The Faculty Development Paradox: Applying Competency-Based Education Principles to Faculty Development

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

doi:10.5334/pme.2603

The Faculty Development Paradox: Applying Competency-Based Education Principles to Faculty Development

Volume 15 (2026): Issue 1

By: 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 and As members of the International Competency-Based Health Professions Education Collaborators

Open Access

|Sep 2026

Frank JR, Snell LS, Cate OT, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638–645. DOI: 10.3109/0142159X.2010.501190
Open DOI Search in Google Scholar Back to article
ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Acad Med. 2007;82(6):542–547. DOI: 10.1097/ACM.0b013e31805559c7
Open DOI Search in Google Scholar Back to article
Powell DE, Carraccio C. Toward competency-based medical education. N Engl J Med. 2018;378(1):3–5. DOI: 10.1056/nejmp1712900
Open DOI Search in Google Scholar Back to article
Van Melle E, Frank JR, Holmboe ES, Dagnone D, Stockley D, Sherbino J; International Competency-Based Medical Education Collaborators. 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
Open DOI Search in Google Scholar Back to article
Steinert Y. Faculty development: core concepts and principles. In: Steinert Y, editor. Faculty development in the health professions: a focus on research and practice. Second edition. Dordrecht: Springer; 2024. p. 428. DOI: 10.1007/978-981-97-9372-3
Open DOI Search in Google Scholar Back to article
Daouk-Öyry L, Zaatari G, Sahakian T, Rahal Alameh B, Mansour N. Developing a competency framework for academic physicians. Med Teach. 2016;39(3):269–277. DOI: 10.1080/0142159X.2017.1270429
Open DOI Search in Google Scholar Back to article
Yilmaz Y, Chan MK, Richardson D, et al. Defining new roles and competencies for administrative staff and faculty in the age of competency-based medical education. Med Teach. 2023;45(4):395–403. DOI: 10.1080/0142159X.2022.2136517
Open DOI Search in Google Scholar Back to article
Steinert Y, Mann K, Anderson B, et al. A systematic review of faculty development initiatives designed to enhance teaching effectiveness: a 10-year update: BEME Guide No. 40. Med Teach. 2016;38(8):769–786. DOI: 10.1080/0142159X.2016.1181851
Open DOI Search in Google Scholar Back to article
Dweck CS. Mindset: The New Psychology of Success. Random House; 2006.
Search in Google Scholar Back to article
The Five Core Components of CBME. Accessed 2026 Jan 9. Available from: https://medicine.dal.ca/departments/core-units/pgme/cbme/about-cbme/five-core-components-of-cbme.html.
Search in Google Scholar Back to article
van Bruggen L, van Dijk EE, van der Schaaf M, Kluijtmans M, ten Cate O. Developing entrustable professional activities for university teachers in the health professions. Med Teach. 2021;44(4):425–432. DOI: 10.1080/0142159X.2021.1998402
Open DOI Search in Google Scholar Back to article
Dewey CM, Jonker G, Ten Cate O, Turner TL. Entrustable professional activities (EPAs) for teachers in medical education: has the time come? Med Teach. 2017;39(8):894–896. DOI: 10.1080/0142159X.2016.1270447
Open DOI Search in Google Scholar Back to article
Walsh A, Koppula S, Antao V, et al. Preparing teachers for competency-based medical education: fundamental teaching activities. Med Teach. 2017;40(1):80–85. DOI: 10.1080/0142159X.2017.1394998
Open DOI Search in Google Scholar Back to article
The Clinician Educator Milestone Project. Accessed 2025 Oct 28. Available from: https://www.acgme.org/globalassets/pdfs/milestones/standalone/2022/clinicianeducatormilestones.pdf.
Search in Google Scholar Back to article
Academy of Medical Educators. Professional standards for medical educators. 4th ed. Cardiff (UK): Academy of Medical Educators; 2021. Accessed 2026 Jan 13. Available from: https://medicaleducators.org/Professional-Standards.
Search in Google Scholar Back to article
Schultz KW, Kolomitro K, Koppula S, Bethune CH. Competency-based faculty development: applying transformations from lessons learned in competency-based medical education. Can Med Educ J. 2023;14(5):95–102. DOI: 10.36834/cmej.75768
