The document outlines the objectives of graduate medical education (GME) aimed at producing competent Indian medical graduates (IMGs) by defining their roles and the necessary competencies. It discusses the structure of learning objectives that are specific, measurable, achievable, relevant, and time-framed (SMART) for various competencies in healthcare. Additionally, it emphasizes the importance of continuous improvement, effective communication, and ethical professionalism in medical training.

1. Framing Objectives
Developing objectives from competencies; linking learning &
assessment with competencies
Dr. Hironmoy Roy
MD, MBA, FAIMER fellow (2015)
DHM (Hospital Management)
Asst. Professor (Anatomy)
Dept. of Medical Education

2. Why?
The AIM of the GME is to
produce Competent Indian
Medical Graduate (IMG)
To achieve this we need to
set certain GOALS

3. Why?
For this the ROLES of an IMG
need to be identified
In each ROLES an IMG need
to develop Competencies

4. Why?
To achieve those
competencies in each ROLES
the OBJECTIVES to be
identified

6. Roles of an IMG
Leader & Member of the health care team
and system with capabilities to collect analyze, synthesize and
communicate health data appropriately
(6 competencies)
Clinician
who understands & provides preventive, promotive, curative,
palliative and holistic care with compassion
(15 competencies)
Communicator
with patients, families, colleagues and community
(4 competencies)

7. Roles of an IMG
Lifelong learner
committed to continuous improvement of skills and knowledge
(5 competencies)
Professional
who is committed to excellence, is ethical, responsive and
accountable to patients, community and profession
(4 competencies)

9. A
• Audience, i.e. the “learners”
• For whom this objective is?
• At the end of the course an Indian
Medical Graduate will be able to…..

10. B
• Behaviour, i.e. the “what exactly the learner is
desired to do”
• For what this objective is?
• At the end of the course an Indian Medical
Graduate will be able to measure weight of a
newborn….
This behaviour falls in either of the three domains- KSAC

11. C
• Condition, i.e. the “what condition is imposed
when to demonstrate the mastery of the
skill?”
• For when/while this objective is?
• At the end of the course an Indian Medical
Graduate will be able to measure weight of a
newborn using a lever scale….

12. D
• Degree, i.e. the “degree of perfection”
• For how perfect this objective is?
• At the end of the course an Indian Medical
Graduate will be able to measure weight of a
newborn, using a lever scale, with +/- 50gm
accuracy.

13. At the end of the course an Indian Medical
Graduate will be able to measure weight of a
newborn, using a lever scale, with +/- 50gm
accuracy.

16. Specific
What exactly are we going to do, with or for whom?
• Concrete, detailed, focused and with well defined outcome.
• What you would like to see happen.
• To help set specific objectives ask the following: What exactly
are we going to do, with or for whom? –at PHC conduct
normal delivery
• What strategies will be used?
• Is the objective described with action verbs?
• Is it clear who is involved?
• Is it clear where this will happen?
• Is it clear what will happen?

17. Measurable
Can we measure it?
Objective can be measured by pre-identified
measurement tool.
• To determine if your objective is measurable, ask questions
such as: How much? How many? –How many deliveries
• How will I know when it is accomplished?
• How will I know that the change has occurred?-How to assess
• Can these measurements be obtained?

18. Achievable
With a reasonable amount of effort and application can the
objective be achieved ??
• Expectation of what will be accomplished must be realistic
given the time period, resources allocated, etc. Can we get it
done in the proposed timeframe? -4 &1/2 year
• Do I understand the limitations and constraints?
• Has anyone else done this successfully?
• Is this possible?

19. Relevant
Realistic –Can you realistically achieve objectives with
resources you have?
• Can we do with the resources we have? –250 UGs & in one
year for 1stprof
• Do we need to revisit priorities?

20. Time-framed
When will this objective be accomplished?
• When the objective will be achieved. –Which semester?
• When will this objective be accomplished?
• Deadlines
• Create the all-important sense of urgency.

21. Example
The students will be familiar with the sites of
injection of local anesthesia
The students will be able to demonstrate minimum
two sites of injection for local anesthesia on a
cadaver.
A ? Students
B ? To demonstrate (Skill) sites of local anesthesia
C ? on cadaver
D ? Minimum two
A ? Students
B ?
C ?
D ?

22. Matrix
Topic: Normal Labor
Learning outcome:-
At the end of module student will be able to understand about
normal labour, will be able to diagnose normal labour, will be
able to conduct normal labour and will be able to refer well in
time in case of suspected complications to higher facility

23. Objective matrix
Learning objectives/
Competencies
Must know/
Should know/
Could know
Learning domains
KSAC
Levels of
competency
(K/KH/SH/D)