Outcome-based Curriculum Cherdsak Iramaneerat Department of Surgery

Outline Traditional medical curricula Outcome-based medical curricula Medical competencies Basic characteristics of a competency-based medical curriculum Advantages Drawbacks Outcome-based curriculum

Traditional medical curricula

Outcome-based medical curricula

Medical competencies

Basic characteristics of a competency-based medical curriculum

Advantages

Drawbacks

Traditional Medical Curricula Focusing on structure and process of the curriculum The potential of the medical school to educate medical students Outcome-based curriculum

Focusing on structure and process of the curriculum

The potential of the medical school to educate medical students

Key Considerations in a Traditional Curriculum Does the school comply with the requirements (number of credits, content coverage)? Does the school establish clear goals and objectives? What are the methods used to assess students? Outcome-based curriculum

Does the school comply with the requirements (number of credits, content coverage)?

Does the school establish clear goals and objectives?

What are the methods used to assess students?

What’s the problem? Does a good process always bring about a good outcome? Outcome-based curriculum

Does a good process always bring about a good outcome?

Let’s Assume… If you want to buy a car, how will you choose which car to buy? If you want to hire a lawyer to defend yourself in a criminal charge, how will you choose your lawyer? If you want to remove your gallbladder, how will you choose your surgeon? Outcome-based curriculum Product Specification

If you want to buy a car, how will you choose which car to buy?

If you want to hire a lawyer to defend yourself in a criminal charge, how will you choose your lawyer?

If you want to remove your gallbladder, how will you choose your surgeon?

Outcome-based Curricula Focusing on actual accomplishments of the medical curricula Instead of looking at the process and structure of education, we look at the outcomes Outcome-based curriculum

Focusing on actual accomplishments of the medical curricula

Instead of looking at the process and structure of education, we look at the outcomes

Key Considerations in an Outcome-based Curriculum Do the students (residents) achieve the learning objectives? What evidence can the school provide to demonstrate that students (residents) acquire the knowledge/skills specified? How can the school demonstrate continuous improvement of students (residents) through educational processes? Outcome-based curriculum

Do the students (residents) achieve the learning objectives?

What evidence can the school provide to demonstrate that students (residents) acquire the knowledge/skills specified?

How can the school demonstrate continuous improvement of students (residents) through educational processes?

Isn’t That What We Already Do? We already have many MCQs, MEQs, OSCEs, and some other assessments (oral exam, long case exam) in our medical curriculum. Isn’t that enough? Outcome-based curriculum

We already have many MCQs, MEQs, OSCEs, and some other assessments (oral exam, long case exam) in our medical curriculum. Isn’t that enough?

Competency-Based Curriculum Process-focused => Outcome-focused Broader perspectives of training outcomes Competencies Outcome-based curriculum

Process-focused => Outcome-focused

Broader perspectives of training outcomes

ACGME Core Competencies Patient care Medical knowledge Practice-based learning and improvement Interpersonal and communication skills Professionalism System-based practice Outcome-based curriculum

Patient care

Medical knowledge

Practice-based learning and improvement

Interpersonal and communication skills

Professionalism

System-based practice

GMC Core Competencies Good clinical care Maintaining good medical practice Teaching, training, and assessing Relationships with patients Working with colleagues Probity Personal health Outcome-based curriculum

Good clinical care

Maintaining good medical practice

Teaching, training, and assessing

Relationships with patients

Working with colleagues

Probity

Personal health

Medical Council of Thailand Core Competencies พฤตินิสัย เจตคติ คุณธรรม และจริยธรรมแห่งวิชาชีพ Professional habits, attitudes, moral, and ethics ทักษะในการติดต่อสื่อสารและการสร้างสัมพันธภาพ Communication and interpersonal skills ความรู้พื้นฐาน Medical knowledge ทักษะทางคลินิก Clinical skills ทักษะการตรวจโดยใช้เครื่องมือพื้นฐาน การตรวจทางห้องปฏิบัติการ การทำหัตถการที่จำเป็น Technical and procedural skills การพัฒนาความสามารถทางวิชาชีพอย่างต่อเนื่อง Continuous professional development Outcome-based curriculum

พฤตินิสัย เจตคติ คุณธรรม และจริยธรรมแห่งวิชาชีพ Professional habits, attitudes, moral, and ethics

ทักษะในการติดต่อสื่อสารและการสร้างสัมพันธภาพ Communication and interpersonal skills

ความรู้พื้นฐาน Medical knowledge

ทักษะทางคลินิก Clinical skills

ทักษะการตรวจโดยใช้เครื่องมือพื้นฐาน การตรวจทางห้องปฏิบัติการ การทำหัตถการที่จำเป็น Technical and procedural skills

การพัฒนาความสามารถทางวิชาชีพอย่างต่อเนื่อง Continuous professional development

Basic Characteristics of an Outcome-based Curriculum Identify learning objectives related to the core medical competencies. Use increasingly more useful, reliable, and valid methods of assessing students’ attainment of competency-based objectives. Use outcome data to facilitate continuous improvement of students’ performance. Outcome-based curriculum

Identify learning objectives related to the core medical competencies.

Use increasingly more useful, reliable, and valid methods of assessing students’ attainment of competency-based objectives.

Use outcome data to facilitate continuous improvement of students’ performance.

Advantages Theoretically appropriate educational approach Demonstrate social responsibilities Demonstrate international standards Outcome-based curriculum

Theoretically appropriate educational approach

Demonstrate social responsibilities

Demonstrate international standards

Drawbacks (A lot) more work Assessment Instructional design Some competencies are difficult to assess Professional habits, attitudes, ethics Communication skills Continuous professional development It’s going to be worse before it’s better Outcome-based curriculum

(A lot) more work

Assessment

Instructional design

Some competencies are difficult to assess

Professional habits, attitudes, ethics

Communication skills

Continuous professional development

It’s going to be worse before it’s better

Outcome-based curriculum