Didactic innovation based on competencies in experimental sciences for health training: scope review
Keywords:
didactic innovation, health education, competency-based approach, active methodologies, simulation; ICT, inclusion, UDLAbstract
The teaching of experimental sciences in health sciences programs is shaped by technological transformations, patient safety requirements, and expectations of professional performance. This has driven the adoption of competency-based curricula and active methodologies in medicine, nursing, and related fields. A scoping review of literature indexed in Scopus (2018–2022) was conducted, complemented by key sources on ICT integration, problem- and project-based learning, simulation, gamification, transversal competencies, and inclusive approaches (Universal Design for Learning, UDL). The review considered both empirical studies and literature reviews focused on laboratory settings and basic/biomedical courses within health education. Findings suggest that problem- and case-based learning, collaborative work with programmatic assessment, and simulation—including virtual reality—enhance clinical reasoning, decision-making, and self-regulated learning. The integration of ICT and virtual environments provides flexibility and pedagogical continuity; however, its effectiveness depends on faculty training and institutional infrastructure. Gamification is associated with increased motivation and engagement when aligned with learning outcomes and assessment strategies. Gaps remain in the evaluation of transversal competencies, as well as in accessibility and inclusion through universal design.
Downloads
References
Acosta, D. R. . (2024). Leadership in education: impact on management and decision making. Part 1. Seminars in Medical Writing and Education, 3, 630. https://doi.org/10.56294/mw2024630 https://doi.org/10.56294/mw2024630
Aguilar Tinoco, R. J., Carvallo Lobato, M. F., Román Camacho, D. E., Liberio Anzules, A. M., Hernández Centeno, J. A., Duran Fajardo, T. B., & Bernal Parraga, A. P. (2024). El impacto del Diseño Universal para el Aprendizaje (DUA) en la enseñanza de ciencias naturales: Un enfoque inclusivo y personalizado. Ciencia Latina Revista Científica Multidisciplinar, 8(5), 2162–2178. https://doi.org/10.37811/cl_rcm.v8i5.13682
Alsawaier, R. S. (2018). The effect of gamification on motivation and engagement. The International Journal of Information and Learning Technology, 35(1), 56–79. https://doi.org/10.1108/IJILT-02-2017-0009
Bell, S. (2010). Project-based learning for the 21st century: Skills for the future. The Clearing House: A Journal of Educational Strategies, Issues and Ideas, 83(2), 39–43. https://doi.org/10.1080/00098650903505415
Chuenjitwongsa, S., Oliver, R. G., & Bullock, A. D. (2018). Competence, competency‐based education, and undergraduate dental education: A discussion paper. European Journal of Dental Education, 22(1), 1–8. https://doi.org/10.1111/eje.12213
Crescenzi, L., Valente, R., & Suarez, R. (2019). Safe and inclusive educational apps: Digital protection from an ethical and critical perspective. Comunicar, 27(61), 88–97. https://doi.org/10.3916/C61-2019-08
Dankner, R., Gabbay, U., Leibovici, L., Sadeh, M., & Sadetzki, S. (2018). Implementation of a competency-based medical education approach in public health and epidemiology training of medical students. Israel Journal of Health Policy Research, 7(1), 13. https://doi.org/10.1186/s13584-017-0194-8
Ertmer, P. A., & Ottenbreit-Leftwich, A. T. (2010). Teacher technology change: How knowledge, confidence, beliefs, and culture intersect. Journal of Research on Technology in Education, 42(3), 255–284. https://doi.org/10.1080/15391523.2010.10782551
