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Integrating a curriculum: the role and function of a capstone course.

The rationale for establishing a strategy to integrate learning within a health administration curriculum is presented. Strengths and weaknesses associated with six models are presented which examine the student, market, internship/practicum, case course, and thesis/major paper as integrators as well as the self-integrating curriculum. The capstone course is presented as a hybrid of multiple models with a unique educational philosophy. The concept of the capstone course is examined with specific reference to design parameters associated with the capstone course used in the health management and policy curriculum at the University of New Hampshire. Suggestions and issues for faculty to consider as they develop a capstone course are also included.

Curriculum↗

Outcomes assessment applied to CLS curriculum revision evaluation.

OBJECTIVE: To describe the application of outcomes measurement and assessment to curriculum revision. SETTING: A baccalaureate level clinical laboratory science (CLS) program in an academic health center. PRACTICE DESCRIPTION: Professional portion of CLS educational program. PRACTICE INNOVATION: Curriculum revision. MAIN OUTCOME MEASUREMENTS: Student retention, remediation and performance data; student, employer and faculty feedback. RESULTS: Outcome measures indicated which innovations were successful and which were less successful. CONCLUSION: Outcome measures can provide valuable information and guidance for curriculum evaluation, renewal, improvement and redesign.

Academic Medical Centers↗

Curriculum model for associate degree programs in HIM, Part III: Focus on educational outcomes and curricular content.

This is the last in a series of three articles that discuss curriculum models for associate and baccalaureate degree programs in health information management (HIM). Part I discussed the development of the models and presented a composite summary of key sections within the models. Part II focused on the baccalaureate degree curriculum model sections, which addressed educational outcomes, curricular content, and clinical experience expectations. Part III addresses these same sections, but in regard to the associate degree curriculum model.

Curriculum↗

Impact of the problem-based learning curriculum on the learning styles and strategies of medical students at the University of Transkei.

OBJECTIVES: This is a longitudinal cohort study of the learning styles and strategies of medical students in a problem-based, community-based curriculum as they progressed through the medical course. The purpose was to monitor and evaluate whether the programme was fulfilling the objective of producing self-directed and lifelong learners. METHODS: The short version of the Lancaster Inventory of Learning Styles was administered to the students on admission and thereafter on a yearly basis through the first 4 years of the medical course. Data were fed onto a database and subsequently analysed using a commercially available statistical package. RESULTS: 140 students (falling to 106 by year 4) were interviewed and followed up through the study period. Of the students 75% were black and 25% were of Asian descent. On admission the students had high scores for individual achievement motivation, and for meaningful learning. They had moderate scores for reproducing learning, comprehension learning, operation learning and versatile learning. They had low scores for learning pathologies, especially globetrotting and improvidence. There was no sexual difference in learning styles. Asian students had significantly higher scores for meaningful learning and for versatile learning. The effect of the problem-based curriculum was to reduce the score for individual achievement, decrease the score for fear of examinations, increase the score for operation learning, increase the score for versatile learning, increase the score for syllabus boundness, and decrease the scores for learning pathologies, especially for improvidence and globetrotting. By year 4, there was similarity in the learning styles of black and Asian students. CONCLUSION: The problem-based curriculum had a positive effect on the learning styles of the students, especially the black students.

Analysis of Variance↗

Anatomy education in a changing medical curriculum.

How we educate students in the first two years of medical school is changing at many institutions. Effective medical education should be viewed as a continuum, integration of the basic sciences and clinical medicine should occur throughout the curriculum, and self-directed, life-long learning should be emphasized. Curricular revision may be appropriate if these fundamental concepts are absent. The principles of three curricular models are discussed: traditional, problem-based, and systems-oriented. The ideal curriculum may draw from each of these: A truly integrated curriculum. However, the curricular model chosen must meet the needs of the institution and its students. As anatomists we should not shy away from this process of change. With progressive educational approaches, we can be leaders in this climate of curricular reform. Anatomy courses are laboratory based and the laboratory is an outstanding small group, faculty/student interactive opportunity. However, we must show flexibility and innovation in our educational approaches whatever the curricular design being proposed.

Anatomy↗

General dental practitioners' perceptions of removable prosthodontics in the undergraduate curriculum.

