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Curriculum Evaluation. Reverend Dr David Taylor Director of Quality Enhancement School of Medical Education University of Liverpool. And minister of St. Michael and All Angels, Altcar. Why me?. I am responsible for quality enhancement of the medical school
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Curriculum Evaluation Reverend Dr David Taylor Director of Quality Enhancement School of Medical Education University of Liverpool
Why me? • I am responsible for quality enhancement of the medical school • I am a visitor for the UK General Medical Council
Evaluation of • Course components • Course/programme • Staff
Two Considerations • Process • What • How well • Product • Outcomes • Knowledge, skills and attitudes • Fit for purpose
Process in the UK • Internal • All components of the course • University • Annual programme monitoring • Periodic review (every 5 years) • External – the General Medical Council • Twice in any 10 year period
Internal University GMC
Internal • Process (Quantitative and qualitative) • Student evaluation of components • Student evaluation of teaching staff • Staff evaluation of components • Product • Student performance in assessment • Against definable/defendable standards
Annual • Based on a Self-evaluation document under 9 headings • Introduction • Progress from last years actions • Feedback from staff • Feedback from students • Feedback from most recent graduates • Programme information • External examiners reports and action on them • Areas of good practice • Statistical commentary
Periodic Review • Every 5 years the course is reviewed by a senior team • Aims and outcomes • Curriculum • Assessment • Enhancement • Learning and teaching • Student progression • Learning resources
External - GMC • Basic information and committee structures • Curricular outcomes, content and structure • Delivering the curriculum • Student support guidance and feedback • Assessing student performance • Student health and conduct • Reflecting modern society
How to make sure the plan comes together David Taylor Liverpool
In the UK there is little flexibility • The GMC have produced two documents • Tomorrow’s Doctors • The New Doctor • Between them they define what we have to make sure the students know
Our handbook gives a generic syllabus • Subject knowledge & understanding • As ‘core’, students will be able to synthesize, appraise, explain, and apply the relevant information/evidence about: • the structure and mechanisms of the body in health and disease, from molecules up to the whole organism related to: • normal and abnormal structure and function of the body and its defence mechanisms; the natural history, symptoms, and signs of disease; and the biological rationale for therapy and the processes underlying its complications • variability in the role of the determinants of health and disease, the presentation of disease, and the response to therapy • clinical diagnosis and management of common conditions • The interrelationships of social, psychological, economic, political, environmental, cultural factors on health and disease
Our first step • Was to decide which 200 cases a student would need to be familiar with when they graduated • We finally agreed on about 208
Then • We decided which cases the students would study through PBL
Then • The students determine the learning objectives in their PBL groups – they can see every groups’ learning objectives
Each year • We review the cases in the light of the learning objectives the students are obtaining • And the examination results • And change the cases accordingly • Or even the course!
As part of a long term project • We compared the supervisors view of the competencies of the graduates from our traditional course and the first cohort of our new curriculum students • A series of papers are coming out this summer (winter…)
Each year • We review the content of one of the four subject themes • Structure and function • Individuals, groups and societies • Population perspective • Professional and personal development • A senior committee of subject specialists does the initial work • Then the programme team makes the agreed changes
Periodic review • 2006 years 1 & 2 • 2007 years 3 & 4 • 2008 year 5 • 2009 whole programme • university plus external advisors • General Medical Council • 2010 year without review! • 2011 I will be 55 …