Learning, teaching and assessment in health professional education and scholarship in the next 50 years

Authors

  • Chinthaka Balasooriya UNSW Sydney, Australia https://orcid.org/0000-0003-3591-5334
  • Dr Kayley Lyons The University of Melbourne, Australia
  • Michael Tran UNSW Sydney, Australia
  • Nalini Pather The University of Queensland, Australia
  • Anna Chur-Hansen The University of Adelaide, Australia
  • Carole Steketee Curtin University, Australia

DOI:

https://doi.org/10.11157/fohpe.v25i2.785

Keywords:

future of health professional education, atificial intelligence in education, pedagogical responses to technology, future-focused competencies, authentic assessment, educational scholarship, interprofessional education

Abstract

This paper explores how health professional education and scholarship is likely to evolve over the next 50 years. Recognising the ambitious nature of this goal, we have adopted an approach of “looking back to predict the future”, drawing on past trends and lessons learnt to offer some predictions and recommendations. In doing so, we are mindful that recent advances in technology, especially related to generative artificial intelligence (AI), have added a further layer of complexity. The rapid rate of maturation of these technologies and the accompanying array of AI-based software solutions suggest that the educational landscape is likely to change dramatically—and continuously—over the foreseeable future. Within this context, it may seem premature to predict the future or make recommendations. However, in this paper we argue that urgent action is needed by educators to engage with the evolving landscape and to proactively develop models to harness the full potential of emerging technologies. Six themes are addressed, including: 1) the evolving role of educators and education providers, 2) innovative educational models and ethical frameworks, 3) future-focused competencies, 4) authentic assessment, 5) interprofessional education and 6) educational scholarship. This paper proposes a set of recommendations with the intention of stimulating critical discourse that can potentially lead to ongoing exploration of relevant issues.

References

Anton-Solanas, I., Rodriguez-Roca, B., Vanceulebroeck, V., Komurcu, N., Kalkan, I., Tambo-Lizalde, E., Huercanos-Esparza, I., Casa Nova, A., Hamam-Alcober, N., Coelho, M., Coelho, T., Van Gils, Y., Oz, S. D., Kavala, A., & Subiron-Valera, A. B. (2022). Qualified nurses' perceptions of cultural competence and experiences of caring for culturally diverse patients: A qualitative study in four European countries. Nursing Reports, 12(2), 348–364. https://doi.org/10.3390/nursrep12020034

Australian Digital Health Agency. (2020). Safe, seamless and secure: Evolving health and care to meet the needs of modern Australia. https://www.digitalhealth.gov.au/sites/default/files/2020-11/Australia%27s%20National%20Digital%20Health%20Strategy%20-%20Safe%2C%20seamless%20and%20secure.pdf

Australian Medical Council. (2023). Standards for assessment and accreditation of primary medical programs. https://www.amc.org.au/wp-content/uploads/2023/12/Mapping-Standards-for-Primary-Medical-Programs-2012-and-2023-FINAL.pdf

Betancourt, J. R. (2006). Cultural competence and medical education: Many names, many perspectives, one goal. Academic Medicine, 81(6), 499–501. https://doi.org/10.1097/01.ACM.0000225211.77088.cb

Bogossian, F., & Craven, D. (2021). A review of the requirements for interprofessional education and interprofessional collaboration in accreditation and practice standards for health professionals in Australia. Journal of Interprofessional Care, 35(5), 691–700. https://doi.org/10.1080/13561820.2020.1808601

Boud, D. (1995). Assessment and learning: Contradictory or complementary. In P. Knight (Ed.), Assessment for learning in higher education (pp. 35–48). Kogan.

Bramley, A. L., & McKenna, L. (2021). Entrustable professional activities in entry-level health professional education: A scoping review. Medical Education, 55(9), 1011–1032. https://doi.org/10.1111/medu.14539

Caverzagie, K. J., Goldenberg, M. G., & Hall, J. M. (2019). Psychology and learning: The role of the clinical learning environment. Medical Teacher, 41(4), 375–379. https://doi.org/10.1080/0142159X.2019.1567910

Cronbach, L. J., & Meehl, P. E. (1955). Construct validity in psychological tests. Psychological Bulletin, 52(4), 281–302. https://doi.org/10.1037/h0040957

