How to improve the curricula to achieve job competence of the medical practice


Pranjić Nurka, Pranjić Anja and Sanda Kreitmayer


Full Length Research Paper


Department of Public Health, Course of Occupational Health, Medical School University of Tuzla, 75 000 Tuzla, Bosnia and Herzegovina

Postgraduate study student, Faculty of Economics University of Tuzla, 75 000 Tuzla, Bosnia and Herzegovina

Educational Centre of Family Medicine; Tuzla Primary Health Care Home, Albina Herljevića 1, 75 000 Tuzla, Bosnia and Herzegovina



Accepted 15 August, 2016


The main task of the undergraduate medical education program is to educate professionally competent physicians for the needs of the public health care system. The aim of this study was to assess the outcomes of traditional undergraduate curricula in relationship to achieve job competencies in medical practice among students and teaching staff and young physicians who are employed in public health sector; and to determine factors which are important for curricula improvement. The study sample  (case study research design) consisted of 316 participants (122 men and 194, 61% women): 129 young general practice physicians with <5 years of working experience in public health institutions and 187 active participants of teaching process (133 students of higher years (from III to VI study years) of medical graduate curricula +54 teaching staff). We used self- created Questionnaire about competencies, which was concluded 25 core competencies for physician’s occupation. Data analysis was performed using SPSS version 19.0. From 88 to 97% of all participants recognized all of 25 core competencies as important in education. On the other hand the health care management skill was not recognized as important of participants (30-54% answered as necessary). The assessment with linear regression analysis where selected variable was “it is essential to include continued lifelong education”, determined courses to better develop competencies: communication skills, team working, evidence based medicine, management of stress at workplace, health promotion and health management with organization of work. Study results could be used as tool for assessment curricula methods and determination of program improvement methods.

Keywords: curricula, learning outcomes, competencies, outcome- based education, physicians