Developing a National Competency-Based Diabetes Curriculum in Undergraduate Medical Education: A Delphi Study

Abstract

Key MessagesThe Royal College of Physicians of Canada has competency-based curriculums for postgraduate medical education, but no such curriculum exists for medical students. Diabetes education in medical school should be consistent across the country and updated in accordance with the clinical practice guidelines. A diabetes national consensus curriculum for medical students with 9 competencies and 62 objectives was finalized and organized using the CanMEDS framework. a b s t r a c tObjectives: In recent years there has been an increased emphasis on competency-based medical education (CBME) in Canada and internationally, as can be seen with the implementation of competencybased curriculums for postgraduate medical education (PGME) through the Royal College of Physicians and Surgeons of Canada. Currently, no Canada-wide consensus exists on educational competencies relating to diabetes in undergraduate medical education (UGME). Our aim in this study was to develop a list of competencies and objectives for UGME in diabetes using a modified Delphi method. Methods: Representatives involved in the development of the diabetes curriculum at all 17 medical schools across Canada were contacted. A draft list of competencies and objectives was developed by the research team using the existing curriculums at 9 Canadian medical schools and was organized using the CanMEDS framework. A Delphi method was used, with 2 iterations in order to reach consensus. Results: Twelve of 17 medical schools agreed to participate. Of the 12 surveys sent in the first round, 8 responses were received (response rate 66.7%). The revised version was then resent to the 8 respondents and 7 responses were received (response rate 87.5%). A list of 9 competencies and 62 objectives was finalized. Conclusions: A competency-based consensus curriculum for diabetes education for undergraduate medical students was developed using a modified Delphi method. The final consensus syllabus will be disseminated across the country. This curriculum serves as a step in the transition to competency-based UGME and in ensuring that future medical school graduates are proficient in diabetes care.Ó 2019 Canadian Diabetes Association. Mots clés :fondé sur les compétences consensus programme d'études diabète études médicales de premier cycle r é s u m éObjectifs : Au cours des dernières années, au Canada et dans le monde entier, on a accordé une plus grande importance à l'approche par compétences en formation médicale (APCFM) comme en témoigne la mise en oeuvre de l'approche par compétences dans les programmes d'études de la formation médicale postdoctorale (FMPD) par l'entremise du Collège royal des médecins et chirurgiens du Canada. Actuellement, il

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