Navigating challenges in competency-based graduation: accelerating medical training while ensuring rigor and readiness for residency

Key Points

• The aim is to enhance medical training through a competency-based approach that maintains rigor and readiness for residency.
• Implementing a competency-based, time-variable pathway from medical school to residency.
• Utilizing a clinical competency committee to support varied progression based on achieved competencies.
• Preparing for the removal of Step 1 scores as a selection tool and expanding EPA data utilization.
• Improvements in residency readiness and adaptability to new selection methods are observed.
• Enhanced competency tracking through Entrustable Professional Activities aids decision-making.
• Increased interest from various specialties in adopting competency-based graduation models.

Abstract