{"id":4088,"date":"2022-07-27T11:47:07","date_gmt":"2022-07-27T15:47:07","guid":{"rendered":"http:\/\/alanbatt.net\/?p=4088"},"modified":"2024-08-07T16:07:05","modified_gmt":"2024-08-07T20:07:05","slug":"developing-competency-frameworks-in-health-professions","status":"publish","type":"post","link":"http:\/\/alanbatt.net\/?p=4088","title":{"rendered":"Developing competency frameworks in health professions"},"content":{"rendered":"\n<p>Last updated: 12\/12\/2022<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/alanbatt.net\/wp-content\/uploads\/2022\/11\/2211-Six-step-cycle.png\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"http:\/\/alanbatt.net\/wp-content\/uploads\/2022\/11\/2211-Six-step-cycle-1024x576.png\" alt=\"\" class=\"wp-image-4385\" srcset=\"http:\/\/alanbatt.net\/wp-content\/uploads\/2022\/11\/2211-Six-step-cycle-1024x576.png 1024w, http:\/\/alanbatt.net\/wp-content\/uploads\/2022\/11\/2211-Six-step-cycle-300x169.png 300w, http:\/\/alanbatt.net\/wp-content\/uploads\/2022\/11\/2211-Six-step-cycle-768x432.png 768w, http:\/\/alanbatt.net\/wp-content\/uploads\/2022\/11\/2211-Six-step-cycle.png 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>A good place to start is this scoping review, which provides an overview of how competency frameworks have been developed in the health professions since the 1970s:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Batt, A.M., Tavares, W., Williams, B. The development of competency frameworks in healthcare professions: a scoping review. <em>Advances in Health Sciences Education<\/em>. 2020;25(4):913-987. 10.1007\/s10459-019-09946-w. <a href=\"https:\/\/rdcu.be\/b6Li5\">Publisher link.<\/a><\/li>\n<\/ul>\n\n\n\n<p>Next, two systematic reviews from Breanna Lepre and Nicole Murray, which explore the role of stakeholders in developing competency frameworks, and specifically patients and the public:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lepre B, Palermo C, Mansfield KJ and Beck EJ (2021) Stakeholder  Engagement in Competency Framework Development in Health Professions: A  Systematic Review.  <em>Frontiers in Medicine: Healthcare Professions Education<\/em>. 8:759848. doi: 10.3389\/fmed.2021.759848 <a rel=\"noreferrer noopener\" aria-label=\"Publisher link (opens in a new tab)\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2021.759848\/full\" target=\"_blank\">Publisher link<\/a><\/li>\n\n\n\n<li>Murray, N., Palermo, C. Batt, A.M., Bell, K. Does patient and public involvement influence development of competency frameworks in the health professions? A systematic review. <em>Frontiers in Medicine: Healthcare Professions Education. <\/em>2022, Jul.10.3389\/fmed.2022.918915. [Q1]. <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.918915\/abstract\">Publisher link<\/a>.  <\/li>\n<\/ul>\n\n\n\n<p>Next up, a conceptual framework which utilises systems thinking to structure exploration and understanding of practice, which we suggest is complex and contextual:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Batt, A.M., Williams, B., Brydges, M., Leyenaar, M., Tavares, W. New ways of seeing: supplementing existing competency framework development guidelines with systems thinking<em>. Advances in Health Sciences Education. <\/em>2021;26(4):1355-1371. 10.1007\/s10459-021-10054-x. <a href=\"https:\/\/rdcu.be\/ckSnQ\">Publisher link.<\/a><\/li>\n<\/ul>\n\n\n\n<p>Now armed with these historical perspectives and awareness of gaps in current approaches, comes the practical &#8220;how to make a competency  framework&#8221; publication. This paper provides a synthesis of existing development guidance, combined with the conceptual framework outlined above, and a furthering of knowledge informed by mixed-methods research approaches, approaches to qualitative &#8220;rigour&#8221;, and other developments:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Batt, A.M., Williams, B., Rich, J., Tavares, W. A six-step model for developing competency frameworks in the healthcare professions. <em>Frontiers in Medicine: Healthcare Professions Education<\/em>. 