This presentation describes the three domains of learning.

1. Learning domains &
progression of Learning
Dr. Hironmoy Roy
MD, MBA, DHM, MNAMS, MHPE, FAIMER
Asst. Secretary to Govt. of WB
Department of Medical Education

2. The 3 DOMAINSThe 3 DOMAINS

3. Cognitive AffectivePsychomotor

4. Cognitive domainCognitive domain
• RATIONAL LEARNING:
THINKING
Emphasis upon knowledgeknowledge, using the mind, and
intellectual abilities.
BRAINBRAIN

7. Recall
The student will ne able to enlist the causes
of Hypertension
Interpretation
The student should be able to classify a given set
of blood pressure readings as normal or
hypertension
Analyzing-Creating
The student will be able to make the protocol of
management of a patient with Grade 2
hypertension, with serial record of blood pressure

8. Affective domainAffective domain
• EMOTIONAL LEARNING:
FEELINGS/ COMMUNINACATION
Concerned with attitudes, appreciations, interests,
values and adjustments.
HEARTHEART

11. Receiving (hearing)
The student will ne able to show his
awareness to the anxiety of a patient, who is
waiting for an OT
Responding
The student will ne able to show his
awareness to the reassure the patient with
anxiety of a patient, who is waiting for an OT
Valuing & Internalization
The student will be able to habitually en-
comfort the patient with anxiety; who is
waiting for an OT

13. Psycho-motor domainPsycho-motor domain
• PHYSICAL LEARNING: DOING/ SKILL
Emphasizes speed, accuracy, performance, and
physical skills.
HANDHAND

15. Following
The student should be able to follow the steps of CPR; after
seeing how it is getting done by the Tutor.
Practicing
The student should be able to Perform and practice CPR on a
manikin; after seeing how it is getting done by the Tutor.
Performing
The student should be able to Perform CPR on a patient,
confidently.

16. Components of a “Competency”Domains of Learning

17. Please be with me
I can do it myself
Yes, I can make new
way, which can solve it
better

18. Novice
"rigid adherence to taught rules or plans"
no exercise of "discretionary judgment
Rule-follower"
Beginner
Limited "situational perception"
all aspects of work treated separately with
equal importance

19. Competent
"coping with crowdedness" (multiple
activities, accumulation of information)
some perception of actions in relation to goals
deliberate planning, formulates routines
I can do it myself

20. Proficient
Have holistic view of situation, Can prioritizes
importance of aspects.
Can "perceive deviations from the normal pattern"
employs maxims for guidance, with meanings
that adapt to the situation at hand.

21. Awareness
Training
Practice

23. A student can measure
BP with
sphygmomanomemeter
in OPD
The student can show how to measure BP to a
patient, on a simulator
The student need to know about the Anatomy & Physiology of the circulatory system;
the peripheral blood vessels, and the area where pulses can be felt
The student knows how to measure BP

24. All domains
to be achieved
in parallel,
NOT
step-by-step

26. A Competency
Theme: Professionalism & ethics
A medical graduate should show proper respect to a
patient while examining him at OPD

27. Its components
A medical graduate should
• Properly greet the patient
• Passionately hear his problems
• Explain the examinations what he likes to do with the
patient and assure him/her that the procedures will not
do any harm to him/her
• Be respectful while to asking the patient to expose the
areas to be examined.
• Maintain the privacy of the patient
• Do the examination on the patient with proper empathy

28. component domain To be achieved by
A medical graduate should properly greet
the patient
Affec 3rd
-4th
sem
A medical graduate should passionately
hear the problems of the patient
Affec 5-6th
sem
A medical graduate should explain the
clinical examinations, what he is going to do
and should assure that it would not harm
him
Psycho
Motor
+
Affec
5th
-6th
semester
A medical graduate should to be respectful
while asking to expose the areas of the
patient
Psycho
Motor
+ Affec
7th
- 8th
semester
A medical graduate would maintain the
privacy of the patient
psychomo
tor
9th
semester
A medical graduate would do the
examination with proper empathy
psychomo
tor
9th
semester