Implementation of a curriculum in health professions education

1. 1
Implementation of a
Curriculum
Hirotaka Onishi MD, MHPE
International Research Center for Medical Education
University of Tokyo

2. Implementation
 Resources
 Support / barriers
 Administration
 Introducing the curriculum
2

3. Resources
 Identification of resources: You have to
confirm resources before you implement it
 Human resource
 Time
 Facility & Equipment
 Money
3

4. Human Resources
 Teachers
 New employment
 Ask for cooperation
 Faculty development
 Support staff
 Patient (case mix)
 As a resource for clinical education

5. Time
 Preparation & Implementation
 Syllabus/Materials/Assessment
 Students’/teacher’s schedule…
 Endorsement process

6. Facilities & Equipment
 Rooms: auditorium, laboratory…
 Equipment: simulator, experimental…
 AV: Computer, projector, microphone…
 Whiteboard

7. Political Supports/Concerns
 Internal
 Dean, Hospital director, Dept Chairs…
 Senior faculty
 Student representative
 External
 Government
 Funding agencies…
7

8. Administration
 Management for facility/equipment
 Scheduling
 Preparation for materials
 Data management for assessment
results, credits, certificates…
 Communication with stakeholders
 …
8

9. Implementing Process
 Piloting
 Involve part of students/learners
 Phasing-in
 All or many students take the curriculum but not
yet officially approved
 Complete implementation
 Syllabus is provided, learners are summatively
assessed…
9

10. Ex) Community Attachment
in U of Tokyo
 Government supports the program to improve the
retention of community physicians
 Good Practice Fund was approved (2013~2017)
 Support from the dean was obtained
 A half Students in the class were allocated to
different private practice sites with sufficient
administrative support for 2 weeks (2013)
 All students are compulsory assigned to community
clinics (2016)
 After the fund is terminated, what will happen?!

11. Theme for Discussion
 Plan an educational course (3hrs x 5)
for physical examination skills for
nursing students in the setting you like:
 Strategy
 Resources
 Implementation process
11