Residents’ Experiences with Personalized Learning in Postgraduate Training; Going Beyond Competency Based Medical Education
References
- ten Cate O. Competency-Based Postgraduate Medical Education: Past, Present and Future. GMS Journal for Medical Education. 2017;34.
- de Heer MH, Driessen EW, Teunissen PW, Scheele F. Lessons learned spanning 17 years of experience with three consecutive nationwide competency based medical education training plans. Frontiers in Medicine. 2024;11. DOI: 10.3389/fmed.2024.1339857
- Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923–1958. DOI: 10.1016/S0140-6736(10)61854-5
- Hodges BD. A tea-steeping or i-Doc model for medical education? Acad Med. 2010;85(9 Suppl):S34–S44. DOI: 10.1097/ACM.0b013e3181f12f32
- Frenk J, Chen L, Michaud C.
The future of health professional education . In: Walsh K, editor. Oxford Textbook of Medical Education: Oxford University Press; 2013. DOI: 10.1093/med/9780199652679.003.0059 - Hart EJ, de Heer-Koster MH, van der Harst M, Browne JL, Scheele F. Key tips to shift student perspectives through transformative learning in medical education. BMC Med Educ. 2025;25(1):202. DOI: 10.1186/s12909-025-06754-2
- Van Melle E, Frank JR, Holmboe ES, Dagnone D, Stockley D, Sherbino J, et al. A Core Components Framework for Evaluating Implementation of Competency-Based Medical Education Programs. Acad Med. 2019;94(7):1002–1009. DOI: 10.1097/ACM.0000000000002743
- van Loon K, Teunissen P, Driessen E, Scheele F. The Role of Generic Competencies in the Entrustment of Professional Activities: A Nationwide Competency-Based Curriculum Assessed. Journal of Graduate Medical Education. 2016;8. DOI: 10.4300/JGME-D-15-00321.1
- Scheele F, Van Luijk S, Mulder H, Baane C, Rooyen CD, De Hoog M, et al. Is the modernisation of postgraduate medical training in the Netherlands successful? Views of the NVMO Special Interest Group on Postgraduate Medical Education. Med Teach. 2014;36(2):116–120. DOI: 10.3109/0142159X.2013.849333
- Frank JR, Snell L, Sherbino J.
CanMEDS 2015 Physician Competency Framework . Royal College of Physicians and Surgeons of Canada; 2015. - Celeste Eno P, Ricardo Correa MDE, Nancy H, Stewart D, Jonathan Lim M, Mary Elizabeth Westerman M, Eric S, Holmboe M, et al. Milestones Guidebook for Residents and Fellows. Accreditation Council for Graduate Medical Education (ACGME); 2020.
- ten Cate O, Scheele F. Competency-Based Postgraduate Training: Can We Bridge the Gap between Theory and Clinical Practice? Acad Med; 2017.
- Walsh K. The future of postgraduate training. Pan Afr Med J. 2014;19:333. DOI: 10.11604/pamj.2014.19.333.5555
- Touchie C, ten Cate O. The promise, perils, problems and progress of competency-based medical education. Med Educ. 2016;50(1):93–100. DOI: 10.1111/medu.12839
- Birman NA, Vashdi DR, Miller-Mor Atias R, Riskin A, Zangen S, Litmanovitz I, et al. Unveiling the paradoxes of implementing post graduate competency based medical education programs. Med Teach. 2025;47(4):622–629. DOI: 10.1080/0142159X.2024.2356826
- van Rossum TR, Scheele F, Sluiter HE, Paternotte E, Heyligers IC. Effects of implementing time-variable postgraduate training programmes on the organization of teaching hospital departments. Med Teach. 2018;40(10):1036–1041. DOI: 10.1080/0142159X.2017.1418850
- Boyd VA, Whitehead CR, Thille P, Ginsburg S, Brydges R, Kuper A. Competency-based medical education: the discourse of infallibility. Med Educ. 2018;52(1):45–57. DOI: 10.1111/medu.13467
- Darbyshire D, Baker P, Agius S, McAleer S. Trainee and supervisor experience of the Academic Foundation Programme. J R Coll Physicians Edinb. 2019;49(1):43–51. DOI: 10.4997/jrcpe.2019.111
- Frank JR, Snell LS, Oswald A, Hauer KE, International CC. Further on the journey in a complex adaptive system: Elaborating CBME. Med Teach. 2021;43(7):734–736. DOI: 10.1080/0142159X.2021.1931083
- Van Schalkwyk SC, Hafler J, Brewer TF, Maley MA, Margolis C, McNamee L, et al. Transformative learning as pedagogy for the health professions: a scoping review. Med Educ. 2019;53(6):547–558. DOI: 10.1111/medu.13804
- Szulewski A, Braund H, Dagnone DJ, McEwen L, Dalgarno N, Schultz KW, et al. The Assessment Burden in Competency-Based Medical Education: How Programs Are Adapting. Acad Med. 2023;98(11):1261–1267. DOI: 10.1097/ACM.0000000000005305
- NVOG. NCOG National Curriculum for Obstetrics and Gynecology 2021 [Available from:
https://nvog-logo.nl/wp-content/uploads/2024/01/LOGO_fullEN_version921_1223.pdf . - Yin RK.
Case study research and applications : design and methods . 6 ed. Thousand Oaks, California: SAGE; 2018. p. 453. - Schwarz TB, Reiling C.
