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Developing Objective-Based Curriculum for Medical Residency Programs

jamal-taylor avatar
jamal-taylor
11 diapositives · 260 Views · Nov 18, 2014

In designing a curriculum for medical residents, it’s crucial to adopt an objective-based approach rather than merely listing topics. Each objective should specify the competencies the resident is expected to achieve, such as the ability to recognize and treat an acute myocardial infarction (MI). The curriculum must include measurable outcomes and integrate biomedical sciences, osteopathic principles, and progression across training levels. Evaluating residents through Objective Structured Clinical Evaluations (OSCEs) and computer simulations ensures they meet these objectives while demonstrating their skills at various levels of training.

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  1. Basic Standards Curricular Issues Michael Adelman, D.O.

  2. Curriculum • Must be Objective-Based • NOT just a list of topics • Be specific! What are the specific objectives that relate to what you want the resident to learn?(Std. VI-1.c)

  3. Curriculum • Example: Objective—”The resident must be able to recognize and treat an acute MI” • Curricular components: • The resident shall be trained in EKG interpretation • The resident shall have ACLS training and become certified • The resident must log “X” number of acute MI cases in which they were the one “in charge” of the case.

  4. Curriculum • Must be “outcomes-based” • Why are we asking the resident to learn this piece of information and how can we evaluate to see if he/she achieved the goal? • What outcome do we expect to see from this training? • MUST be measurable • Consider Objective Structured Clinical Evaluations (OSCEs) or Computer Simulations. • MI objective example

  5. Curriculum • Objective—”The resident must be able to recognize and treat an acute MI” • Use OSCE or computer simulation modules to show resident can meet this objective.

  6. Curriculum • Integrate Biomedical Sciences! • Identify specific learning objectives for the basic sciences (Std.VI-1.d)

  7. Curriculum • Integrate Osteopathic Principles and Practices • Write specific objectives! (Std.VI-1.a)

  8. Curriculum • Must show progression from one training level to the next • “A first year EM resident should be able to…” • “A Second year EM resident should be able to…” etc.

  9. Curriculum • Transition from one year to the next should not just mean more of the same! • There should be measurable differences between each year. (OSCE) • There must be more than just additional time in clinic or in the ER. • Additional responsibilities, new procedures, more integrative knowledgebase, etc.

  10. Basic Sciences Objectives OP&P Outcomes-based Progression