Basic Standards Curricular Issues

Michael Adelman, D.O.

Curriculum Must be Objective-Based

NOT just a list of topics Be specific! What are the specific

objectives that relate to what you want the resident to learn?(Std. VI-1.c)

Curriculum Example:

Objective—”The resident must be able to recognize and treat an acute MI”

Curricular components: The resident shall be trained in EKG

interpretation The resident shall have ACLS training and

become certified The resident must log “X” number of

acute MI cases in which they were the one “in charge” of the case.

Curriculum Must be “outcomes-based”

Why are we asking the resident to learn this piece of information and how can we evaluate to see if he/she achieved the goal?

What outcome do we expect to see from this training?

MUST be measurable Consider Objective Structured Clinical

Evaluations (OSCEs) or Computer Simulations.

MI objective example

Curriculum Objective—”The resident must

be able to recognize and treat an acute MI”

Use OSCE or computer simulation modules to show resident can meet this objective.

Curriculum Integrate Biomedical Sciences!

Identify specific learning objectives for the basic sciences (Std.VI-1.d)

Curriculum Integrate Osteopathic Principles

and Practices Write specific objectives! (Std.VI-1.a)

Curriculum Must show progression from one

training level to the next “A first year EM resident should be

able to…” “A Second year EM resident should be

able to…” etc.

Curriculum Transition from one year to the next

should not just mean more of the same! There should be measurable differences

between each year. (OSCE) There must be more than just additional

time in clinic or in the ER. Additional responsibilities, new

procedures, more integrative knowledgebase, etc.

Objectives

Basic Sciences

Outcomes-based

OP&P

Progression