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Figures & Tables

Table 1

Applying Van Melle’s Five Core Components of CBHPE to Faculty Development (FD) Systems.

CORE COMPONENTS OF CBHPE
CORE COMPONENTOUTCOME COMPETENCIESSEQUENCED PROGRESSIVELYTAILORED LEARNING EXPERIENCESCOMPETENCY-FOCUSED INSTRUCTIONPROGRAMMATIC ASSESSMENT
Definition [10]Competencies required for practice are clearly articulated (and are identified based on societal needs).Competencies and their developmental markers are sequenced progressively (in a way that supports a learner’s progression from novice to master).Learning experiences (that resemble the practice environment) facilitate the development of competencies (and are flexible enough to accommodate variation in individual rates of progression).Teaching practices promote the developmental acquisition of competencies (and emphasize learning through experience and application as well as knowledge acquisition).Assessment practices support and document the developmental acquisition of competencies (and emphasize workplace-based observation as well as meaningful feedback).
Proposed Faculty Development Program components
  • EPAs for Teachers or Entrustable Teaching Activities (ETAs) [11, 12]

  • Fundamental Teaching Activities [13]

  • Clinician Educator Milestone Domains [14]

  • Academy of Medical Educators Professional Standards’ Domains for medical dental and veterinary educators [15]

  • Teacher Role-specific competencies [16, 17]

  • Clinician Educator Milestones

  • Mixed-experience community of practice (novice, mid-career, senior) to support progression

  • Professional Identity formation as an educator

  • Longitudinal development [16]

  • Workplace-based learning (peer coaching to improve)

  • Just-in-time faculty development

  • Use existing group meetings for teacher development

  • Individualized Needs Assessments and Development Plans as a Teacher

  • Master Adaptive Learner cycle as an instructional backbone: Plan–Learn–Assess–Adjust

  • Coaching (includes peer coaching)

  • Deliberate practice

  • Desirable difficulty/productive struggle

  • Scaffolding

  • Mindset shifts from fixed to growth

  • Competency-focused remediation using targeted instruction, coached practice, and reassessment to achieve defined educator competencies

  • Systems lens towards faculty development

  • Longitudinal educator portfolios that go beyond trainee evaluations [18, 19]

  • Data collection metrics to score teacher feedback comments [63]

  • Peer observation and feedback

  • Planned, periodic structured observations of teaching (e.g., OSTEs or comparable observed teaching events) used as developmental checkpoints [20]

  • Dashboards to monitor program-level trends in educator development

Table 2

Proposed Actions for Implementing a Faculty Development (FD) Program in Alignment with Van Melle’s Five Core Components of CBHPE.

DEFINING ACHIEVEMENTMAPPING DEVELOPMENTMEETING DIVERSE NEEDSMODELING WHAT WE TEACHEVALUATING GROWTH
  • Select a competency framework appropriate for your context (e.g., EPAs for Teachers, CE Domains from CE Milestones, or role-specific competencies).

  • Map existing FD activities to the framework and identify gaps in offerings.

  • Align outcome competencies with program/institutional goals to ensure strategic relevance.

  • Use outcome competencies to create job descriptions and role expectations.

  • Develop digital badges or micro-credentials linked to specific competencies.

  • Design faculty teaching assessments that reflect outcome competencies.

  • Label FD offerings by developmental level (e.g., Teaching 101: Foundations of Clinical Coaching, Teaching 201: Advanced Feedback & Remediation).

  • Publish learning pathways (e.g., New Preceptor → Coach → Educational Leader).

  • List prerequisites or “recommended before” experiences so faculty can self-select.

  • Design communities of practice with mixed-experience (novice, mid-career, senior educators together) around key roles (e.g., simulation, small-group teaching).

  • Pair novice and more experienced educators for observation

  • Create developmentally scaffolded failure-sharing sessions in which senior educators model learning-from-failure to support identity formation and normalize growth over time.

  • Have faculty complete a brief competency-mapped self-assessment to identify 1–2 priority growth areas for the next quarter.

  • Have faculty gather 360-degree input (learners, peers, supervisor/education leader) using a short, structured tool tied to the same competencies.

  • Use asynchronous modules to build foundational knowledge at self-selected pace, then apply learning in future teaching sessions.

  • Use peer- or AI-supported practice to rehearse feedback, questioning, or coaching by simulating learner responses before a real encounter.

