★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★★Open research. Global perspectives.
Articles OPEN ACCESS

A Strategic Framework for Enhancing Clinical Skills Acquisition and Competency Development Among Students

Haruto Nakamura
Department of Veterinary Medicine and Wildlife Research, Kyoto Institute of Veterinary and Ecological Sciences, Kyoto, Japan
Nimalka Perera
Department of Wildlife Health and Veterinary Sciences, Colombo Institute of Animal and Biodiversity Studies, Colombo, Sri Lanka
tajvswd 2026
VOL. 8 / NO. 10 OCTOBER
VOLUME 8
ISSUE 10
YEAR 2026
PAGES 1-6

Abstract

Clinical skills acquisition is a fundamental component of professional education, particularly in health-related disciplines where competence directly influences service quality, safety, and professional performance. Despite advancements in educational technologies and competency-based curricula, many institutions continue to face challenges in ensuring consistent development of practical competencies among students. This research and review paper proposes a strategic framework for enhancing clinical skills acquisition and competency development through the integration of deliberate practice, simulation-based learning, flipped classroom pedagogy, objective structured clinical examinations (OSCEs), digital learning resources, and collaborative learning communities. Drawing exclusively from existing literature and professional accreditation standards, the study synthesizes contemporary evidence regarding effective clinical skills education. The findings indicate that structured deliberate practice, supported by simulation laboratories and competency-based assessment systems, significantly improves learner confidence, performance, and long-term retention of clinical competencies. Furthermore, digital learning environments and communities of practice facilitate continuous learning and professional engagement. The proposed framework provides educational institutions with a comprehensive model for developing competent graduates capable of meeting contemporary professional standards. The study contributes to educational scholarship by integrating pedagogical, technological, and assessment-oriented strategies into a unified competency development framework.

Keywords

Clinical Skills Education Competency Development Deliberate Practice

Downloads

Download data is not yet available.

References

  1. American Veterinary Medical Association (AVMA). Accreditation policies and procedures of the AVMA Council on Education (COE) [Internet]. Published [2025]. Updated [2025]. Accessed [Aug 6, 2025]. https://www.avma.org/education/center-for-veterinary-accreditation/accreditation-policies-andprocedures-avma-council-education-coe/
  2. Baillie S, Decloedt A, Londgren MF. Designing flipped classrooms to enhance learning in the clinical skills laboratory. J Vet Med Educ. 2022;49(6):699-704.
  3. Baillie S, Dilly M, Ciappesoni JL, Read E. The rapid and international expansion of veterinary clinical skills laboratories: a survey to establish recent developments. J Vet Med Educ. 2024;51(2):215-228.
  4. Braid HR. The use of simulators for teaching practical clinical skills to veterinary students – a review. Altern Lab Anim. 2022;50(3):184-194.
  5. Bristol Veterinary School. Clinical skills instruction booklets [Internet]. Published [2016]. Updated [2025]. Accessed [Aug 6, 2025]. https://www.bristol.ac.uk/vet-school/research/comparative-clinical/veterinary-education/clinical-skills-booklets/
  6. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79(10 Suppl):S70-S81.
  7. European Association of Establishments for Veterinary Education (EAEVE). European System of Evaluation of Veterinary Training (ESEVT): standard operating procedure 2023 [Internet]. EAEVE. Published [2023]. Updated [2023]. Accessed [Aug 6, 2025]. https://www.eaeve.org/fileadmin/downloads/SOP/ESEVT_SOP_2023_adopted_by_the_36th_GA_in_Leipzig_on_8_June_2023.pdf
  8. Hall EJ, Baillie S, Hunt JA, Catterall AJ, Wolfe L, Decloedt A, et al. Practical tips for setting up and running OSCEs. J Vet Med Educ. 2022;50(3):e20220003.
  9. Harden RM. Assess clinical competence-an overview. Med Teach. 1979;1(6):289-296.
  10. Langebæk R, Eika B, Jensen AL, Tanggaard L, Toft N, Berendt M. Anxiety in veterinary surgical students: a quantitative study. J Vet Med Educ. 2012;39(4):331-340.
  11. Paul T, Hoque MA, Dey T, Sutradhar BC, Mannan A, Sarker D, et al. Establishing the most important clinical skills for new graduate veterinarians by comparing published lists with regional stakeholder expectations: a Bangladesh experience. J Vet Med Educ. 2024;51(1):85-94.
  12. Sharp P, Baillie S, Parkes RSV, Janicke H, Kinnison T, Routh J, et al. Setting up and running online communities of practice (CoPs) for veterinary educators. J Vet Med Educ. 2025;52(1):34-40.
  13. University of Veterinary Medicine Hannover. Clinical skills videos [Internet]. Published [2013]. Updated [2025]. Accessed [Aug 6, 2025]. https://www.youtube.com/user/TiHoVideos
  14. Veterinary Clinical Skills + Simulation. Veterinary Clinical Skills + Simulation online community [Internet]. Published [2020]. Updated [2025]. Accessed [Aug 6, 2025]. http://www.clinicalskillsandsimulation.com/
  15. Wood S, Sellers E, Vallis R, Baillie S. Prioritising practical skills for farm animal veterinary graduates using a Delphi technique. Vet Rec. 2023;192(8):e2643.