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S. J., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal for Equity in Health, 18, Article 174. https://doi.org/10.1186/s12939-019-1082-3

Duval, J. F., Opas, L. M., Nasca, T. J., Johnson, P. F., & Weiss, K. B. (2017). Report of the SI2025 Task Force. Journal of Graduate Medical Education, 9(Suppl. 6), 11–57. https://doi.org/10.4300/1949-8349.9.6s.11

Elsevier Health. (2023). Clinician of the future 2023: Elevating global voices in healthcare. https://www.elsevier.com/clinician-of-the-future

Emanuel, E. J. (2020). The inevitable reimagining of medical education. JAMA, 323(12), 1127–1128. https://doi.org/10.1001/jama.2020.1227

Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136. https://doi.org/10.1126/science.847460

Epstein, R. M., & Hundert, E. M. (2002). Defining and assessing professional competence. JAMA, 287(2), 226–235. https://doi.org/10.1001/jama.287.2.226

Fraher, E., & Brandt, B. (2019). Toward a system where workforce planning and interprofessional practice and education are designed around patients and populations not professions. Journal of Interprofessional Care, 33(4), 389–397. https://doi.org/10.1080/13561820.2018.1564252

Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013

Garivaldis, F. J., McKenzie, S. P., & Mundy, M. (2020). E-learning: Development of a fully online 4th year psychology program. In D. Nestel, G. Reedy, L. McKenna, & S. Gough (Eds.), Clinical education for the health professions (pp. 1–18). Springer. https://doi.org/10.1007/978-981-13-6106-7_56-1

Gingerich, A., Ramlo, S. E., van der Vleuten, C. P. M., Eva, K. W., & Regehr, G. (2017). Inter-rater variability as mutual disagreement: Identifying raters' divergent points of view. Advances in Health Sciences Education: Theory and Practice, 22(4), 819–838. https://doi.org/10.1007/s10459-016-9711-8

Hall Dykgraaf, S., Desborough, J., de Toca, L., Davis, S., Roberts, L., Munindradasa, A., McMillan, A., Kelly, P., & Kidd, M. (2021). "A decade's worth of work in a matter of days": The journey to telehealth for the whole population in Australia. International Journal of Medical Informatics, 151, Article 104483. https://doi.org/10.1016/j.ijmedinf.2021.104483

Kane, M. T. (2006). Validation. In R. L. Brennan (Ed.), Educational measurement (4th ed., pp. 17–64). American Council on Education/Praeger.

Kent, F., Martin, N., & Keating, J. L. (2016). Interprofessional student-led clinics: An innovative approach to the support of older people in the community. Journal of Interprofessional Care, 30(1), 123–128. https://doi.org/10.3109/13561820.2015.1070133

Khan, R., Jawaid, M., Khan, A., & Sajjad, M. (2023). ChatGPT: Reshaping medical education and clinical management. Pakistan Journal of Medical Science, 39(2), 605–607. https://doi.org/10.12669/pjms.39.2.7653

Lattouf, O. M. (2022). Impact of digital transformation on the future of medical education and practice. Journal of Cardiac Surgery, 37(9), 2799–2808. https://doi.org/10.1111/jocs.16642

Loh, E. (2023). ChatGPT and generative AI chatbots: Challenges and opportunities for science, medicine and medical leaders. BMJ Leader, 8(1), 51–54. https://doi.org/10.1136/leader-2023-000797

Malau-Aduli, B. S., Hays, R. B., D'Souza, K., Saad, S. L., Rienits, H., Celenza, A., & Murphy, R. (2023). Twelve tips for improving the quality of assessor judgements in senior medical student clinical assessments. Medical Teacher, 45(11), 1228–1232. https://doi.org/10.1080/0142159X.2023.2216364

Mallin, M., Schlein, S., Doctor, S., Stroud, S., Dawson, M., & Fix, M. (2014). A survey of the current utilization of asynchronous education among emergency medicine residents in the United States. Academic Medicine, 89(4), 598–601. https://doi.org/10.1097/ACM.0000000000000170

Masters, K. (2019). Artificial intelligence in medical education. Medical Teacher, 41(9), 976–980. https://doi.org/10.1080/0142159X.2019.1595557

Masters, K. (2023). Ethical use of artificial intelligence in health professions education: AMEE Guide No. 158. Medical Teacher, 45(6), 574–584. https://doi.org/10.1080/0142159X.2023.2186203

