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Training & Instructional Design Creating a Lesson Plan Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program

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Training & Instructional Design

Creating a Lesson Plan

Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program

Creating a Lesson Plan Learning Objectives

2

• Write measurable objectives for a training program

• Write learning objectives that use Blooms Taxonomy to

classify learning from the simplest to the most complex

• Write learning objectives that are tied to needs analysis

• Select appropriate activities for training objectives

• Construct a lesson plan using appropriate instructional

approaches tied to the needs analysis

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Why Write Lesson Plans

3

Lesson Planning

Core skill for trainers

Aids in organization and delivery of lessons

Guide for managing the learning environment

Leads to more creative lessons

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Anatomy of a Lesson Plan

4

Step 1

• Unit topic

• Content

Step 2

• Instructional goals

• Learning objectives

• Materials

Step 3

• Instructional procedures

• Evaluation procedures

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Writing Learning Objectives

5

• Statements which describe what the learner is expected to do after instruction

• Specific, observable, and measurable learning outcomes

Objectives are:

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Objectives Versus Goals

6

Goal

Broad, generalized statement about

what students will gain from instruction over an entire course

or curriculum

Objective

Specific statement describing what the learner will know or be able to do as a

result of engaging in a learning activity

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Examples of Objectives & Goals

7

Goal

Students will learn how to write lesson

plans

Objective

Students will be able to write measurable

objectives for a training program

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Purpose of Objectives

8

By knowing where you intend to go, you increase the chances of you and the learner ending up there

Guides the teacher relative to the planning of instruction, delivery of instruction and evaluation of student achievement

Guides the learner; helps him/her focus and set priorities

Allows for analysis in terms of the levels of teaching and learning

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Anatomy of an Objective

• A well-written objective statement provides

a clear picture of the outcome or

performance expected as a result of the

lesson

• It should be specific, concise, and,

measurable

9 Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program

Anatomy of an Objective (cont.)

10

Behavior

The behavior should be

specific and observable

Condition

The conditions under which the behavior is to be

completed should be

stated, including what tools or

assistance is to be provided

Standard

The level of performance

that is desirable should be

stated, including an acceptable

range of answers that

are allowable as correct

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Objective Example

11

• Given a normal clinical environment and using the new EHR, intake staff will be able to accurately create an electronic chart for all new patients

• This example describes the observable behavior (create electronic chart), the conditions (clinical environment and the new EHR), and the standard (all new patients)

Consider the following objective:

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Measureable Verbs

12

Evaluation: Ability to judge the value of learned material

Synthesis: Ability to put parts together to form a new whole

Analysis: Ability to break down material into its component parts

Application: Ability to use learned material in new

situations

Comprehension: Ability to grasp the meaning of material

Knowledge: Remembering of previously learned material

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Measureable Verbs (cont.)

13

Level 1: Recall

Knowledge

Comprehension

Level 2: Interpretation

Application

Analysis

Level 3: Problem-Solving

Synthesis

Evaluation

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Recall Verbs

14

Knowledge: Remembering of previously learned material

defines, describes, identifies, knows, labels, lists, matches, names,

outlines, recalls, recognizes, reproduces,

selects, states

Comprehension: Ability to grasp the meaning of material

converts, defends, distinguishes, estimates,

explains, extends, generalizes, gives an

example, infers, interprets, paraphrases,

predicts, rewrites, summarizes, translates

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Sample Objective

15

Recall

After attending HIPAA workshop, the student will state the policy on patient confidentiality

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Interpretation Verbs

16

Application: Ability to use learned material in new

situations

applies, changes, computes, constructs,

demonstrates, discovers, manipulates, modifies,

operates, predicts, prepares, produces,

relates, shows, solves, uses

Analysis: Ability to break down material into its component

parts

analyzes, compares, contrasts, diagrams,

deconstructs, differentiates,

distinguishes, identifies, illustrates, infers,

outlines, relates, selects, separates

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Sample Objective

17

Interpretation

After attending HIPAA workshop, the student will demonstrate how to position computer monitors to protect patient information in a

public setting

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Problem-Solving Verbs

18

Synthesis: Ability to put parts together to form a new whole

categorizes, combines, compiles, composes,

creates, devises, designs, explains,

generates, modifies, organizes, plans,

rearranges, reconstructs, relates, reorganizes,

revises, rewrites, summarizes, tells, writes

Evaluation: Ability to judge the value of learned material

appraises, compares, concludes, contrasts, criticizes, critiques, defends, describes,

discriminates, evaluates, explains, interprets,

justifies, relates, summarizes, supports

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Sample Objective

19

Problem-Solving

After attending the new EHR training, the student will modify procedures to

accommodate a patient without insurance

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Non-Functional Verbs

20

These verbs are non-specific & non-measurable

• Able to

• Shows interest in

• Has knowledge of

• Capable of

• Learns

• Memorizes

• Conscious of

• Understands

• Familiar with

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Objective Checklist

21

Does the objective focus on student

performance?