Open DOI Search in Google Scholar Back to article
Srinivasan M, Li S, Meyers FJ, et al. Teaching as a competency: competencies for medical educators. Acad Med. 2011;86(10):120–121. DOI: 10.1097/ACM.0b013e31822c5b9a
Open DOI Search in Google Scholar Back to article
Gusic M, Chandran L, Balmer D, D’Alessandro D, Baldwin C. Educator Portfolio Template of the Academic Pediatric Association’s Educational Scholars Program. MedEdPORTAL. 2007;3:626. DOI: 10.15766/mep_2374-8265.626
Open DOI Search in Google Scholar Back to article
Pandit K, Andon A, Ptak C, Worley E, Davenport G, Murano T. Beyond student evaluations of teaching and educator portfolios: a multisource, longitudinal system for evaluating teaching. Teach Learn Med. 2025 Feb; 28:1–10. DOI: 10.1080/10401334.2025.2461991
Open DOI Search in Google Scholar Back to article
Kay HG, Mahoney MR, Edwards RA. The Objective Structured Teaching Encounter (OSTE) in health professions education: a systematic review. Med Teach. 2023;45(8):893–905. DOI: 10.1080/0142159X.2023.2189539
Open DOI Search in Google Scholar Back to article
Molenaar WM, Zanting A, van Beukelen P, de Grave W, Baane JA, Bustraan JA, et al. A framework of teaching competencies across the medical education continuum. Med Teach. 2009;31(5):390–396. DOI: 10.1080/01421590902845881
Open DOI Search in Google Scholar Back to article
Steinert Y. Faculty development: from workshops to communities of practice. Med Teach. 2010;32(5):425–428. DOI: 10.3109/01421591003677897
Open DOI Search in Google Scholar Back to article
Cutrer WB, Atkinson HG, Friedman E, et al. Exploring the characteristics and context that allow master adaptive learners to thrive. Med Teach. 2018;40(8):791–796. DOI: 10.1080/0142159X.2018.1484560
Open DOI Search in Google Scholar Back to article
Robertson ML, Cofrancesco J Jr, Levine RB. Transforming individuals and institutions through competency-based faculty development. Front Med (Lausanne). 2025;12:1621376. DOI: 10.3389/fmed.2025.1621376
Open DOI Search in Google Scholar Back to article
Richardson D, Kinnear B, Hauer KE, et al; ICBME Collaborators. Growth mindset in competency-based medical education. Med Teach. 2021;43(7):751–757. DOI: 10.1080/0142159X.2021.1928036
Open DOI Search in Google Scholar Back to article
Finn K, Chiappa V, Puig A, Hunt DP. How to become a better clinical teacher: a collaborative peer observation process. Med Teach. 2011;33(2):151–155. DOI: 10.3109/0142159X.2010.541534
Open DOI Search in Google Scholar Back to article
Snydman LK, Memari M, Puri A, et al. The master adaptive clinician educator: a framework for future educational leaders in academic medicine. J Gen Intern Med. 2025;40(4):927–932. DOI: 10.1007/s11606-024-09199-3
Open DOI Search in Google Scholar Back to article
Puri A, Raghavan S, Sottile E, et al. New ACGME clinician educator milestones as a roadmap for faculty development: a position paper from the Society of General Internal Medicine Education Committee. J Gen Intern Med. 2023;38(13):3053–3059. DOI: 10.1007/s11606-023-08272-7
Open DOI Search in Google Scholar Back to article
Bilyeu C, Reilly M, Niski J. Preparing clinicians for roles in academic teaching: a model for clinical associated faculty development. J Phys Ther Educ. 2023;37(3):235–242. DOI: 10.1097/JTE.0000000000000289
Open DOI Search in Google Scholar Back to article
Evans G, Penman M, Thomson K. Clinical educator expertise: a scoping review. Clin Teach. 2024;21(4):e13729. DOI: 10.1111/tct.13729
Open DOI Search in Google Scholar Back to article
Auerbach L, Santen SA, Cutrer WB, Daniel M, WilsonDelfosse AL, Roberts NK. The educators’ experience: learning environments that support the master adaptive learner. Med Teach. 2020;42(11):1270–1274. DOI: 10.1080/0142159X.2020.1801998
Open DOI Search in Google Scholar Back to article
Betinol E, Murphy S, Regehr G. Exploring the development of adaptive expertise through the lens of threshold concepts. Med Educ. 2023;57(2):142–150. DOI: 10.1111/medu.14887
Open DOI Search in Google Scholar Back to article
Massie M-H, Capron Puozzo I, Boutet M. Teacher creativity: when professional coherence supports beautiful risks. J Intell. 2022;10(3):62. DOI: 10.3390/jintelligence10030062