  • Use AI to create just-in-time supports (e.g., checklist, flashcards, 5-question quiz) from a key article or guideline for an upcoming teaching moment.

  • Establish a standardized peer observation-and-debrief process using competency-aligned checklists to support coached improvement.

  • Design FD sessions around explicit educator competencies and replace ‘objectives’ with ‘competency’ aims.

  • Build expert modeling into sessions (live or video) so faculty can observe competent practice.

  • Design skills labs (e.g., feedback lab, coaching lab) with multiple short practice cycles and coaching between attempts.

  • Break complex educator skills into component parts (i.e., needs assessment, writing goals and objectives, instructional design) and teach them sequentially.

  • Design sessions so faculty experience scaffolding themselves, reinforcing how to use it with learners.

  • Replace ‘send to a workshop’ or ‘do a module’ remediation plans with coached, observed, practice-based sessions.

  • Normalize practice, rehearsal, and struggle in FD sessions and that teaching is a skill that can be developed, not a trait.

  • Hold an annual FD review meeting that examines aggregated data to identify program-level strengths and growth priorities.

  • Implement a standardized educator portfolio template that includes selected observation feedback, reflections on growth edges, and development goals over time along with learner and peer observer feedback and evaluations.

  • Periodically review a small sample of narrative feedback comments from learner evaluations using a brief rubric to assess specificity and actionability.

  • Launch a voluntary peer observation process using a shared competency-based template.

  • Incorporate a standardized OSTE as a periodic sampling tool and use aggregated findings to inform FD priorities, resource allocation, and program redesign.

  • Create a competency heat map to visualize patterns in educator development and identify areas for targeted FD investment.

Table 3

Sample Individual and Program-Level Competency-Based Faculty Development Plans.

SAMPLE INDIVIDUAL FACULTY DEVELOPMENT PLAN USING THE PRINCIPLES OF CBHPESAMPLE FACULTY DEVELOPMENT PLAN AT THE PROGRAM LEVEL USING THE PRINCIPLES OF CBHPE
An example of an early-career faculty member using ACGME Clinician Educator Milestone “Educational Theory and Practice 11: Curriculum Development” [14]:
  1. Identifies roles and responsibilities as a faculty member.

  2. Reads the CEM Domains of Competence (CCF – Outcome Competencies).

  3. Performs a self-assessment using the CEM (CCF – Sequenced progressively).

  4. Asks trusted peer-faculty to observe bedside teaching and provide a CEM assessment on the subcompetency (Level 1).

  5. Creates a goal and identifies steps necessary to improve in the subcompetency (Achieve Level 3 within 1 year) (CCF – Tailored learning experiences); can be done independently or with a peer/mentor.

    1. Begins to identify as an educator.

  6. Identifies and participates in specific self-learning and faculty development and asks for peer-coaching. Includes reading Curriculum Development for Medical Education: A Six-Step Approach and an online course on competency-based curriculum development. (CCF – Competency-focused instruction)

    1. Seeks opportunities to enhance experiences by asking the program director to assist in adapting the curriculum for a series of didactics identified by the PEC.

  7. After a period of learning and additional experiences, repeats process of self-assessment and peer observation, with input from peer coach. Faculty member now at a Level 3.

  8. Adds each completed activity to an Educator Portfolio (CCF – Programmatic assessment).

  9. Identifies opportunities to help other faculty who would like to begin learning and seek opportunities to lead a curriculum development project.

  10. Continues to work on the subcompetency to achieve mastery (Level 5).

  11. At any point in this process, identifies a second CEM subcompetency to assess and work on.

  1. Define explicit faculty outcome competencies aligned with local teaching roles (e.g., clinical supervisors, advisors, educational leader).

  2. Consider introducing teaching EPAs and developing entrustment decisions analogous to trainee EPAs.

  3. Map faculty roles to sequenced developmental educator milestones. Use frameworks such as the Accreditation Council for Graduate Medical Education Clinician Educator Milestones or another educator competency framework.

  4. Design a faculty development curriculum from novice to expert, including:

    1. tailored, flexible learning experiences (e.g., online micro-modules and specialty-specific resources),

    2. faculty coaching infrastructure with trained educational coaches or peer coaching available for longitudinal guidance,

    3. Individualized faculty learning plans informed by self-assessment, observation, learner/peer/coach feedback, and CEM.

    4. Structured reflection prompts, learning portfolios, and guided self-assessment.

  5. Design programmatic assessment of teaching competence with multiple data points including:

    1. learner feedback and peer review,

    2. OSTEs and teaching artifacts (e.g., course blueprints, presentations, instructional materials),

    3. coaching plan,

    4. consider a Teaching Competence Committee to review progress and advise on development plans at the program level.

