providing the meta-model of development of competency using the meta-ethnography approach: part 2. synthesis of the available competency development models

background and purpose: consideringbackground and purpose: considering the importance and necessity of competency-based education at a global level and with respect to globalization and the requirement of minimum competencies in medical fields, medical education communities and organizations worldwide have tried to determine the competencies, present frameworks and education models to respond to be sure of the ability of all graduates. in the literature, we observed numerous competency development models that refer to the same issues with different terminologies. it seems that evaluation and synthesis of all these models can finally result in designing a comprehensive meta-model for competency development. methods: meta-ethnography is a useful method for synthesis of qualitative research that is used to develop models that interpret the results in several studies. considering that the aim of this study is to ultimately provide a competency development meta-model, in the previous section of the study, the literature review was conducted to achieve competency development models. models obtained through the search were studied in details, and the key concepts of the models and overarching concepts were extracted in this section, models’ concepts were reciprocally translated and the available competency development models were synthesized. results: a presentation of the competency development meta-model and providing a redefinition of the dreyfus brothers model. conclusions: given the importance of competency-based education at a global level and the need to review curricula and competency-based curriculum design, it is required to provide competency development as well as meta-model to be the basis for curriculum development. as there are a variety of competency development models available, in this study, it was tried to develop the curriculum using them.