This article presents the Integrative Clinical Competence Development Model (ICCDM), a novel methodological framework for developing clinical competency in future physicians through the systematic integration of USMLE-aligned digital learning platforms—Kaplan, UWorld, and the National Board of Medical Examiners (NBME). The ICCDM is grounded in the principles of spiral learning, meta-cognitive self-regulation, and reflective pedagogy, and comprises five interdependent structural blocks: conceptual, technological, activity-oriented, procedural, and outcome. The article describes the model's theoretical foundations, its operational components, and its implications for the redesign of medical education in Uzbekistan and comparable post-Soviet medical education systems. The ICCDM is proposed as a transferable, evidence-informed model for aligning national medical education with international competency standards.

ICCDM, integrative model, USMLE methodology, clinical competency development, reflective pedagogy, spiral learning, medical education reform, Uzbekistan, competency-based assessment

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