Is the task measurable or observable?

What criteria will I use to establish

that the objective has been reached?

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Needs Analysis Checklist

22

Organizational analysis

Learner analysis

Job & task analysis

Instructional analysis

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EHR Intake Task Analysis

23

Collect Patient Information

Collect patient demographics

Collect insurance

information

Select third-party provider,

plan, and group

Identify primary policy

holder

Verify Patient Insurance

Verify insurance enrollment

Check for patient co-

pays

Notify patient of amount due at first

visit

Schedule Appointment

Select care provider

Select location

Select date and time

Validate appointment confirmation

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Other EHR Intake Skills

24

• Are there special protocols for when there is an emergency and the triage is flooded with new patients?

If training staff to work in the emergency room

• Communicating with the patient in a public setting

• Computer screen orientation

• Logging out when leaving the computer terminal

How do HIPAA privacy and confidentiality affect the patient registration process?

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EHR Intake Learning Objectives

25

• Recall the steps of the intake process

• Assist patients who have incomplete information

• Resolve any potential complications adequately

• Select the appropriate registration protocol given the intake environment

• Apply HIPAA regulations to the registration process

By the end of this lesson intake personnel will be able to:

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Instructional Materials

26

• PowerPoint presentation

• Handouts and/or textbooks

• Visual aids

• A/V equipment

• Computers & software

• Additional personnel

Create a materials list

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Instructional Procedures: Overview

27

Introduction: Focusing Event

Development: Modeling/Explanation

Demonstration

Practice: Guided/Monitored

Activity

Independent Practice:

Assignments to Measure Progress

Checking For Understanding:

Assessment/Feedback

Closure: Wrapping it up

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Instructional Procedures

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Introduction: Focusing Event

Introduce the objectives of this

lesson

Set up expectation for the learners

Development: Modeling/Explanation

Demonstration

Lecture

Small or whole group discussions

Demonstrations

Practice: Guided/Monitored

Activity

Observe, listen, read

Problem sets

Practice on actual tools

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Instructional Procedures (cont.)

29

Independent Practice: Assignments to

Measure Progress

Independent practice

Role-play/simulations

Other cooperative activities

Checking For Understanding:

Assessment/Feedback

Quizzes

Formal exams

Workplace performance

Closure: Wrapping it Up

Assign homework

Introduce next topic

Plan for follow-up

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Example Lesson Plan Objective Materials Procedures Time

Recall the steps of

the intake process.

• PowerPoint

presentation

• Handout of

intake workflow

for a specific

clinic

• Introduction to

Intake process

and why patient

confidentiality is

important

• Lecture

presentation

• Distribute a self-

test quiz to test

knowledge of

step

15 minutes

Apply HIPAA

regulations to the

registration process.

• Video of patient

registration

process in busy

clinic

• Flip board and

markers

• Divide students

into small groups

and ask them

identify methods

and procedures

to ensure patient

privacy

30 minutes

Table 1.1

30 Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program

Creating a Lesson Plan Summary

• Develop lesson plans, but be flexible to

enough to adapt to changes as they occur

• Respond to them and use to use them to

your learners benefit

31 Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program

Creating a Lesson Plan References

References

1. Clark DR. Bloom’s Taxonomy [monograph on the Internet]. Big Dog & Little Dog’s Performance Juxtaposition;

c2004 [cited 2010 Jun 21. Available from: http://www.nwlink.com/~donclark/hrd/sat.html

2. Molenda, M. (2003). In search of the elusive Addie model. Performance improvement, 42(5), 34. Retrieved from

http://ed.isu.edu/addie/.

3. Carkhuff RR, Fisher SG. (1984). Instructional systems design: volumes I & II. Amherst, MA: Human Resource

Development Press.

4. Carliner S. Training Design. (2003). Danvers, MA: American Society for Training and Development.

5. Fleming M, Levie WH. Instructional Message Design. Englewood Cliffs, NJ: Educational Technology Publications,

Inc.; 1978.

6. Bloom, B. S., Engelhart, M. D., Furst, E. J., Hill, W. H., & Krathwohl, D. R. (1956).Taxonomy of educational

objectives: the classification of educational goals;

7. Handbook I: Cognitive Domain New York, Longmans, Green, 1956.

8. Gagne RM, Wager WW, & Golas K. (2004) Principles of Instructional Design (5th ed.). California: Wadsworth

Publishing.

9. Reigeluth CM. (1999). Instructional-design Theories and Models: A new paradigm of instructional theory. New

Jersey: Lawrence Erlbaum Associates, Inc.

Charts, Tables, & Figures:

1.1 Table: Zimmerman, J. (2010). Example lesson plan. Department of Biomedical Informatics, Columbia University

Medical Center, New York, NY.

32 Courtesy of Columbia University and the ONC Health IT Workforce Curriculum program