Investigating the need and structure for a comprehensive eye care competency framework. Issue 1 (19th December 2022)

• Record Type: Journal Article
• Authors: Yu, Mitasha; Keel, Stuart; Mills, Jody-Anne; Müller, Andreas
• Is Part Of: BMJ open ophthalmology. Volume 7:Issue 1(2022)
• Publication Date: 2022-12-19
• Subjects: Eye (Globe) -- Vision; Ophthalmology -- Periodicals; 617.7005
• DOI: 10.1136/bmjophth-2022-001112
• Languages: English
• ISSNs: 2397-3269

Abstract

Abstract : Objective: The objective of this paper is to establish whether existing eye care competency frameworks (ECCF) are fit for purpose, and set out a comprehensive ECCF that better meets the needs of the eye care workforce and broader population. Methods and analysis: We carried out a two-stage process. The first was to conduct a desk review of existing frameworks and models relevant to eye care competencies. The second was to conduct a broad stakeholder consultation of global eye care experts to affirm the gaps found in the first stage, and to inform the development of a comprehensive ECCF. Results: We reviewed 52 competency frameworks, competency standards and models related to eye care (including 11 from the UK) and found that there were three types of gaps, such as: (1) narrow in focus on specific occupational groups; (2) limitations in the competencies expected from an eye care worker and (3) limitations in regional focus, such that they could not easily be applied in a global context. Having affirmed these gaps during the stakeholder consultation stage, we developed a more comprehensive ECCF structure, which composed of six domains: practice, professionalism, learning and development, management and leadership, community and advocacy, and evidence. This broader structure seeks to address the gaps found in the desk review. Conclusion: The review showed that there was a need to develop a comprehensive ECCF that can be easily contextualised, encapsulate the roles of the diverse eye care workforce, and be a tool for eye care workforce planning and development to meet the needs of a global population.