In the current competitive and globalized economy, employers and professional organizations call for higher education institutions to deliver graduates with relevant competencies and skills. In response, a growing number of higher educational institutions is introducing competency-based education. This is particularly true for health science programs, which have a tradition of applying a case-based or problem-based learning approach. The effort to merge a problem- or case-based online learning approach with competency-based education offers various opportunities, while facing numerous challenges. To support these efforts, this paper aims at identifying suitable practices, as well as challenges for online course design and online learning activities for higher education health science programs, when integrating competency-based education with an online problem-based and/or case-based learning approach. It found various opportunities for online learning activities that support competency-based education, problem-based learning and case-based learning, whereas challenges relate to logistics, administration, and the affordances of an LMS.

在当前竞争激烈和全球化的经济中，雇主和专业组织要求高等教育机构向毕业生提供具有相关能力和技能的毕业生。作为回应，越来越多的高等教育机构正在引入基于能力的教育。对于具有应用基于案例或基于问题的学习方法的传统的健康科学计划而言，尤其如此。将基于问题或基于案例的在线学习方法与基于能力的教育相结合的努力提供了各种机遇，同时面临着众多挑战。为了支持这些努力，本文旨在确定合适的做法，以及针对高等教育健康科学计划的在线课程设计和在线学习活动的挑战，将基于能力的教育与基于问题和/或基于案例的在线学习方法相结合时。它发现了各种在线学习活动的机会，这些活动支持基于能力的教育，基于问题的学习和基于案例的学习，而挑战涉及物流，行政管理和LMS的负担能力。