DECEMBER 1, 2018 BASICS OF CURRICULUM PLANNING ASSIGNMENT # 4 DR. REHAN AHMED KHAN AMBREEN ANSAR RIPHAH INTERNATIONAL UNIVERSITY Islamabad Contents Basics of Curriculum Planning The common steps in Harden’s and Kern steps of curriculum development ....................................................................................................................................................... 2 Harden’s ten questions ........................................................................................................................... 2 Why are 02 models required for development of a curriculum? ............................................................... 3 Model for Curriculum Design based on the above two steps. .................................................................... 4 Principles of content selection and filtration........................................................................................................ 6 Recommended syllabus for Community Medicine based on above criteria ............................................. 6 Needs assessment for Community medicine topics/themes ...................................................................... 7 Justification of recommended syllabus .......................................................................................................... 9 Topics/themes & Sub themes of Community medicine According to the decided Learning outcomes ......................................................................................................................................................... 9 Theme 1 & 2: ................................................................................................................................................. 9 Theme 3:....................................................................................................................................................... 10 Theme 4:....................................................................................................................................................... 11 Theme 5, 6 & 7: .......................................................................................................................................... 11 Bibliography ...................................................................................................................................................... 13 1 Basics of Curriculum Planning The common steps in Harden’s and Kern steps of curriculum development step Harden’s ten questions no 1 step no The needs in relation to the product or 1 the training programme 2 Kern’s six steps Establish learning outcomes Problem identification and general needs assessment 3 The aims Goals and objectives to determine 1. curricular content 3 Content to be included 4 Content organization: spiral 5 The educational strategy: 2. learning methods 4 SPICES Educational strategy 1. lecture 2. small group (CBL, PBL) 6 Teaching method: 3. interviewing, physical 1. lecture examination, procedural skill 2. small group 3. independent 7 Assessment 8 Communicating details of the 6 Assessment or evaluation curriculum : 1. LO given 2. Curricular map 3. study guides provided 2 9 The educational environment or 2 climate Needs assessment for targeted learners i.e. understanding specific learners & learning environment 10 Managing the curriculum: 5 Implementation: 1.Architect, mechanic, cookbook, 1. Obtain support, resources railway timetable approaches 2. identify barriers 2. Faculty development program needed 3. introduce the pilot 3. Responsible committees for planning, 4. administer and refine implementing, revising and maintaining standards 4. Resources Notes: 1.Commonalities are highlighted in similar colors. 2. The points different and additive in each model are bold & Italic. The sequence of kern’s steps is disturbed as the matching ideas are placed in the same rows. (Eric B. Bass, 2016) (Harden, 2013) Why are 02 models required for development of a curriculum? On close inspection of all the steps given by kern and harden in their curriculum development guidelines it was observed that Harden’s steps are more detailed than the Kern’s. The important steps missing in Kern’s model are: 1. Method of organizing the content (step 4) 2. Methods of communicating the curriculum to students and teachers (step 8) 3. Measuring the educational environment during evaluation of the institute (step 9) 4. Managing the curriculum by four different approaches (step 10) However Kern’s model is more specific and some steps of Harden’s have been merged in the Kern’s design. The only thing missing in Harden’s model which is given in Kern’s model is the targeted need assessment. Kern emphasizes on understanding the specific learner need and their learning outcomes before embarking upon the goals and objectives whereas Harden although identifies the importance of educational environment in step 9 but he suggests to evaluate this element during curricular evaluation. 3 In my humble opinion in spite of some overlapping concepts two models are complimentary and both models when combined makes the curriculum design/model more comprehensive and all inclusive. Model for Curriculum Design based on the above two steps. 4 Student & Faculty Selection Criteria Programme goals Educational Strategy decided Setting Community needs assessment (Goals) Educational environment Vision, Mission & the core values& Core values Major Subject Areas (Content) Identified Learning goals Specific needs assessment (Establish learning outcomes) Exit competencies identified Establish Objectives Programme Objectives Learner’s Objectives Knowledge, Skills & Attitudes to be taught identified Teaching and learning methods identified Organizing the content (Who, Where, When, What & How) To Learner’s Communicating the curriculum To Faculty Assessment & Evaluation Prepare study guides in the light of LOs 5 Principles of content selection and filtration (Staff at Flinder university, n.d.) (ALVIOR, 2015) (Meinrad Bautista, 2012) (International Advisers, 2015) 1. Significance 2. Validity 3. Relevance 4. Utility 5. Interest 6. Learnability 7. Comprehensiveness 8. Multiple learning (in 3 domains) Recommended syllabus for Community Medicine based on above criteria Learnability Comprehensiven ess Interest Utility/ Skill, knowledge for future use Relevance/Need of the student Validity/ match Community medicine the Learning Topics/themes of outcomes Significance/ selection & Filtration Primary concept Principles of content Measuring the disease burden 5 5 5 5 2 3 3 Assessing the risks & 5 5 5 5 3 3 3 5 5 5 5 3 5 5 Measuring populations 5 5 5 5 4 4 4 Professionalism, 5 5 5 5 5 5 2 5 5 5 5 3 3 2 5 5 5 5 2 3 2 Population