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Cited by 7Innovations in Medical EducationPrimary Care and Health OutcomesHealth and Medical Education

National Recommendations for Implementation of Competency-Based Medical Education in Family Medicine

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Tulshian, Priyanka, Montgomery, Linda, McCrory, KrisEmily, Theobald, Mary, Matosich, Stephanie, Wright, Olivia, Lambert, Robert A., Pearson, Randy, MacMillan, Pamela, Wu, Velyn, Zhou, Bright, Miser, W.F., Roett, Michelle A., Matosich, Stephanie, Wright, Olivia, Lambert, Robert A., Pearson, Randy, MacMillan, Pamela, Zhou, Bright, Miser, W.F.·2025·Family Medicine
DOI 10.22454/fammed.2025.866091PMC PMC12147687
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Abstract

Background and Objectives: New family medicine residency program and graduate board certification requirements necessitate a transition within programs to competency-based medical education (CBME) to ensure that the discipline is training physicians to meet America’s health care needs. A task force formed by the Society of Teachers of Family Medicine (STFM) created recommendations for implementation of CBME. Methods: The STFM CBME Task Force reviewed papers written by CBME experts and, through group discussions and consensus, drafted recommendations. Feedback on drafts of the recommendations was provided by leaders of the American Academy of Family Physicians, American Board of Family Medicine, American College of Osteopathic Family Physicians, Association of Departments of Family Medicine, Association of Family Medicine Residency Directors, North American Primary Care Research Group, and STFM. Results: The STFM CBME Task Force created 12 recommendations to guide programs and one recommendation for the specialty of family medicine for implementation of CBME. Conclusions: The transformation of the educational framework in family medicine to competency-based is a significant change for programs, learners, faculty, and staff. Residencies and family medicine organizations can reference these national recommendations as they incorporate CBME principles to advance residency education.

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  • Systematic evidence indicates that competency-based assessment and interdisciplinary training remain insufficient in medical and health management education.

    “Systematic evidence indicates that competency‑based assessment and interdisciplinary training remain insufficient in medical and health management education [8, 9].”

    From Reforming hospital management education with the P-MASE pedagogy: a randomized controlled trial (2026) · cites this paper as [9]

    The section on residency administrators and coordinators (page unavailable) says the transition to competency-based medical education requires more frequent resident assessments and support for assessment systems. This supports a need to strengthen assessment in family medicine residency, but the paper does not establish a systematic finding that competency-based assessment remains insufficient across medical and health management education. The passages also do not address insufficiency in interdisciplinary training. (LLM, conf=0.80)

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Authors
Tulshian, P., Montgomery, L., McCrory, K., Theobald, M., Matosich, S., Wright, O., Lambert, R. A., Pearson, R., MacMillan, P., Wu, V., Zhou, B., Miser, W. F., Roett, M. A., Matosich, S., Wright, O., Lambert, R. A., Pearson, R., MacMillan, P., Zhou, B., & Miser, W. F.
Affiliations
  • Contra Costa Health Services (US)
  • University of Colorado Anschutz (US)
  • Cheshire Medical Center (US)
  • Society of Teachers of Family Medicine (US)
  • Gainesville, FL
  • MedStar Georgetown University Hospital (US)
Corresponding author
Tulshian, Priyanka
ORCID
Venue
Family Medicine
Publisher
Society of Teachers of Family Medicine
Published
2025-04-03
Volume
57
Issue
4
Pages
253-260
ISSN
  • 0742-3225 (ISSN-L)
  • 1938-3800
DOI
10.22454/fammed.2025.866091
PMC
PMC12147687
OpenAlex
W4409138520
Cited by
7
References
0
Citations by year
2026: 7
FWCI
6.37
Type
journal article
Language
en
Open access
Locations
  • Family Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Education
Keywords
competency-based medical education, family medicine residency, pedagogical framework, primary care education, implementation guidelines
MeSH terms
Clinical Competence, Competency-Based Education, Curriculum, Education, Medical, Graduate, Family Practice, Humans, Internship and Residency, United States

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