ERIC Number: EJ948064
Record Type: Journal
Publication Date: 2011-Dec
Abstractor: As Provided
Reference Count: 45
Flower Power: The Armoured Expert in the CanMEDS Competency Framework?
Whitehead, Cynthia R.; Austin, Zubin; Hodges, Brian D.
Advances in Health Sciences Education, v16 n5 p681-694 Dec 2011
Competency frameworks based on roles definitions are currently being used extensively in health professions education internationally. One of the most successful and widely used models is the CanMEDS Roles Framework. The medical literature has raised questions about both the theoretical underpinnings and the practical application of outcomes-based frameworks, however little empirical research has yet been done examining specific roles frameworks. This study examines the historical development of an important early roles framework, the Educating Future Physicians of Ontario (EFPO) roles, which were instrumental in the development of the CanMEDS roles. Prominent discourses related to roles development are examined using critical discourse analysis methodology. Exploration of discourses that emerged in the development of this particular set of roles definitions highlights the contextual and negotiated nature of roles construction. The discourses of threat and protection prevalent in the EFPO roles development offer insight into the visual construction of a centre of medical expertise surrounded by supporting roles (such as collaborator and manager). Non-medical expert roles may perhaps play the part of "armour" for the authority of medical expertise under threat. This research suggests that it may not be accurate to consider roles as objective ideals. Effective training models may require explicit acknowledgement of the socially negotiated and contextual nature of roles definitions.
Descriptors: Expertise, Health Occupations, Physicians, Discourse Analysis, Foreign Countries, Competence, Models, Allied Health Occupations Education
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Canada