JMIR Publications

ABSTRACT

Health Professions Education institutions are hierarchical structures designed to educate professionals using a fixed time, location, and curricular paradigm. Technologies such as the internet and blockchain changed the way knowledge is managed and allows the creation of a new open, decentralized, and automatic instructional framework called Distributed Autonomous Organization of Learning (DAOL). The DAOL offers the opportunity to change the nature of training and credential by allowing an unbounded curriculum and certification, while providing the ability to dynamically adapt the instructional design to the needs of learners and communities. Among the advances DAOL create are creation of curriculums created with input from all stakeholders and that are focused on the primacy of the competence instead of the primacy of the identity. Also, they can simplify credential and licensing processes while leveling the information asymmetry of the job marking.