Mattick, J. S., Dziadek, M. A., Terrill, B. N., Kaplan, W., Spigelman, A. D., Bowling, F. G., & Dinger, M. E. (2014). The impact of genomics on the future of medicine and health. Medical Journal of Australia, 201(1), 17–20. https://doi.org/10.5694/mja13.10920

McCoy, L. G., Nagaraj, S., Morgado, F., Harish, V., Das, S., & Celi, L. A. (2020). What do medical students actually need to know about artificial intelligence? NPJ Digitital Medicine, 3, Article 86. https://doi.org/10.1038/s41746-020-0294-7

Minter, D. J., Geha, R., Manesh, R., & Dhaliwal, G. (2021). The future comes early for medical educators. Journal of General Internal Medicine, 36(5), 1400–1403. https://doi.org/10.1007/s11606-020-06128-y

National Association of School Nurses. (2020). Framework for 21st century school nursing practice: Clarifications and updated definitions. NASN School Nurse, 35(4), 225–233. https://doi.org/10.1177/1942602X20928372

Nia, N. G., Kaplanoglu, E., & Nasab, A. (2023). Evaluation of artificial intelligence techniques in disease diagnosis and prediction. Discover Artificial Intelligence, 3(1), Article 5. https://doi.org/10.1007/s44163-023-00049-5

Nordquist, J., Hall, J., Caverzagie, K., Snell, L., Chan, M. K., Thoma, B., Razack, S., & Philibert, I. (2019). The clinical learning environment. Medical Teacher, 41(4), 366–372. https://doi.org/10.1080/0142159X.2019.1566601

O'Keefe, M., Forman, D., Moran, M., & Steketee, C. (2020). Governance options for effective interprofessional education: Exposing the gap between education and healthcare services. Medical Teacher, 42(10), 1148–1153. https://doi.org/10.1080/0142159X.2020.1795096

O'Shea, R., Ma, A. S., Jamieson, R. V., & Rankin, N. M. (2022). Precision medicine in Australia: Now is the time to get it right. Medical Journal of Australia, 217(11), 559–563. https://doi.org/10.5694/mja2.51777

Pratschke, M. (2023). Generativism: The new hybrid. https://doi.org/10.48550/arXiv.2309.12468

Rameka, L. (2016). Kia whakatōmuri te haere whakamua: “I walk backwards into the future with my eyes fixed on my past”. Contemporary Issues in Early Childhood, 17(4), 387–398. https://doi.org/10.1177/1463949116677923

Rigby, M. J. (2019). Ethical dimensions of using artificial intelligence in health care. AMA Journal of Ethics, 21(2), E121–124. https://doi.org/10.1001/amajethics.2019.121

Ryan, A., O'Mara, D., & Tweed, M. (2023). Evolution or revolution to programmatic assessment: Considering unintended consequences of assessment change. Focus on Health Professional Education, 24(2), 185–195. https://doi.org/10.11157/fohpe.v24i2.703

Scholz, B. (2022). We have to set the bar higher: Towards consumer leadership, beyond engagement or involvement. Australian Health Review, 46(4), 509–512. https://doi.org/10.1071/AH22022

Schroder, C., Medves, J., Paterson, M., Byrnes, V., Chapman, C., O'Riordan, A., Pichora, D., & Kelly, C. (2011). Development and pilot testing of the collaborative practice assessment tool. Journal of Interprofessional Care, 25(3), 189–195. https://doi.org/10.3109/13561820.2010.532620

Schuwirth, L. W. T., & van der Vleuten, C. P. M. (2020). A history of assessment in medical education. Advances in Health Science Education Theory and Practice, 25(5), 1045–1056. https://doi.org/10.1007/s10459-020-10003-0

Shirky, C. (2010). Cognitive surplus: Creativity and generosity in a connected age. Penguin.

