A Systematic Review on Insights to Community Medicine and Clinical Research: Competency Training in Medical and Dental Education
Background: Competency based training in medical and dental education has become important to train healthcare professionals to tackle clinical, cultural, and social aspects of healthcare. The innovations and developments in these training programs enabled a better understanding of healthcare and t...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
ziauddin University
2025-04-01
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| Series: | Pakistan Journal of Medicine and Dentistry |
| Subjects: | |
| Online Access: | https://ojs.zu.edu.pk/pjmd/article/view/3500 |
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| Summary: | Background: Competency based training in medical and dental education has become important to train healthcare professionals to tackle clinical, cultural, and social aspects of healthcare. The innovations and developments in these training programs enabled a better understanding of healthcare and treatment planning. The purpose of this systematic review was to assess the implications of competency training in medical and dental curricula; more specifically, the incorporation of competency-based trainings with community medicine and research trials.
Methods: Using PRISMA criteria, the literature search was done in Google Scholar, ScienceDirect, and PubMed in articles published between 2020 and 2024. This review focused on competency-based education in medical and dental education, especially the intersection of competency-based education and community medicine and clinical research trials. Articles that were published in English and within the last five years were considered. Cross-referencing was done against other databases that ensured high-quality and comprehensive data. Studies that were related to non-healthcare students, without empirical evidence, or that were out of the scope were eliminated. The studies were evaluated by two independent reviewers, and the inter-rater reliability was calculated using Cohen’s kappa coefficient. These reviewers screened the titles and abstracts of studies and then reviewed the full texts of studies for eligibility. Duplicate studies were removed using EndNote X9, and risk of bias was assessed using the Cochrane risk of bias tool.
Results: Out of 94 articles, 15 were selected because they described training designs, outcomes, or difficulties in fulfilling the goals. The total number of participants was 4978 across medical and dental education. Competency training programs illustrated better results on healthcare competencies that included improved communication skills, enhanced cultural competence, and increased patient satisfaction. Hands-on training programs and the use of multimedia tools showed better outcomes as compared to the traditional methods. Challenges that were faced included differences in implementation, constraints in resources, and a lack of standardized assessments. The certainty of evidence showed moderate results for communication skills and patient satisfaction, and low to moderate results for the readiness in clinical trials and cultural competence due to variability in study design.
Discussion: Effective competency training curricula substantially enhanced the functioning of healthcare systems and results for patients. Variations in the implementation of competency training programs and the assessment methods used were the main reasons for heterogeneity. Inaccuracy was seen due to limitations in sample sizes in some studies and a lack of long-term follow-up in others, hence constraining the generalizability of the results. There should be improved structure and specification so that such techniques would be applied in routine across a wide range of establishments to create more systematically planned and effectively delivered training in diverse and complex settings.
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| ISSN: | 2313-7371 2308-2593 |