  6. Establish communities of practice or learning communities to support shared learning, identity development, and collaborative reflection.

  7. Ensure protected time and recognition for participation in longitudinal faculty development activities, including consideration in promotion criteria.

  8. Use developmental quality frameworks (e.g., Association for Medical Education in Europe [AMEE] ASPIRE criteria; amee.org) to evaluate and improve the program’s faculty development systems.

  9. Promote institutional culture of innovative teaching and faculty development.

    1. Communication with an annual “Teaching Expectations Letter” (analogous to an APE) to clarify expectations, goals, and required competencies for clinician educators,

    2. Foster growth mindset, psychological safety, and opportunities for “productive struggle” and innovation in teaching.

[i] Legend: APE: Annual Program Evaluation, CBFD: Competency-based faculty development, CBHPE: Competency-Based Health Professions Education, CCF: Core components framework, CE: Clinician Educator, CEM: Clinician Educator Milestones, PEC: Program evaluation committee

Table 4

Institutional Strategies to Support Master Adaptive Teacher (MAT) Development within Competency-Based Faculty Development (CBFD).

DOMAINCORE PURPOSEKEY FEATURES/MECHANISMS
Coaching & FeedbackMake adaptive growth explicit and actionableCoaching is crucial for making learning effective. Mentors and supervisors should use a growth mindset coaching approach, offering tools for providing immediate, actionable feedback. The process of guided self-reflection using ACGME Clinician Educator Milestones can lead to an Individualized Plan for professional development. Effective feedback must be specific and actionable, provided within a trusting educational alliance [23, 28].
Identity Formation & Learning EnvironmentSupport educator identity and tolerance of complexityFaculty development programs, particularly those designed as longitudinal curricula with ongoing community of practice support, are effective in enhancing teaching confidence and supporting educator identity formation [29, 30]. The learning environment for faculty must be intentionally supportive, fostering a culture of tolerance of ambiguity and providing space for “productive struggle” and reflection on failure [31, 32].
Empowerment & AutonomyEnable intentional adaptability and innovationAdaptive educators demonstrate a commitment to supporting learner and teacher autonomy and encouraging calculated, beneficial risk-taking, known as “beautiful risks”. Empowerment is fostered through institutional and program commitment to faculty development, allocation of resources, and recognition of teaching excellence [33, 34].
Community of PracticeSustain development through shared learningEstablishing communities of practice enables faculty to share experiences, challenges, and strategies for growth. By fostering trust and psychological safety, these networks normalize reflection, feedback seeking, peer observation, and collaborative problem solving. Such communities support ongoing professional development while creating conditions for adaptive learning and continuous improvement [22, 35].
System-Level AlignmentEnsure sustainability and legitimacyInstitutions must align incentives, recognition, and career advancement structures with the goals of competency-based faculty development. This process includes rewarding teaching excellence, providing protected time for professional development, integrating faculty development outcomes into promotion criteria, and building a compelling case for institutional investment by demonstrating value through educator effectiveness, workforce retention, and educational innovation [5, 36].
Resources & InfrastructureMaximize access, efficiency, and value of resources and infrastructure to support change [65].Reduce unnecessary costs by utilizing and sharing existing resources (e.g., R2C2 coaching materials [64], podcasts based on existing materials), leveraging the strengths of professional societies (e.g., speaker bureaus), and optimizing virtual learning. Although faculty development requires investment, organizations may realize long-term value through reduced burnout and turnover and by developing MATs who can lead future curricular reform.
DOI: https://doi.org/10.5334/pme.2603 | Journal eISSN: 2212-277X
Language: English
Page range: 986 - 1000
Submitted on: Mar 25, 2026
Accepted on: Jun 15, 2026
Published on: Sep 29, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services

© 2026 Teri Lee Turner, Jolanta Karpinski, Arvin K. Damodaran, Pedro Tanaka, Ming-Ka Chan, Severin Pinilla, Denyse Richardson, Mary Ellen J. Goldhamer, Linda Snell, Laura Edgar, As members of the International Competency-Based Health Professions Education Collaborators, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.