Shorey, S., Lau, T. C., Lau, S. T., & Ang, E. (2019). Entrustable professional activities in health care education: A scoping review. Medical Education, 53(8), 766–777. https://doi.org/10.1111/medu.13879

Simpson, D., Marcdante, K., Souza, K. H., Anderson, A., & Holmboe, E. (2018). Job roles of the 2025 medical educator. Journal of Graduate Medical Education, 10(3), 243–246. https://doi.org/10.4300/JGME-D-18-00253.1

Sklar, D. P. (2019). Looking ahead: Futures planning for medical education. Academic Medicine, 94(10), 1401–1403. https://doi.org/10.1097/ACM.0000000000002861

Skochelak, S. E. (2010). A decade of reports calling for change in medical education: What do they say? Academic Medicine, 85(9), S26–S33. https://doi.org/10.1097/ACM.0b013e3181f1323f

Sorensen, C., Campbell, H., Depoux, A., Finkel, M., Gilden, R., Hadley, K., Haine, D., Mantilla, G., McDermott-Levy, R., Potter, T. M., Sack, T. L., Tun, S., & Wellbery, C. (2023). Core competencies to prepare health professionals to respond to the climate crisis. PLOS Climate, 2(6), Article e0000230. https://doi.org/10.1371/journal.pclm.0000230

Ten Cate, O. (2013). Nuts and bolts of entrustable professional activities. Journal of Graduate Medical Education, 5(1), 157–158. https://doi.org/10.4300/JGME-D-12-00380.1

Thibault, G. E. (2020). The future of health professions education: Emerging trends in the United States. FASEB Bioadvances, 2(12), 685–694. https://doi.org/10.1096/fba.2020-00061

Thistlethwaite, J., & Xyrichis, A. (2022). Forecasting interprofessional education and collaborative practice: Towards a dystopian or utopian future? Journal of Interprofessional Care, 36(2), 165–167. https://doi.org/10.1080/13561820.2022.2056696

Thistlethwaite, J. E., Bartle, E., Chong, A. A., Dick, M. L., King, D., Mahoney, S., Papinczak, T., & Tucker, G. (2013). A review of longitudinal community and hospital placements in medical education: BEME Guide No. 26. Medical Teacher, 35(8), e1340–e1364. https://doi.org/10.3109/0142159X.2013.806981

Thistlethwaite, J. E., Forman, D., Matthews, L. R., Rogers, G. D., Steketee, C., & Yassine, T. (2014). Competencies and frameworks in interprofessional education: A comparative analysis. Academic Medicine, 89(6), 869–875. https://doi.org/10.1097/ACM.0000000000000249

Topol, E. (2019). The Topol review: Preparing the healthcare workforce to deliver the digital future. National Health Service. https://topol.hee.nhs.uk/

van der Veen, S., Evans, N., Huisman, M., Welch Saleeby, P., & Widdershoven, G. (2023). Toward a paradigm shift in healthcare: Using the international classification of functioning, disability and health (ICF) and the capability approach (CA) jointly in theory and practice. Disability and Rehabilitation, 45(14), 2382–2389. https://doi.org/10.1080/09638288.2022.2089737

Wellbery, C., Sheffield, P., Timmireddy, K., Sarfaty, M., Teherani, A., & Fallar, R. (2018). It's time for medical schools to introduce climate change into their curricula. Academic Medicine, 93(12), 1774–1777. https://doi.org/10.1097/ACM.0000000000002368

Wilson, G., Windner, Z., Bidwell, S., Currie, O., Dowell, A., Halim, A. A., Toop, L., Savage, R., Ranaweera, U., Beadel, H., & Hudson, B. (2021). “Here to stay”: Changes to prescribing medication in general practice during the COVID-19 pandemic in New Zealand. Journal of Primary Health Care, 13(3), 222–230. https://doi.org/10.1071/HC21035

World Health Organization (WHO). (2021). Global strategy on digital health 2020–2025. https://www.who.int/publications/i/item/9789240020924

World Health Organisation Regional Office for Europe. (2016). Integrated care models: An overview. https://who-sandbox.squiz.cloud/en/health-topics/Health-systems/health-services-delivery/publications/2016/integrated-care-models-an-overview-2016

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Published

2024-06-28

How to Cite

Balasooriya, C., Lyons, K., Tran, M., Pather, N., Chur-Hansen, A., & Steketee, C. (2024). Learning, teaching and assessment in health professional education and scholarship in the next 50 years. Focus on Health Professional Education: A Multi-Professional Journal, 25(2), 110–129. https://doi.org/10.11157/fohpe.v25i2.785

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ANZAHPE 50th Anniversary Collection