Perceptions and implementation gaps of elective modules under the CBME curriculum: a cross-sectional study among faculty and students

Nandini T.; Farah Naaz Fathima; Sushma P.

doi:10.18203/2319-2003.ijbcp20263773

Authors

Nandini T. Department of Pharmacology, Sri Siddhartha Medical College and Hospital, Tumkur, Karnataka, India
Farah Naaz Fathima Department of Community Health, St John’s Medical College, Bangalore, Karnataka, India
Sushma P. Department of Pharmacology, Sri Siddhartha Medical College and Hospital, Tumkur, Karnataka, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20263773

Keywords:

Competency-based medical education, Electives, Faculty perception, Student Learning

Abstract

Background: Electives are student-centered learning components within the competency-based medical education (CBME) curriculum, designed to enhance clinical competence, professional development and self-directed learning. Although well-established globally, electives are relatively new in the Indian medical education context. This study aimed to assess faculty and student knowledge, perceptions and experiences regarding elective rotations to identify implementation gaps and optimize their integration with evolving educational needs.

Methods: A cross-sectional observational study was conducted at a tertiary care teaching hospital in Tumkur, Karnataka, involving 165 Phase III Part II MBBS students and 60 faculty members. After Institutional Ethics Committee approval, data were collected using a pre-validated online questionnaire. Responses were analyzed using Microsoft Excel and JASP software.

Results: Faculty awareness of electives was high, with 100% awareness among preclinical/para-clinical faculty and 93.3% among clinical faculty. However, discrepancies were observed regarding scheduling, duration and compulsory block requirements. Student engagement was high, with 99.4% maintaining ≥75% attendance, 97.6% receiving preceptor guidance and 98.8% understanding learning objectives. Post-elective Likert scores exceeded 4.2 across all assessed domains including active participation (4.47), professional development (4.40), supervision (4.39) and perceived program benefit (4.40).

Conclusions: Electives were positively perceived by faculty and students and demonstrated potential to enhance professional development, clinical preparedness, active participation and reflective learning. Improved communication, structured faculty orientation, adequate resources and periodic program review in accordance with evolving NMC guidelines may facilitate uniform and effective integration of electives within the CBME framework.

References

Kurien M, Thomas K. Competency based medical education (CBME) in India: Clinicians’ multifaceted challenges. Indian J Otolaryngol Head Neck Surg. 2024;76(4):3730–4.

Thomas NE, Bahuleyan B, Shilpa AV, Babu R, Davis A, Archana S. Designing, Implementation and Assessment of Effectiveness of Physiology Electives in CBME Curriculum.GAIMS J Med Sci 2024;4(1):145-51.

Mathur M, Mathur N, Verma A, Kaur M, Patyal A. Electives in Indian medical education: An opportunity to seize. Adesh Univer J Med Sci Res. 2023;4(2):53-5.

Ramalho AR, Vieira-Marques PM, Magalhães-Alves C, Severo M, Ferreira MA, Falcão-Pires I. Electives in the medical curriculum - an opportunity to achieve students’ satisfaction. BMC Med Educ. 2020;20(1):449.

Mahajan R, Gupta K. Periodically modified regulatory reforms for implementation of competency-driven undergraduate medical curriculum in India: a comparative analysis. Int J Appl Basic Med Res. 2024;14(2):71.

Shrivastava SR, Shrivastava PS. Introducing electives in the undergraduate medical training period: Points to ponder. J Sci Soc. 2021;48(1):52–3.

Sampangiramaiah S, Shettian AD, Bhat NM, Tekkunje NG, Martis M, Shetty K, et al. Implementation of electives in emergency medicine for medical undergraduates and evaluation of its effectiveness. Indian J Crit Care Med. 2024;28(12):1112–7.

Poorey K, Manzoor A, Mittal S, Tiwari M. Evaluating Institutional Electives - Insights from stakeholders. Research Square. 2024.

Suneja S, Khanna G, Kapoor R. Programme evaluation of Electives in the new CBME curriculum in Indian Medical Education. Med Sci Educ. 2025;35(3):1385–92.

Priyanka S, Vasundara K, Shubha R, Chethan B, Kumar R. Electives implementation in competency-based medical education: Perspective of final year medical undergraduate students in a tertiary care hospital. Indian J Physiol Pharmacol. 2025;10(1):1–6.

Pande BS, Patel S, Patil AJ, Deshpande SR, Patel AR, Shaikh MU. Evaluation of the influence of elective postings in accordance with the competency-based undergraduate medical education pattern on the development of research abilities in students. Asian J Med Sci. 2024;15(7):108–13.

Kar SK, Singh A. Research elective under CBME: A teacher’s perspective reflections on research elective under CBME. Indian J Psychol Med. 2024;46(5):499–500.

Sulena S, Kulkarni A, Mathur M, Jyoti N, Sidhu TK, Badyal D, et al. Challenges in implementing competency-based Medical Education in India - stakeholders’ perspective: A mixed-method analysis. Int J Appl Basic Med Res. 2024;14(4):225–32.

Inamdar P, Inamdar DP, Anuradha B, Undi M. Elective module in undergraduate medical curriculum: Implementation and its perception. J Curriculum Dev. 2025;4(1):287–302.

Ramanathan R, Shanmugam J, Gopalakrishnan SM, Palanisamy KT, Narayanan S. Challenges in the implementation of competency-based medical curriculum: Perspectives of prospective academicians. Cureus. 2022;14(12):32838.

Gopalakrishnan S, Catherine AP, Kandasamy S, Ganesan H. Challenges and opportunities in the implementation of competency-based medical education. A cross-sectional survey among medical faculty in India. J Educ Health Promot. 2022;11(1):206.