What Would the Ultimate Fellowship Curriculum Would Look Like?

Curriculum Development: A Six-Step Approach LTC Douglas Maurer, DO, MPH, FAAFP Faculty Development Fellowship Program Director

Objectives LearnedLearned a system to develop curricula Applied this system to planning an Fac Dev Fellowship curriculumApplied 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 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 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 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 Step 1: General Needs Assessment Patients Health Care Professionals Medical EducationSociety 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 Learners AreaWhat 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 Environment AreaWhat 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 List Three Goals for the Comprehensive Curriculum

Step 3: Cognitive Objectives for the Fellows List 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, 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: n_2010.pdf.