at risk Preventing & Controlling diseases at all levels Communication & Ethics Finding solutions to the emerging problems Awareness of local & Global health scenario 6 Needs assessment for Community medicine topics/themes Topic/theme (Eric B. Bass, 2016) To whom it affects Patients health care society professionals Measuring the +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ Professionalism, +++ +++ +++ +++ +++ +++ + +++ +++ disease burden Assessing the risks & Population at risk Preventing & Controlling diseases at all levels Measuring populations Communication & Ethics Finding solutions to the emerging problems Awareness of local & Global health scenario 7 Topic/themes What does it affect Professionalism, +++ Societal function +++ Work & +++ productivity +++ Patient & provider +++ satisfaction +++ Medical & non- +++ medical costs +++ Use of health care + & other resources +++ Quality of healthcare Quality of life Clinical outcomes Measuring the ++ + +++ +++ ++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ +++ ++ +++ + + +++ ++ + + ++ +++ disease burden Assessing the risks & Population at risk Preventing & Controlling diseases at all levels Measuring populations Communication & Ethics Finding solutions to the emerging problems Awareness of local & Global health scenario 8 Justification of recommended syllabus Topics/themes & Sub themes of Community medicine According to the decided Learning outcomes Theme 1 & 2: Learning outcome for students Themes & Sub themes At the end of 1 year community medicine teaching the MBBS student should be able to: 1. Measuring the disease burden 1. Identify, prioritize and manage the health problems of the community after making community diagnosis. 2. Collect data, analyze, interpret, and apply relevant statistical tests, to make a report. 3. Participate actively in investigation of outbreaks/epidemics of various diseases and other public health emergencies. (What, Where, When, Whom, How) 1.1.Principles of epidemiology and epidemiologic methods 2. Assessing the risks & Population at risk 2.1.Principles of epidemiology and epidemiologic methods 2.2.Screening for disease 2.3.Health information and basic medical statistics 9 Theme 3: Learning outcome for students Themes & Sub themes At the end of 1 year community medicine teaching the MBBS student should be able to: 1. Lead the health team at primary care level. 3. Preventing & Controlling diseases at all levels 2. Recognize and mange common health problems in the community 3.1.Concept of health and disease Leadership & Primary Health care 3. Practice principles of behavioural change 3.2.Communication for Health communication & Carry out health promotion Education & Counselling and education effectively in the community. skills 3.3.Health planning and 4. Practice principles of resource management, management & Health administrative functions etc. Economics 3.4.Managing environmental factors causing disease 5. Practice principles of community participation 3.5. Basic Immunology and inter-sectoral coordination 3.6. Prevention according to type of diseases 6. Assess environmental risk factors in the 3.7. Prevention according to community and at workplaces and suggest action Phases of life plan. 3.8. Prevention according to different environmental 7. Participate actively in health service for exposures special groups like mothers, infants, under five children, school children, adolescents and elderly. 10 Theme 4: Learning outcome for students Themes & Sub themes At the end of 1 year community medicine teaching the MBBS student should be able to: 1. Explain the factors affecting world’s 4. Measuring & Managing populations population (birth rate, death rate. Fertility 4.1.Demography rates 4.2.Fertility control measures 2. Discuss reasons for different growth rates in different countries 3. Analyse the health problems & consequences of high & low growth in different stages of development 4. Demonstrate how to help clients in choosing & using FP method Theme 5, 6 & 7: Learning outcome for students Themes & Sub themes At the end of 1 year community medicine teaching the MBBS student should be able to: 5. Professionalism & Ethics 1. Educate patients and their families in a manner respectful of gender, cultural, religious, economic, and educational differences on choices regarding their care. 2. Discuss the measures a medical practitioner must take to avoid malpractice 11 3. Explain how to maintain patient confidentiality 6. Finding solutions to the local & emerging problems in managing health of populations 1. Apply the principles of epidemiology 6.1.Research Methodology and biostatistics to health practice 6.2.Biostatistics including the design and implementation 6.3.Epidemiological methods of health related research studies and clinical preventive medicine trials. 2. Plan and execute a research study. 3. Use / organize bio-statistical analysis using computers and software and prepare reports / papers. 4. Critically evaluate research activities 1. Describe the international & National 7. Awareness of Local & Global Health Health Programmes like Immunization Scenario programmes maternal and child health programmes, family welfare planning and population control. 2. Ability to Implement and monitor National health programmes in the primary care setting. 12 Bibliography ALVIOR, M. G. ( 2015, FEBRUARY 7). SEVEN CRITERIA FOR THE SELECTION OF SUBJECTMATTER OR CONTENT OF THE CURRICULUM. Retrieved from CURRICULUM AND INSTRUCTION, EDUCATION: https://simplyeducate.me/2015/02/07/7-criteria-forthe-selection-of-subject-matter-or-content-of-the-curriculum/ Eric B. Bass, B. Y. (2016). Problem identification and general need assessment. In D. E. Patricia A. Thomas, curriculum development for medical education. a six step approach (pp. 11-28). Baltimore, Maryland: john Hopkins publishers. Harden, R. M. (2013). Curriculum planning and development. In R. M. John A. Dent, A practical guide for medical teachers (pp. 8-15). London, Oxford, Sydney, Toronto: Churchill Livingstone Elsevier. International Advisers. (2015, March 1). Content for in the process of curriculum development. Retrieved from Slideshare: https://www.slideshare.net/sqjafery/content-for-in-the-process-of-curriculumdevelopment Meinrad Bautista, P. (2012, July 4). Educational Purposes & Curriculum Content. Retrieved from Acadmia.Edu: https://www.academia.edu/31598777/Educational_Purposes_and_Curriculum_Cont ent Staff at Flinder university. (n.d.). Curriculum and Teaching Resources. Retrieved from Staff at Flinder university, South Autralia: http://www.flinders.edu.au/teaching/teaching-strategies/curriculumdevelopment/topic-curriculum-development/detailed-topic-design/selectingcontent.cfm 13