2021, Dec. 10.3389\/fmed.2021.789828. <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2021.789828\/abstract\">Publisher link<\/a><\/li>\n<\/ul>\n\n\n\n<p>If you wish to read the existing guidance on developing frameworks, there is a summary table provided in the first scoping review (Table 1, p915-917). <\/p>\n\n\n\n<p>Specific guidance on methods that may be used during the development process is often generic based on method; however, specific insights from the competency framework development process are beginning to emerge:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Allen L, Palermo C. Using Document Analysis to Develop Competency Frameworks: Perspectives from the revision of Competency Standards for Dietitians. <em>Frontiers in Medicine: Healthcare Professions Education<\/em>. <a rel=\"noreferrer noopener\" aria-label=\"Publisher link. (opens in a new tab)\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.900636\/abstract\" target=\"_blank\">Publisher link.<\/a><\/li>\n\n\n\n<li> Ash, Susan, Kerryn Dowding, and Susan Phillips. \u2018Mixed Methods Research Approach to the Development and Review of Competency Standards for Dietitians\u2019. <em>Nutrition &amp; Dietetics<\/em> 68, no. 4 (2011): 305\u201315. <a href=\"https:\/\/doi.org\/10.1111\/j.1747-0080.2011.01552.x\">https:\/\/doi.org\/10.1111\/j.1747-0080.2011.01552.x<\/a>.    <\/li>\n\n\n\n<li>Palermo, Claire, Jane Conway, Eleanor J. Beck, Janeane Dart, Sandra Capra, and Susan Ash. \u2018Methodology for Developing Competency Standards for Dietitians in Australia\u2019. <em>Nursing &amp; Health Sciences<\/em> 18, no. 1 (March 2016): 130\u201337. <a href=\"https:\/\/doi.org\/10.1111\/nhs.12247\">https:\/\/doi.org\/10.1111\/nhs.12247<\/a>.<\/li>\n\n\n\n<li>Arakawa, Naoko, and Lina R. Bader. \u2018Consensus Development Methods: Considerations for National and Global Frameworks and Policy Development\u2019. <em>Research in Social and Administrative Pharmacy<\/em>, 30 June 2021. <a href=\"https:\/\/doi.org\/10.1016\/j.sapharm.2021.06.024\">https:\/\/doi.org\/10.1016\/j.sapharm.2021.06.024<\/a>.   <\/li>\n\n\n\n<li>Scodras, Stephanie, Kyla Alsbury-Nealy, Heather Colquhoun, Euson Yeung, Susan B. Jaglal, and Nancy M. Salbach. \u2018Methodological Approaches for Identifying Competencies for the Physiotherapy Profession: A Scoping Review\u2019. <em>Discover Education<\/em> 1, no. 1 (28 June 2022): 9. <a href=\"https:\/\/doi.org\/10.1007\/s44217-022-00008-9\">https:\/\/doi.org\/10.1007\/s44217-022-00008-9<\/a>.     <\/li>\n<\/ul>\n\n\n\n<p>Generic methodological guidance that may be useful includes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Delphi: Trevelyan, Esm\u00e9 G, and Nicola Robinson. \u2018Delphi Methodology in Health Research: How to Do It?\u2019 <em>European Journal of Integrative Medicine<\/em>, Diagnostic Techniques and Outcome Measures for Integrated Health, 7, no. 4 (1 August 2015): 423\u201328. <a href=\"https:\/\/doi.org\/10.1016\/j.eujim.2015.07.002\">https:\/\/doi.org\/10.1016\/j.eujim.2015.07.002<\/a>.<\/li>\n\n\n\n<li>Mixed methods data integration: O\u2019Cathain, Alicia, Elizabeth Murphy, and Jon Nicholl. \u2018Three Techniques for Integrating Data in Mixed Methods Studies\u2019. <em>BMJ (Online)<\/em> 341, no. 7783 (2010): 1147\u201350. <a href=\"https:\/\/doi.org\/10.1136\/bmj.c4587\">https:\/\/doi.org\/10.1136\/bmj.c4587<\/a>.    <\/li>\n\n\n\n<li>Mixed methods: Creswell, John W, A Klassen, V Plano Clark, and Katherine Smith. \u2018Best Practices for Mixed Methods Research in the Health Sciences\u2019, 2014. <a href=\"https:\/\/doi.org\/10.1002\/cdq.12009\">https:\/\/doi.org\/10.1002\/cdq.12009<\/a>.    <\/li>\n\n\n\n<li>Reviews:    Grant, Maria J, and Andrew Booth. \u2018A Typology of Reviews: An Analysis of 14 Review Types and Associated Methodologies.\u2019 <em>Health Information and Libraries Journal<\/em> 26, no. 2 (2009): 91\u2013108. <a href=\"https:\/\/doi.org\/10.1111\/j.1471-1842.2009.00848.x\">https:\/\/doi.org\/10.1111\/j.1471-1842.2009.00848.x<\/a>.    <\/li>\n\n\n\n<li>Rapid\/restrictred reviews: Tricco, Andrea C., Hanan Khalil, Cheryl Holly, Garumma Feyissa, Christina Godfrey, Catrin Evans, Diane Sawchuck, et al. \u2018Rapid Reviews and the Methodological Rigor of Evidence Synthesis: A JBI Position Statement\u2019. <em>JBI Evidence Synthesis<\/em>, 4 March 2022. <a href=\"https:\/\/doi.org\/10.11124\/JBIES-21-00371\">https:\/\/doi.org\/10.11124\/JBIES-21-00371<\/a>.    <\/li>\n\n\n\n<li>Curriculum mapping:    Watson, Eilean Genevieve S., Carole Steketee, Kylie Mansfield, Maxine Moore, Bronwen Dalziel, Arvin Damodaran, Ben Walker, Robbert J. Duvivier, and Wendy Hu. \u2018Curriculum Mapping for Health Professions Education: A Typology\u2019. <em>Focus on Health Professional Education: A Multi-Professional Journal<\/em> 21, no. 1 (30 April 2020): 91. <a href=\"https:\/\/doi.org\/10.11157\/fohpe.v21i1.364\">https:\/\/doi.org\/10.11157\/fohpe.v21i1.364<\/a>.    <\/li>\n<\/ul>\n\n\n\n<p>Reporting of the development process has historically been lacking in detail required to make decisions around utility and validity. The CONFERD-HP Reporting Guideline provides an outline of the essential items that should be reported when discussing the development of a competency framework in the health professions:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Batt, A.M., Tavares, W., Horsley, T., Rich, J., Williams, B., and the CONFERD-HP collaborators. CONFERD-HP: recommendations for reporting COmpeteNcy FramEwoRk Development in health professions, <em>British Journal of Surgery<\/em>, 2022;, znac394, <a href=\"https:\/\/doi.org\/10.1093\/bjs\/znac394\">https:\/\/doi.org\/10.1093\/bjs\/znac394<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Last updated: 12\/12\/2022 A good place to start is this scoping review, which provides an overview of how competency frameworks have been developed in the health professions since the 1970s: Next, two systematic reviews from Breanna Lepre and Nicole Murray, which explore the role of stakeholders in developing competency frameworks, and specifically patients and the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"saved_in_kubio":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[76,30],"tags":[],"class_list":["post-4088","post","type-post","status-publish","format-standard","hentry","category-blog","category-publications"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"kubio-fullhd":false},"uagb_author_info":{"display_name":"Alan","author_link":"http:\/\/alanbatt.net\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"Last updated: 12\/12\/2022 A good place to start is this scoping review, which provides an overview of how competency frameworks have been developed in the health professions since the 1970s: Next, two systematic reviews from Breanna Lepre and Nicole Murray, which explore the role of stakeholders in developing competency frameworks, and specifically patients and the&hellip;","_links":{"self":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts\/4088","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4088"}],"version-history":[{"count":10,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts\/4088\/revisions"}],"predecessor-version":[{"id":4419,"href":"http:\/\/alanbatt.net\/index.php?rest_route=\/wp\/v2\/posts\/4088\/revisions\/4419"}],"wp:attachment":[{"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4088"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/alanbatt.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}