George, R., Utunen, H., Ndiaye, N., Tokar, A., Mattar, L., Piroux, C., et al. (2022). Ensuring equity in access to online courses: Perspectives from the WHO health emergency learning response. World Medical & Health Policy, 14(2), 413–427. https://doi.org/10.1002/wmh3.492
Hillmayr, D., Ziernwald, L., Reinhold, F., Hofer, S., & Reiss, K. (2020). The potential of digital tools to enhance mathematics and science learning in secondary schools: A context-specific meta-analysis. Computers & Education, 153, 103897. https://doi.org/10.1016/j.compedu.2020.103897
Hmelo-Silver, C. E., Duncan, R. G., & Chinn, C. A. (2007). Scaffolding and achievement in problem-based and inquiry learning: A response to Kirschner, Sweller, and Clark (2006). Educational Psychologist, 42(2), 99–107. https://doi.org/10.1080/00461520701263368
Jalali, A., Jeong, D., & Sutherland, S. (2020). Implementing a competency-based approach to anatomy teaching: Beginning with the end in mind. Journal of Medical Education and Curricular Development, 7, 2382120520907899. https://doi.org/10.1177/2382120520907899
James, M., Baptista, A. M. T., Barnabas, D., Sadza, A., Smith, S., Usmani, O., et al. (2022). Collaborative case-based learning with programmatic team-based assessment: A novel methodology for developing advanced skills in early-years medical students. BMC Medical Education, 22(1), 81. https://doi.org/10.1186/s12909-022-03111-5
Keiler, L. S. (2018). Teachers’ roles and identities in student-centered classrooms. International Journal of STEM Education, 5(1), 34. https://doi.org/10.1186/s40594-018-0131-6
Lawrence, J. E., & Tar, U. A. (2018). Factors that influence teachers’ adoption and integration of ICT in teaching/learning process. Educational Media International, 55(1), 79–105. https://doi.org/10.1080/09523987.2018.1439712
Le, V. T., Nguyen, N. H., Tran, T. L. N., Nguyen, L. T., Nguyen, T. A., & Nguyen, M. T. (2022). The interaction patterns of pandemic-initiated online teaching: How teachers adapted. System, 105, 102755. https://doi.org/10.1016/j.system.2022.102755
Lomis, K. D., Mejicano, G. C., Caverzagie, K. J., Monrad, S. U., Pusic, M., & Hauer, K. E. (2021). The critical role of infrastructure and organizational culture in implementing competency-based education and individualized pathways in undergraduate medical education. Medical Teacher, 43(sup2), S7–S16. https://doi.org/10.1080/0142159X.2021.1924364
McGrath, J. L., Taekman, J. M., Dev, P., Danforth, D. R., Mohan, D., Kman, N., et al. (2018). Using virtual reality simulation environments to assess competence for emergency medicine learners. Academic Emergency Medicine, 25(2), 186–195. https://doi.org/10.1111/acem.13308
Miller, E. C., & Krajcik, J. S. (2019). Promoting deep learning through project-based learning: A design problem. Disciplinary and Interdisciplinary Science Education Research, 1(1), 1–10. https://doi.org/10.1186/s43031-019-0009-6
Mishra, P., & Koehler, M. J. (2006). Technological pedagogical content knowledge: A framework for teacher knowledge. Teachers College Record, 108(6), 1017–1054. https://doi.org/10.1111/j.1467-9620.2006.00684.x
Mishra, L., Gupta, T., & Shree, A. (2020). Online teaching-learning in higher education during lockdown period of COVID-19 pandemic. International Journal of Educational Research Open, 1, 100012. https://doi.org/10.1016/j.ijedro.2020.100012
Pittman, J., Severino, L., DeCarlo, M., & Kiosoglous, C. (2020). An action research case study: Digital equity and educational inclusion during an emergent COVID-19 divide. Journal for Multicultural Education, 15(1), 68–84. https://doi.org/10.1108/JME-09-2020-0099
Quintero, J., Baldiris, S., Rubira, R., Cerón, J., & Velez, G. (2019). Augmented reality in educational inclusion: A systematic review on the last decade. Frontiers in Psychology, 10, 1835. https://doi.org/10.3389/fpsyg.2019.01835
