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Outcome-based Education: Thai Experience @ PSU. Arnuparp Lekhakula M.D.,M.S. Faculty of Medicine Prince of Songkla University Hat Yai, Songkhla, Thailand. The 6 th Annual ThaiPOD National Conference 28-29 July 2011. What is Outcome-Based Education (OBE)?.
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Outcome-based Education: Thai Experience @ PSU Arnuparp Lekhakula M.D.,M.S. Faculty of Medicine Prince of Songkla University Hat Yai, Songkhla, Thailand The 6th Annual ThaiPOD National Conference 28-29 July 2011
What is Outcome-Based Education (OBE)? • Product defines the process (Cohen, 1944) • ‘What is a graduate?’ (McNeir, 1993) The 6th Annual ThaiPOD National Conference 28-29 July 2011
Four Main Charactertistics of OBE (Terry 1996) • Outcomes are clearly identified. • Achievement determines progress. • Multiple instructional strategies and authentic • assessment tools are used. • Students are given time and assistance to • reach their potential. The 6th Annual ThaiPOD National Conference 28-29 July 2011
Does Professional authenticity Knows how Knows Shows how Does Shows how Knows how Knows The 6th Annual ThaiPOD National Conference 28-29 July 2011
Implementing OBE • A totally new curriculum with no historical • background • Adaptation of established curriculum • Traditional model: curriculum design >> • >>> ?outcomes • OBE: outcomes>>>>curriculum design The 6th Annual ThaiPOD National Conference 28-29 July 2011
Getting Beyond Content: 21st Century Skills • Personal and social responsibility • Planning, critical thinking, reasoning and creativity • Strong communication skills, both for • interpersonal and presentation needs • Cross-cultural understanding • Visualizing and decision-making • Knowing how and when to use technology • and choose it The 6th Annual ThaiPOD National Conference 28-29 July 2011
Medicine @ PSU 1972: Established according to the 3rd National Economic and Education Development Plan Started with traditional, discipline-based 6-year curriculum 1984: Minor changes with reduction of overall credits 1988: PBL concept was introduced and adopted 1990: PBL was firstly implemented by incorporating into conventional curriculum 1995: Prepare to reform the new curriculumto outcome-based curriculum with PBL model 1999: The new curriculum has been implemented The 6th Annual ThaiPOD National Conference 28-29 July 2011
Care Provider Communicator Problem-solver Five-star Doctor (WHO) Manager Community leader The 6th Annual ThaiPOD National Conference 28-29 July 2011
Recommendations • WFME/Global minimal requirements • The National Educational Acts • Institute of Educational Standards and Quality Accreditation • The Ministry of Education • Standards of the Medical Council of Thailand • 8th National Conference of Medical Education • Institutional Philosophy The 6th Annual ThaiPOD National Conference 28-29 July 2011
Medicine @ PSU: Philosophy and Value • Learning-centered education • Integrated problem-based education • Community-oriented education • Evidence-based education • Technology supported learning and teaching • Valuing faculty, staff and partners The 6th Annual ThaiPOD National Conference 28-29 July 2011
MD-PSU Graduate: 9 Competencies • Professional knowledge and skills • Professional ethics and attitude • Critical appraisal and Problem-solving skills • Self-directed lifelong learning skill • Communication and Information skill • Community awareness and care • Teamwork skill • Management skill • Social and life skills The 6th Annual ThaiPOD National Conference 28-29 July 2011
Curriculum Grid: OBE The 6th Annual ThaiPOD National Conference 28-29 July 2011
I Professional Competence II Competence In Bioethics III Social and Life skills IV Holistic Care
Curriculum Conceptual Framework • Integration : horizontal & vertical • Problem-based learning • Relevant ‘core’ knowledge • Early clinical experiences • Student-centered learning process • Task-based/Work-based learning The 6th Annual ThaiPOD National Conference 28-29 July 2011
Thai Qualification Framework (TQF) • Ethical and Moral Development • Knowledge • Cognitive Skills • Interpersonal Skills and Responsibility • Analytical, Communication and Information Technology Skills • Practical Skills The 6th Annual ThaiPOD National Conference 28-29 July 2011
Thai Qualification Framework (TQF) The 6th Annual ThaiPOD National Conference 28-29 July 2011
Thai Qualification Framework (TQF) The 6th Annual ThaiPOD National Conference 28-29 July 2011
Outcome Specification Bioethics and Professionalism • Behave in ways that demonstrate confidentiality, integrity, truthfulness and respect towards patients and colleagues • Deal compassionately and sensitivity with dying patients and their relatives • Listen dispassionately to complaints, seek expert independent advice, and respond constructively • Demonstrate an ethic and moral • approach • Display appropriate attitudes • and behaviour • Recognise and respond to legal • responsibilities • Be aware of human right issues The 6th Annual ThaiPOD National Conference 28-29 July 2011
Curriculum Administration SubjectCommittee The 6th Annual ThaiPOD National Conference 28-29 July 2011
Outcome-Based Curriculum Mapping Curriculum content & structure Instructional Delivery Defined by Focused on Exit Outcomes Evaluated on Organized around Student Assessment & Credentialling Student Placement & Advancement The 6th Annual ThaiPOD National Conference 28-29 July 2011
Advantage of Outcome-Based Curriculum • Making explicit the outcome expected • Transparency and accountability • Identifying potential solution of the gap • Facilitating integration of previous • discipline-based departments • Facilitating greater student autonomy • Encourage curriculum development and • refinement The 6th Annual ThaiPOD National Conference 28-29 July 2011
Lesson Learned • Vision and philosophy • Full dean’s support • Learn from the experience of others • Build on/evolve previous local ground • Promote faculty ownership and commitment • Listen to those who are opposed • Leadership The 6th Annual ThaiPOD National Conference 28-29 July 2011
Lesson Learned • Publicize the change and communicate widely • Continuation • Evidence support • Provide support in dealing with difficulties • Start before everyone agrees The 6th Annual ThaiPOD National Conference 28-29 July 2011
When the wind blows, some build walls, others build windmills. Hawkin and Winter, 1997 The 6th Annual ThaiPOD National Conference 28-29 July 2011
Thank you for your kind attention The 6th Annual ThaiPOD National Conference 28-29 July 2011