Open DOI Search in Google Scholar Back to article
Regan L, Hopson LR, Gisondi MA, Branzetti J. Learning to learn: a qualitative study to uncover strategies used by master adaptive learners in the planning of learning. Med Teach. 2019;41(11):1252–1262. DOI: 10.1080/0142159X.2019.1630729
Open DOI Search in Google Scholar Back to article
Steinert Y, O’Sullivan PS, Irby DM. Strengthening teachers’ professional identities through faculty development. Acad Med. 2019;94(7):963–968. DOI: 10.1097/ACM.0000000000002695
Open DOI Search in Google Scholar Back to article
Dijk SW, Findyartini A, Cantillon P, et al. Developing a programmatic approach to faculty development and scholarship using the ASPIRE criteria: AMEE Guide No. 165. Med Teach. 2024;46(6):732–745. DOI: 10.1080/0142159X.2023.2259062
Open DOI Search in Google Scholar Back to article
Cupido N, Ross S, Lawrence K, et al. Making sense of adaptive expertise for frontline clinical educators: a scoping review of definitions and strategies. Adv Health Sci Educ. 2022;27(5):1213–1243. DOI: 10.1007/s10459-022-10176-w
Open DOI Search in Google Scholar Back to article
Alvarez AA, Manthey D, Promes SB, Haas M, Santen SA, Wagner J, Schnapp B. Applying the master adaptive learner framework to just-in-time training of procedures. AEM Educ Train. 2024;8(Suppl 1):S17–S23. DOI: 10.1080/0142159X.2024.2458293
Open DOI Search in Google Scholar Back to article
Branzetti J, Hopson LR, Gisondi MA, Regan L. Training for adaptive expertise: why, what, and how. Acad Med. 2024;99(1):121. DOI: 10.1097/ACM.0000000000005217
Open DOI Search in Google Scholar Back to article
Nordquist J, Silva S, Caverzagie K, Hall J. Clinical learning environments: updates. Med Teach. 2025;47(6):911–917. DOI: 10.1080/0142159X.2025.2459361
Open DOI Search in Google Scholar Back to article
Burns RL, Furtado M, Gleeson P, Johnson K. From concept to practice: faculty perceptions on operationalizing competency-based education in physical therapy. J Phys Ther Educ. 2025;40(3), 263–272. DOI: 10.1097/JTE.0000000000000438
Open DOI Search in Google Scholar Back to article
Schumacher DJ, Kinnear B, Carraccio C, Holmboe E, et al. Competency-based medical education: the spark to ignite healthcare’s escape fire. Med Teach. 2024;46(1):140–146. DOI: 10.1080/0142159X.2023.2232097
Open DOI Search in Google Scholar Back to article
Singh M, Grundy J, Mirza MO, Ramani S. Twelve tips to deliver large-scale faculty development in health professional education: a system-based approach. Med Teach. 2025;47(4):603–609. DOI: 10.1080/0142159X.2024.2407123
Open DOI Search in Google Scholar Back to article
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
Open DOI Search in Google Scholar Back to article
Szulewski A, Braund H, Dagnone DJ, 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
Open DOI Search in Google Scholar Back to article
Chang A, Karani R, Dhaliwal G. Mission critical: reimagining promotion for clinician educators. J Gen Intern Med. 2023;38(3):789–792. DOI: 10.1007/s11606-022-07969-5
Open DOI Search in Google Scholar Back to article
Irby DM, O’Sullivan PS. Developing and rewarding teachers as educators and scholars: remarkable progress and daunting challenges. Med Educ. 2018;52(1):58–67. DOI: 10.1111/medu.13379
Open DOI Search in Google Scholar Back to article
Bailey JM, Foster KW, Henderson K, Powell LE, Ripley E. Aligning faculty development with competencies for professional growth. Med Teach. 2021;43(8):900–901. DOI: 10.1080/0142159X.2021.1929902
Open DOI Search in Google Scholar Back to article
Lyon LJ. Development of teaching expertise viewed through the Dreyfus model of skill acquisition. J Scholarsh Teach Learn. 2015;15(1):88–105. DOI: 10.14434/josotl.v15i1.12866
Open DOI Search in Google Scholar Back to article
Telio S, Ajjawi R, Regehr G. The “educational alliance” as a framework for reconceptualizing feedback in medical education. Acad Med. 2015;90(5):609–614. DOI: 10.1097/ACM.0000000000000560
Open DOI Search in Google Scholar Back to article
Matthews KE, Dwyer A, Russell S, Enright E. Enhancing outcomes and reducing inhibitors to the engagement of students and staff in learning and teaching partnerships: implications for academic development. Int J Acad Dev. 2019;24(3):246–259. DOI: 10.1080/1360144X.2018.1545233
