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How to Develop an Education
Curriculum for Trainees
Brenessa Lindeman, MD, MEHP Assistant Professor of Surgery
Associate Program Director, General Surgery
Associate Designated Institutional Official for the Clinical Learning Environment
University of Alabama at Birmingham
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Disclosures
• No financial disclosures
• I co-authored a chapter in
Curriculum Development
for Medical Education
(I’m a big geek about this
stuff)
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Objectives
• Why Curricula?
• Necessary Components
• Moving from Curriculum to Scholarship
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There Once Was an Idea…
• Fellows should be better teachers
• Residents aren’t prepared for billing and coding when they enter practice
• Let’s teach medical students how to do bowel anastomoses
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Six-Step Approach to Curriculum
Development
1. Problem Identification and Needs Assessment
2. Targeted Needs Assessment
3. Goals and Objectives
4. Educational Strategies
5. Implementation
6. Evaluation and Feedback
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1. Problem Identification and
General Needs Assessment
• What is the problem?
– Who and what does it
affect?
– What factors predispose,
reinforce, and enable the
problem?
• What is the gap between
the current approach
and the ideal approach?
• Fellows with poor teaching skills – Medical students and
residents affected most directly
– Institution faculty, patients, society also
• Current approach: – Faculty model teaching
behaviors, not much feedback about teaching
• Ideal approach: – Model effective teaching
behaviors, give formal feedback about teaching skill
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2. Targeted Needs Assessment
• Who is the target audience?
• Who are the stakeholders? – How are they impacted?
– What information do you need from them?
Stakeholder Role/How
impacted by problem?
Relevant information
Assessment method
Resources required
Fellows Target audience
Teaching skill perception / observation
Survey OSTE
Software OSTE Faculty / Facility
Medical students
Learners Learning needs Clerkship evaluations
Database access
Faculty Fill in teaching gaps
Volume of teaching effort
Survey Survey software
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3. Goals and Objectives
• Construct an overall
educational goal
• Compose objectives for:
– Individual learners
– Program
Bloom’s
Taxonomy
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4. Educational Strategies
• Create 1-2 educational
strategies aligned with:
– Objectives
– Resources required
General Objective Specific Learning Objective
Educational Strategy
Resources Required
Improving fellow teaching
Fellows use OMP model
Demonstration / Role Play
Faculty, space
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5. Implementation
• What support exists for the curriculum? – Whose buy-in is needed?
• Identify existing resources or needs and potential barriers: – Personnel
– Time
– Space
– Funding/Costs
TIMELINE
PILOT
PHASE-IN
FULL IMPLEMEN-
TATION
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6. Evaluation and Feedback
• Who will use the evaluation and for what purpose?
• Formative vs Summative
Learner Assessment
Program Evaluation
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Consider Opportunities for Scholarship
1. Problem Identification and Needs Assessment
2. Targeted Needs Assessment
3. Goals and Objectives
4. Educational Strategies
5. Implementation
6. Evaluation and Feedback
Curriculum as a
“Whole Package”
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For More Information:
Reference:
Kern DE, Thomas P. (2015). Curriculum development for medical education: A six-step
approach. Baltimore: Johns Hopkins University Press.