BRIDGING THE GAP: ADDRESSING FACULTY SHORTAGES AND CAREER INTEREST IN PHASE I SUBJECTS UNDER THE COMPETENCY-BASED MEDICAL EDUCATION CURRICULUM
DOI:
https://doi.org/10.22159/ajpcr.2025v18i4.53312Keywords:
Competency-based medical education, Phase I subjects, Perceptions, Specialization choice, Medical studentsAbstract
Objectives: Recently introduced competency-based medical education (CBME) curriculum necessitates a heavy presence of ably trained medical educators. Contrarily, Phase I subjects are facing a severe shortage of faculty, piloting a double setback to the system in the form of stress and burnout among faculty along with curtailed implementation of the much-needed CBME curriculum.
Methods: A cross-sectional, observational electronically distributed questionnaire-based study was conducted to analyze the perceptions of undergraduate students as well as doctors toward the importance of Phase I subjects in patient care as well as opting Phase I subjects as their career choice.
Results: A total of 3530 participants were included in the study, which concluded that despite 95% of participants acknowledging the importance of Phase I subjects in medical education and a whopping 90% agreeing to the significance of knowledge of these subjects in future patient care, only a meager 3.1% wanted to pursue the same as a career choice. The main constraints behind not choosing these subjects were a lack of direct patient care and relatively miniscule financial gains. It was also highlighted that only a handful of the participants were aware of future avenues like fellowship in embryology (Anatomy), super-specialty option (Biochemistry), and fellowship in chronomedicine (Physiology) apart from teaching roles post-specialization.
Conclusion: It was suggested that compulsory research hours, integrated teaching, and sensitizing students toward various avenues in Phase I disciplines could cultivate positive attitudes and foster interest in these subjects commanding a complete unified implementation of the much-needed CBME curriculum.
Downloads
References
National Medical Commission. UG Curriculum; 2023. Available from: https://www.nmc.org.in/information-desk/for-colleges/ug-curriculum
Buja LM. Medical education today: All that glitters is not gold. BMC Med Educ. 2019 Apr 16;19(1):110.
Gaur U, Majumder MA, Sa B, Sarkar S, Williams A, Singh K. Challenges and opportunities of preclinical medical education: COVID-19 crisis and beyond. SN Compr Clin Med. 2020;2(12):1992-7.
Deepak S, Dakshayani KR, Manjunath SN. The relevance of the preclinical curriculum during clinical practice: Interns’ perspective in a government medical college. Int J Anat Res. 2017;5(1):3379-83.
Singh A, Alberti H. Why UK medical students change career preferences: An interview study. Perspect Med Educ. 2021 Jan;10(1):41-9.
Bland CJ, Meurer LN, Maldonado G. Determinants of primary care specialty choice: A non-statistical meta-analysis of the literature. Acad Med. 1995;70(7):620-41.
Yathish TR, Sudarshan CR, Sudhanva S. Perceptions of medical students and physicians about the role and scope of physiology. Natl J Physiol Pharm Pharmacol. 2020 May 31;10(6):464-7.
Kumar A, Mitra K, Nagarajan S, Poudel B. Factors influencing medical students’ choice of future specialization in medical sciences: A cross-sectional questionnaire survey from medical schools in China, Malaysia, and regions of South Asian association for regional cooperation. North Am J Med Sci. 2014 Mar;6(3):119-25.
Yamazaki Y, Uka T, Shimizu H, Miyahira A, Sakai T, Marui E. Japanese medical students’ interest in basic sciences: A questionnaire survey of a medical school in Japan. Tohoku J Exp Med. 2013;229(2):129-36.
Steffes CP, Dulchavsky SA. Basic science curriculum during residency: Justification based on in-training examination scores. Adv Physiol. 1994 Dec;267(6):S109-12.
Javed K, Anwar K, Aamir F. Perception and interest of medical students regarding basic medical science subjects. Cell. 2016 Jul 1;322:8400970.
Rose JC. Who will teach the basic medical sciences? A study of British physiology departments reveals critical staffing problems and concern for the future. Science. 1974 Sep 20;185(4156):1022-7.
Olson DP, Oatts JT, Fields BG, Huot SJ. The residency application abyss: Insights and advice. Yale J Biol Med. 2011 Sep;84(3):195-202.
Patel MS, Katz JT, Volpp KG. Match rates into higher-income, controllable lifestyle specialties for students from highly ranked, research-based medical schools compared with other applicants. J Grad Med Educ. 2010 Sep 1;2(3):360-5.
Borgaonkar K, Patil R. Comparison of case-based learning and traditional teaching to evaluate learning and academic outcome of first-year MBBS students in biochemistry curriculum. Asian J Pharm Clin Res. 2024;17(6):62-5.
Jain V. Book review self-directed learning for medical students. Asian J Pharm Clin Res 2024 Jul 7;17(7):1-2.
National Testing Agency. NEET SS Prospectus; 2023. Available from: https://natboard.edu.in/ viewupload?xyz=aznhwml5vkvlec9zdlqzv3lnawm3zz09
Published
How to Cite
Issue
Section
Copyright (c) 2025 Dr. Lohitha Polisetty, Dr. Aleti Manohari Lakshmi, Dr. Kiranmayi Pentakota, Dr. Smriti Sinha

This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.