Open DOI Search in Google Scholar Back to article
Stoddard HA, Lee AC, Gooding HC. Empowerment of learners through curriculum co-creation: practical implications of a radical educational theory. Teach Learn Med. 2025;37(2):261–267. DOI: 10.1080/10401334.2024.2313212
Open DOI Search in Google Scholar Back to article
Cook-Sather A, Luz A. Greater engagement in and responsibility for learning: what happens when students cross the threshold of student-faculty partnership. High Educ Res Dev. 2015;34(6):1097–1109. DOI: 10.1080/07294360.2014.911263
Open DOI Search in Google Scholar Back to article
Cook-Sather A. Three models for embracing student expertise in the development of pedagogical partnership programs. Int J Stud Partners. 2023;7(2):181–191. DOI: 10.15173/ijsap.v7i2.5416
Open DOI Search in Google Scholar Back to article
Carney PA, Crites GE, Miller KH, et al. Building and executing a research agenda toward conducting implementation science in medical education. Med Educ Online. 2016;21:32405. DOI: 10.3402/meo.v21.32405
Open DOI Search in Google Scholar Back to article
Thomas A, Ellaway RH. Rethinking implementation science for health professions education: a manifesto for change. Perspect Med Educ. 2021;10(6):362–368. DOI: 10.1007/s40037-021-00688-3
Open DOI Search in Google Scholar Back to article
Chen AMH, Kleppinger EL, Churchwell MD, Rhoney DH. Examining competency-based education through the lens of implementation science: a scoping review. Am J Pharm Educ. 2024;88:100633. DOI: 10.1016/j.ajpe.2023.100633
Open DOI Search in Google Scholar Back to article
Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50. DOI: 10.1186/1748-5908-4-50
Open DOI Search in Google Scholar Back to article
Kegan R, Lahey LL, Miller ML, Fleming A, Helsing D. An everyone culture: becoming a deliberately developmental organization. Boston (MA): Harvard Business Review Press; 2016.
Search in Google Scholar Back to article
Miller KA, Nagler J, Wolff M, Schumacher DJ, Pusic MV. It takes a village: optimal graduate medical education requires a deliberately developmental organization. Perspect Med Educ. 2023;12(1):282–293. DOI: 10.5334/pme.936
Open DOI Search in Google Scholar Back to article
Thoma B, Caretta-Weyer H, Schumacher DJ, Warm E, Hall AK, Hamstra SJ, et al. Becoming a deliberately developmental organization: using competency-based assessment data for organizational development. Med Teach. 2021;43(7):801–809. DOI: 10.1080/0142159X.2021.1925100
Open DOI Search in Google Scholar Back to article
Goldhamer MEJ, Baker K, Cohen AP, Weinstein DF. Evaluating the evaluators: implementation of a multi-source evaluation program for graduate medical education program directors. J Grad Med Educ. 2016;8(4):592–596. DOI: 10.4300/JGME-D-15-00543.1
Open DOI Search in Google Scholar Back to article
Spadafore M, Yilmaz Y, Rally V, Chan TM, Russell M, Thoma B, Singh S, Monteiro S, Pardhan A, Martin L, Monrad SU, Woods R. Using Natural Language Processing to Evaluate the Quality of Supervisor Narrative Comments in Competency-Based Medical Education. Acad Med. 2024 May 1;99(5):534–540. DOI: 10.1097/ACM.0000000000005634
Open DOI Search in Google Scholar Back to article
R2C2 feedback and coaching resources. Accessed 2026 June 10. Available from: https://medicine.dal.ca/departments/core-units/cpd/faculty-development/R2C2.html.
Search in Google Scholar Back to article
Rhoney DH, Barone MA, Caretta-Weyer H, Edgar L, Schumacher DJ, Young JQ, Ladenheim R, Caverzagie KJ, for the International Competency Based Health Professions Education Collaborators. No Free Lunch in Competency Based Health Professions Education: Exploring Trade-Offs, Value, and Shared Investment in Health Professions Education. Perspectives on Medical Education. 2026; 15(1): 783–798. DOI: 10.5334/pme.2574
Open DOI Search in Google Scholar Back to article

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DOI: https://doi.org/10.5334/pme.2603 | Journal eISSN: 2212-277X

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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.

Volume 15 (2026): Issue 1