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Table 1 Linking competencies at the abstract and contextualized levels with assessment and learning methods using obstructed labor as an example

From: The promise of competency-based education in the health professions for improving global health

Competency domain [16] Competency in context: obstructed labor Learning method options Possible assessment method
Effective Communication The learner explains different options for accelerating birth to the mother in a calm, clear manner. Structured practice using simulated patients. Assigned reading on treatment options. Standardized patient exercise
Basic Clinical Skills Using physical examination techniques, the learner identifies the presence of a nuchal cord as the etiology behind obstructed labor. Simulation/Mannequin practice. Physical exam textbook. Supervised clinical experiences. Structured direct observation and feedback.
Standardized patient examination.
Using Science to Guide Diagnosis, Management, Therapeutics and Prevention The learner identifies community-based resources to assist in the prenatal management of women at risk for obstructed labor. Self-guided search. Assigned reading. Written examination
Moral reasoning and ethical judgment The learner explains the most important competing issues that weigh in the decision to perform life- saving maternal interventions that may place the fetus at risk in obstructed labor. Small group discussion of case scenarios. Oral examination
Programmed reading.
Problem solving The learner appropriately identifies and refers high- risk cases of obstructed labor that require subspecialty management Small group discussion with scripted patient management problems. Assigned problem set with feedback. Chart audit
Professionalism and role recognition The learner maintains confidentiality in the care of women with obstructed labor. Lecture. Supervisor evaluation
Self-directed review of confidentiality policy.