Professor Lim Shih Hui
From Building Competencies To Developing Capabilities In Health Profession Education
Date: 23 September 2017, Saturday
Time: 8am – 8.30am
Synopsis: Health profession education has been evolved from the old style of “structure/process” education to a competency-based health profession education (CBHPE). This CBHPE requires four components: (1) identifying the outcomes, e.g. competent clinicians; (2) defining performance levels for each competency; (3) developing a framework for assessing competencies; and (4) continuous evaluation of CBHPE program to see if it is indeed producing the desired outcomes.
Examples of common competency frameworks are the Accreditation Council for Graduate Medical Education (ACGME), American Board of Medical Specialties (ABMS) Outcomes Project and the CanMEDS roles. Each competency framework starts with broad distinguishable areas of competence that, in the aggregate, define the desired outcomes for a clinician.
Within the ACGME framework, there are six core competencies: Patient Care, Medical Knowledge, Interpersonal and Communication Skills, Professionalism, Practice-based Learning and Improvement, and Systems-based Practice. However, being competent in the above six core competencies of their own specialty or subspecialty is not good enough.
With a growing number of people with multiple co-morbidities, an aging population, and increasing patient expectations, clinicians now need to develop more generic professional capabilities (GPCs) on top of achieving competencies in professional knowledge, skills and values. They have to develop other GPCs which include health promotion & illness prevention, patient safety, quality improvement, teamwork, management and leadership, education & training, and evaluation & clinical application of research.
In summary, well designed and structured clinical training programmes will enable us to produce highly competent healthcare professionals who can handle common conditions and certainties. With increasing healthcare need in an aging population, we need to redesign our training programmes to build their capabilities through more holistic clinical education, so that they are better prepared and more capable to handle unexpected conditions and uncertainties.
After graduation from the National University of Singapore, Professor Lim received training in Internal Medicine and Adult Neurology in Singapore. He was a clinical fellow in Epilepsy & Clinical Neurophysiology at the Cleveland Clinic Foundation and obtained his certification of the American Board of Clinical Neurophysiology.
He has been active in medical education since graduation from medical school and has trained many medical students, internal medicine residents, neurology trainees and fellows locally and from overseas the last 30 years.
He was the Founding President, College of Physicians, Singapore and Master, Academy of Medicine. As Master of the Academy, he co-chaired the Joint Committee for Specialist Training of the Specialist Accreditation Board, overseeing the training of 41 specialties and subspecialties in Singapore.
As Group Director for Education in SingHealth, he oversees the training and education of undergraduate and postgraduate health profession education in SingHealth cluster. To further improve clinical education, he re-organized SingHealth Academy and formed College of Allied Health, College of Clinical Dentistry, College of Clinical Medicine, College of Clinical Nursing, College of Healthcare Administration & Leadership, and SingHealth Duke-NUS Institute of Medical Simulation. He is also Co-Director, Academic Medicine Education Institute, which is the main educational entity to develop clinicians into clinician educators.
He has been active in the field of neurology and epilepsy education the last 20 years. He served as President of the ASEAN Neurological Association, Chairman of the Commission on Asian Oceanian Affairs of the International League Against Epilepsy (ILAE) and Chairman of Asian Epilepsy Academy. He initiated an electroencephalogram (EEG) Certification Examination in Asia and has organized numerous neurology, epilepsy and EEG teaching courses, workshops, regional and international conferences.
For his contributions in the field of education, he received the ILAE’s Ambassador for Epilepsy award and the National Outstanding Clinician Educator Award.