rahman, N. A., & Dong, C. (2021). Integrating instructional design principles into surgical skills training models: An innovative approach. The Annals of The Royal College of Surgeons of England, 103(10), 718-724. https://doi.org/10.1308/rcsann.2020.7132
Roberts, T. V., Gustavs, J., & Mack, H. G. (2012). Becoming an expert: A review of adult learning theory and implications for vocational training in ophthalmology. Clinical & Experimental Ophthalmology, 40(5), 519-526. https://doi.org/10.1111/j.1442-9071.2011.02716.x
Ross, S., Pirraglia, C., Aquilina, A. M., & Zulla, R. (2022). Effective competency-based medical education requires learning environments that promote a mastery goal orientation: A narrative review. Medical Teacher, 44(5), 527-534. https://doi.org/10.1080/0142159X.2021.2004307
Ryan, S., & Cox, J. D. (2017). Investigating student exposure to competency-based education. Education Policy Analysis Archives, 25(24), 1-32. http://dx.doi.org/10.14507/epaa.25.2792
Sawyer, T., White, M., Zaveri, P., Chang, T., Ades, A., French, H., ... & Kessler, D. (2015). Learn, see, practice, prove, do, maintain: An evidence-based pedagogical framework for procedural skill training in medicine. Academic Medicine, 90(8), 1025-1033. https://doi.org/10.1097/ACM.0000000000000734
Schilling, J. F., & Koetting, J. R. (2010). Underpinnings of competency-based education. Athletic Training Education Journal, 5(4), 165-169. https://doi.org/10.4085/1947-380X-5.4.165
Stefanidis, D. (2010). Optimal acquisition and assessment of proficiency on simulators in surgery. Surgical Clinics, 90(3), 475-489. https://doi.org/10.1016/j.suc.2010.02.010
Stevens, B., Hyde, J., Knight, R., Shires, A., & Alexander, R. (2017). Competency‐based training and assessment in Australian postgraduate clinical psychology education. Clinical Psychologist, 21(3), 174-185. https://doi.org/10.1111/cp.12061
Sturgis, C., & Casey, K. (2018). Designing for equity: Leveraging competency-based education to ensure all students succeed. CompetencyWorks Final Paper. iNACOL.
Tan, K., Chong, M. C., Subramaniam, P., & Wong, L. P. (2018). The effectiveness of outcome based education on the competencies of nursing students: A systematic review. Nurse Education Today, 64, 180-189. https://doi.org/10.1016/j.nedt.2017.12.030
Wentzell, D. D., Chung, H., Hanson, C., & Gooi, P. (2020). Competency-based medical education in ophthalmology residency training: A review. Canadian Journal of Ophthalmology, 55(1), 12-19. https://doi.org/10.1016/j.jcjo.2019.07.004
Winget, M., & Persky, A. M. (2022). A practical review of mastery learning. American Journal of Pharmaceutical Education, 86(10), ajpe8906. https://doi.org/10.5688/ajpe8906
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