Preparing an Interpretive Research Design – Chapter 9 In: Jennifer Eb, Goodman CaSW, editors. Doing good qualatative research. Oxford University Press; 2024. DOI: 10.1093/oso/9780197633137.003.0009 - Brooks J. The Utility of Template Analysis in Qualitative Psychology Research. Qualitative Research in Psychology. 2015. DOI: 10.1080/14780887.2014.955224
- Wutich A, Beresford M, Bernard HR. Sample Sizes for 10 Types of Qualitative Data Analysis: An Integrative Review, Empirical Guidance, and Next Steps. International Journal of Qualitative Methods. 2024;23. DOI: 10.1177/16094069241296206
- King N. Doing Template Analysis. In: Symon G, Cassell C, editors. Qualitative Organizational Research: Core Methods and Current Challenges: Sage Academic Books; 2012. DOI: 10.4135/9781526435620.n24
- Wilkes S, Maggio LA, Martin PC, Melton J, Zheng B. Self-Directed Learning in Health Professions Education: A Systematic Review and Meta-Analysis. Perspect Med Educ. 2026;15(1):37–52. DOI: 10.5334/pme.2128
- Bowen GA. Naturalistic inquiry and the saturation concept: a research note. Qualitative Research. 2008;8(1):137–152. DOI: 10.1177/1468794107085301
- Wormald BW, Schoeman S, Somasunderam A, Penn M. Assessment drives learning: an unavoidable truth? Anat Sci Educ. 2009;2(5):199–204. DOI: 10.1002/ase.102
- Newble DI, Jaeger K. The effect of assessments and examinations on the learning of medical students Medical Education. 1983;17:165–171. DOI: 10.1111/j.1365-2923.1983.tb00657.x
- Ganesan I, Cham B, Teunissen PW, Busari JO. Stakes of Assessments in Residency: Influence on Previous and Current Self-Regulated Learning and Co-Regulated Learning in Early Career Specialists. Perspect Med Educ. 2023;12(1):237–246. DOI: 10.5334/pme.860
- Cilliers FJ, Schuwirth LW, Adendorff HJ, Herman N, van der Vleuten CP. The mechanism of impact of summative assessment on medical students’ learning. Adv Health Sci Educ Theory Pract. 2010;15(5):695–715. DOI: 10.1007/s10459-010-9232-9
- van der Vleuten CP, Schuwirth LW, Driessen EW, Dijkstra J, Tigelaar D, Baartman LK, et al. A model for programmatic assessment fit for purpose. Med Teach. 2012;34(3):205–214. DOI: 10.3109/0142159X.2012.652239
- Kusurkar RA, Orsini C, Somra S, Artino AR
Jr. , Daelmans HEM, Schoonmade LJ, et al. The Effect of Assessments on Student Motivation for Learning and Its Outcomes in Health Professions Education: A Review and Realist Synthesis. Acad Med. 2023;98(9):1083–1092. DOI: 10.1097/ACM.0000000000005263 - Martin L, Blissett S, Johnston B, Tsang M, Gauthier S, Ahmed Z, et al. How workplace-based assessments guide learning in postgraduate education: A scoping review. Med Educ. 2023;57(5):394–405. DOI: 10.1111/medu.14960
- Knowles M p, paperbound. (1977). Self-Directed Learning: A Guide For Learners And Teachers. New York: Association Press; 1975.
- Sawatsky AP, Ratelle JT, Bonnes SL, Egginton JS, Beckman TJ. A model of self-directed learning in internal medicine residency: a qualitative study using grounded theory. BMC Med Educ. 2017;17(1):31. DOI: 10.1186/s12909-017-0869-4
- Mezirow J. Transformative Learning: Theory to Practice. New Directions for Adult and Continuing Education. 2002;1997(74):5–12. DOI: 10.1002/ace.7401
- Vipler B, Knehans A, Rausa D, Haidet P, McCall-Hosenfeld J. Transformative Learning in Graduate Medical Education: A Scoping Review. J Grad Med Educ. 2021;13(6):801–814. DOI: 10.4300/JGME-D-21-00065.1
- Holmboe ES. The Transformational Path Ahead: Competency-Based Medical Education in Family Medicine. Fam Med. 2021;53(7):583–589. DOI: 10.22454/FamMed.2021.296914
- Holmboe ES, Sherbino J, Englander R, Snell L, Frank JR, Collaborators I. A call to action: The controversy of and rationale for competency-based medical education. Med Teach. 2017;39(6):574–581. DOI: 10.1080/0142159X.2017.1315067
- Taber S, Akdemir N, Gorman L, van Zanten M, Frank JR. A “fit for purpose” framework for medical education accreditation system design. BMC Med Educ. 2020;20(Suppl 1):306. DOI: 10.1186/s12909-020-02122-4
- Nousiainen M, Scheele F, Hamstra SJ, Caverzagie K. What can regulatory bodies do to help implement competency-based medical education? Med Teach. 2020;42(12):1369–1373. DOI: 10.1080/0142159X.2020.1809640
- Van der Lee N, Fokkema J, Westerman M, Driessen E, Van der Vleuten C, Scherpbier A, et al. The CanMEDS framework: Relevant but not quite the whole story. Medical teacher. 2013;35. DOI: 10.3109/0142159X.2013.827329
DOI: https://doi.org/10.5334/pme.2125 | Journal eISSN: 2212-277X
Language: English
Page range: 523 - 533
Submitted on: Sep 17, 2025
Accepted on: May 12, 2026
Published on: Jun 19, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
© 2026 Merel H. de Heer, Efraïm J. Hart, Fedde Scheele, Erik W. Driessen, Pim W. Teunissen, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.