This document summarizes a class session on curriculum design in medical education. The agenda includes examining a completed curriculum, planning a needs assessment, and conducting their own needs assessment. A needs assessment identifies necessary knowledge and skills to achieve educational goals. Components of an educational gap include what is happening, what should be happening, the cause, and symptoms. Needs assessment approaches include strategic, competency-based, job/task analysis, and training/educational. Data gathering strategies are interviews, focus groups, surveys, observation, and extant data. Students examine scenarios and choose one to assess, assigning roles. Questions are provided to discuss the needs assessment planning. Students find partners outside their specialty to share curriculum design ideas and needs assessment plans.