1. 1
HPE and Needs
Assessment
Hirotaka Onishi MD, MHPE
International Research Center for Medical Education
Graduate School of Medicine, University of Tokyo
2. What is a Curriculum?
Schedule of classes or lectures?
Syllabus?
Lecture contents?
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3. Curriculum Viewpoints
Not only schedule or program but also what
learners learned should be considered
Manifest curriculum
Hidden curriculum
What teachers
like to teach
What learners
actually learned
4. Curriculum Development
6-step Approach (Kern)
1. Problem identification and
general needs assessment
2. Needs assessment
for targeted learners
3. Goals and objectives
4. Educational strategy
5. Implementation
6. Assessment or
evaluation
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5. 1. Problem Identification
Health Needs and Curriculum
What is the curriculum of a health care
professional school (faculty) for?
Educators’ obligation
To meet the needs of learners, patients,
and society
To develop the curriculum by a logical and
systematic approach
Strong linkage of health professional
education and public health
6. Health Needs First
Universities tend to pursue details for
any research areas
Health professional education should
not pursue research but health needs
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7. Policy Level
Any policy of Ministry of Education or
Health?
Mission or vision of medical schools?
Mission-based curriculum development
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8. Review of Available Info
Journals
Use of consultants/experts
Official reports
Public health statistics
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9. Data Analysis
Information gathering
Qualitative: Focus group, interview, etc
Quantitative: Questionnaire, etc
Analyzing the collected information
Qualitative: Semantic categorization
Quantitative: Statistical analysis
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10. Needs Assessment for
Medical Education Curriculum
(Needs) = (Current approach) – (Ideal approach)
Patients
Health
Professionals Educators Society
Current
Ideal
11. Example: Medical Interview
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Patients
Health
Professionals Educators Society
Current
Some
doctors do
not use
polite
sentences
with patients
Many doctors
feel that they
can use only
short time
with patients
in OPD
No teaching has
been offered for
medical interview
Some people
complain that
communication
skills of doctors
are not enough
Ideal
Doctors are
using polite
words with
patients
Doctors
should learn
how to have
medical
interview
Medical interview
training using
standardized
patients will be
needed
Communication
skills of doctors
should be
improved
12. Review of Available
Information (US Example)
Published Literature: PubMed, ERIC
Accreditation Bodies: AAMC, LCME,
ACGME
Professional Societies: IOM
BEME
Government Databases and Reports
Use of Consultants/Experts
Collection of New Information
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13. 2. Needs Assessment for
Targeted Learners
Before you implement a new curriculum,
please ask students if the new
curriculum seems OK for them or not
Demands Needs
Demands: what they want
Needs: what they need in the processes to
be a physician
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14. 3 Steps
1. Choose your targeted learners
2. Find out information about the targeted
learners
3. Determine characteristics of the
learning environment
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15. Information about
Targeted Learners
Previous training & experience
Already planned training & experience
Existing proficiencies –
knowledge/attitudes/skills
Current performance/behaviors
Perceived deficiencies & learning needs
Preferences
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16. Information about
Targeted Environment
Related existing curricula
Hidden / informal curriculum
Specific enabling and reinforcing
factors/barriers
Resources
Stakeholders
Politics/factors related to institutional
administration, policy and procedure
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17. Themes for
Small Group Discussion
Select one topic for curriculum
development
Determine the period and learners of
the curriculum
Develop needs assessment table for
both current and ideal approaches
Check if targeted learners would like the
curriculum
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