What Would the Ultimate Fellowship Curriculum Would Look Like?

What Would the Ultimate Fellowship

Curriculum Would Look Like?

Curriculum Development:A Six-Step Approach

LTC Douglas Maurer, DO, MPH, FAAFPFaculty Development Fellowship

Program Director

Objectives

• Learned a system to develop curricula

• Applied this system to planning an Fac Dev Fellowship curriculum

Curriculum:A planned educational experience

Assumptions

• Programs have goals and objectives• Educators have obligation to learners,

patients, and society

• Educators accountable for outcomes• Logical systematic approach achieves

these ends

Kern DE, et al: Curriculum Development for Medical Education – A Six-Step Approach.Baltimore: The Johns Hopkins Univ. Press. 1998, 2nd edition, 2009.

Six Steps

1. Problem Identification and General Needs Assessment

2. Needs Assessment for Targeted Learners

3. Goals and Objectives

4. Educational Strategies

5. Implementation

6. Evaluation and Feedback

Six Steps1. Problem Identification and General Needs Assessment2. Needs assessment for Targeted Learners3. Goals and Objectives4. Educational Strategies5. Implementation6. Evaluation and Feedback

Step 1: Problem identification

What is the health care problem to be addressed by this curriculum?

  Whom does it affect and how?   

What is the importance of the problem (qualitatively and quantitatively)?  

What references and resources are useful?    

Six Steps1. Problem Identification and General Needs Assessment2. Needs assessment for targeted learners3. Goals and objectives4. Educational Strategies5. Implementation6. Evaluation and Feedback

Step 1: General Needs Assessment

  Patients Health Care Professionals Medical Education Society

Current Approach        

Ideal Approach        

“Real” Need: Difference Between Ideal and Current

Step 1: General Needs Assessment continued.

Identifying Data for Overall Program and Your Curricular Unit:

Name of Program:Program Length: Number of Learners in each new group:Health Profession/Specialty: Level of learners:Name of your Curricular Unit: Length of Unit:Resource limitations (money, space, teaching materials, patient availability):

 Time constraints:

Amount of time allotted for this curricular unit:

How often the curriculum will be delivered:

Constraints on learners:     Teacher manpower limitations:   Other limitations:   

Step 2: Needs Assessment for Targeted LearnersArea What do the fellows

learn? How did they learn it?

Previous relevant training & experience

Current training/curricula    

Current Proficiencies    

Cognitive    

Affective    

Psychomotor    

Perceived Deficiencies/ Learning Needs    

Current Performance    

Learner preferences for learning strategies and styles

Synchronous    

Asynchronous    

Duration    

Methods    

Step 2: Needs Assessment for Targeted EnvironmentArea What do fellows learn? How do they learn it?Related existing curricula    

Needs of stakeholders    

Teachers    

Course directors    

Accrediting bodies    

Other    

Enabling and reinforcing Factors    

Informal Curriculum    

Hidden Curriculum    

Incentives    

Resources    

Barriers    

Informal Curriculum    

Hidden Curriculum    

Incentives    

Resources    

Step 3: Goals for Fellows and the Comprehensive Curriculum

List Three Goals for the Fellows

1.

2.

3.

 List Three Goals for the Comprehensive Curriculum

1.

2.

3.

Step 3: Cognitive Objectives for the FellowsList all possible desired cognitive objectives to achieve goals. Use five basic elements: Who /will do / how much (how well) /of what / by when?

Prioritize based on importance & feasibility

Step 3: Psychomotor and Affective Objectives for Fellows

List all possible desired psychomotor and affective objectives to achieve goals. Use five basic elements: Who /will do / how much (how well) /of what / by when?

Prioritize based on importance & feasibility

Step 3: Process and Outcome Objectives for Fac Dev Fellowship

List all possible desired process and outcome objectives to achieve goals. Use five basic elements: Who /will do / how much (how well) /of what / by when?

Prioritize based on importance & feasibility

So What?

Learning: Did you learn the Kern 6 step system and apply 3 steps today?

Transfer: Will you use this system to complete your own curricula?

Impact: Will students, patients, and society benefit from your curricula?

Questions?

References

• Kern DE, et al: Curriculum Development for Medical Education – A Six-Step Approach. Baltimore: The Johns Hopkins Univ. Press. 1998, 2nd edition, 2009.

• Adaptation of Curriculum Planning Template, Developed by Julie G., Nyquist, Ph.D. in 1985 (revised annually), Adapted in 2010 to incorporate Kern’s Six Steps

• Lynne, Joanne: Curriculum development in 6 easy steps-for busy MED-Ed types. Ohio State University College of Medicine, lecture presentation accessed 15 Nov 2012: http://medicine.osu.edu/education/Documents/curriculum_design_2010.pdf.