Rao, K. (2021). Inclusive instructional design: Applying UDL to online learning. The Journal of Applied Instructional Design, 10(1). https://doi.org/10.51869/101/kr
Ryan, M. S., Holmboe, E. S., & Chandra, S. (2022). Competency-based medical education: Considering its past, present, and a post–COVID-19 era. Academic Medicine, 97(3S), S90–S97. https://doi.org/10.1097/ACM.0000000000004535
Sala, I., Simon, J., MacIà, M., & Alomar, E. (2020). Digital tools for a UDL-based evaluation. Aloma, 38(2), 89–102. https://doi.org/10.51698/aloma.2020.38.2.89-102
Scherer, R., Howard, S. K., Tondeur, J., & Siddiq, F. (2021). Profiling teachers’ readiness for online teaching and learning in higher education: Who’s ready? Computers in Human Behavior, 118, 106675. https://doi.org/10.1016/j.chb.2020.106675
So, H. Y., Chen, P. P., Wong, G. K. C., & Chan, T. T. N. (2019). Simulation in medical education. Journal of the Royal College of Physicians of Edinburgh, 49(1), 52–57. https://doi.org/10.4997/jrcpe.2019.112
Sistermans, I. J. (2020). Integrating competency-based education with a case-based or problem-based learning approach in online health sciences. Asia Pacific Education Review, 21(4), 683–696. https://doi.org/10.1007/s12564-020-09658-6
UNESCO. (2021). Las TIC en la educación. UNESCO.
Valverde, J., Fernández, R., Revuelta, F., & Sosa, M. (2021). The educational integration of digital technologies preCovid-19: Lessons for teacher education. PLOS ONE, 16(8), e0256283. https://doi.org/10.1371/journal.pone.0256283
Vitchenko, A., Vitchenko, A., Zamotaieva, N., Khrystiuk, S., & Nikolayenko, V. (2022). Designing integral learning outcomes in higher education within the frameworks of the competency-based approach. Journal of Higher Education Theory and Practice, 22(6). https://doi.org/10.33423/jhetp.v22i6.5223
Wentzell, D. D., Chung, H., Hanson, C., & Gooi, P. (2020). Competency-based medical education in ophthalmology residency training: A review. Canadian Journal of Ophthalmology, 55(1), 12–19. https://doi.org/10.1016/j.jcjo.2019.07.004
Wu, Q., Wang, Y., Lu, L., Chen, Y., Long, H., & Wang, J. (2022). Virtual simulation in undergraduate medical education: A scoping review of recent practice. Frontiers in Medicine, 9, 855403. https://doi.org/10.3389/fmed.2022.855403
Zainuddin, Z., Chu, S. K. W., Shujahat, M., & Perera, C. J. (2020). The impact of gamification on learning and instruction: A systematic review of empirical evidence. Educational Research Review, 30, 100326. https://doi.org/10.1016/j.edurev.2020.100326
Zhao, Y., Pugh, K., Sheldon, S., & Byers, J. L. (2002). Conditions for classroom technology innovations. Teachers College Record, 104(3), 482–515. https://doi.org/10.1111/1467-9620.00170
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ronald Yesid Palencia Buelvas, Yanet Domínguez Albear (Autor/a)

This work is licensed under a Creative Commons Attribution 4.0 International License.
- Los autores/as conservan los derechos de autor y ceden a la revista el derecho de la primera publicación, con el trabajo registrado con la licencia de atribución de Creative Commons 4.0, que permite a terceros utilizar lo publicado siempre que mencionen la autoría del trabajo y a la primera publicación en esta revista.
- Los autores/as pueden realizar otros acuerdos contractuales independientes y adicionales para la distribución no exclusiva de la versión del artículo publicado en esta revista (p. ej., incluirlo en un repositorio institucional o publicarlo en un libro) siempre que indiquen claramente que el trabajo se publicó por primera vez en esta revista.
- Se permite y recomienda a los autores/as a compartir su trabajo en línea (por ejemplo: en repositorios institucionales o páginas web personales) antes y durante el proceso de envío del manuscrito, ya que puede conducir a intercambios productivos, a una mayor y más rápida citación del trabajo publicado.