The undergraduate dental curriculum is undergoing rapid change and revision in dental schools worldwide. Decreasing edentulism, the advent of the clinical dental technician, and advances in technology (such as dental implantology) have led to changes in patient management and treatment options for general dental practitioners in New Zealand. The current undergraduate removable prosthodontic curriculum has seen very little change in past years at the School of Dentistry, University of Otago, and is under review to facilitate the teaching of general dental practice in the Final Year. A questionnaire-based survey of 150 general dental practitioners (response rate 74.6 percent) supported modification of the existing removable prosthodontics curriculum to improve its relevance to modern general dental practice. Integration of fixed and removable prosthodontic teaching was recommended.

Attitude to Health↗

Education of medical informatics in the medical curriculum on biomedical faculties in Sarajevo.

In this paper author discussed about experiences of implementing curriculum of education of Medical informatics on biomedical faculties in Sarajevo. Theoretical and practical part of education process, according to new curriculum, during 6 years period of studying at Faculty of medicine in Sarajevo, is hold within the second semester and consists of 30 hours. At Faculty of Dental Medicine in Sarajevo, education is hold in the fourth semester, and consists of 45 hours. At Higher Medical School in Sarajevo, education is also hold in the fourth semester, and consists of 30 hours of theoretical and 30 hours of practical hours as well. Curriculum of Medical Informatics is identical at all these three institutions. Faculty of Dental Medicine education process points out dental informatics, and Higher Medical School devotes more time in education on nursing informatics.

Bosnia and Herzegovina↗

The medical informatics curriculum at the University of Heidelberg/School of Technology Heilbronn: new developments in its 5th revision.

We report about new developments in the 5th version of the medical informatics program at the University of Heidelberg/School of Technology Heilbronn, reflect our approaches for the revision and discuss our current curriculum in relationship to other curricula in health informatics and medical informatics. The specialised university curriculum for medical informatics at the University of Heidelberg/School of Technology Heilbronn is one of the oldest educational approaches in the field of medical informatics. During more than 25 years approx. 1000 students graduated. The program belongs to the category of dedicated master programs for medical informatics and is based on the concept of medical informatics as a medical discipline of its own. It covers the total spectrum of medical informatics ranging from information systems in health care, biosignal and medical image processing, medical documentation, to information and knowledge processing in medicine. It is a 4.5 years program with a strong emphasis on the methodological foundations of medical informatics and on practical education in a number of specific laboratories. For the 5th version of the Heidelberg/Heilbronn curriculum on medical informatics, having started at winter semester 1997/98, we hope to have reflected the evolution of medical informatics as a separate discipline, moving one step further towards educating medical informatics, and not 'just' medicine and informatics.

Curriculum↗

[The problem-based medical curriculum in Trondheim--did it turn out as planned?].

BACKGROUND: A problem-based (PBL) medical curriculum was implemented in 1993 at the Medical School of the Norwegian University of Science and Technology. The objective of this study was to examine how the planned reduction in scheduled activities, the emphasis on student-centred learning, and the integration of disciplines have been implemented. MATERIAL AND METHODS: The schedules in the old and new programmes were the main sources of data. Each scheduled activity was coded according to discipline taught and chosen learning method. RESULTS: The number of hours spent on scheduled activities was much higher in the new programme (n = 4,009) than in the intended (n = 2,974), and it was even slightly higher than in the old programme (n = 3,785). In contrast to plans there was less student-centered learning, and basic science was mainly taught during the two first years. INTERPRETATION: Contrary to plans, the new curriculum in Trondheim has not become a pure PBL curriculum. It is a hybrid model involving a number of learning methods. A high degree of autonomy of the individual faculty members in the planning, and resistance to change among faculty members may have caused less radical changes. This is not necessarily negative; the new model may be a pragmatic synthesis between new and traditional medical education.

Curriculum↗

Implementation of curriculum guidelines for pharmacology and pharmacotherapeutics in FNP graduate programs: a national survey.

Model Pharmacology and Pharmacotherapeutics Curriculum Guidelines were developed by the National Council of State Boards of Nursing and the National Organization of Nurse Practitioner Faculties and published in 1998. To date, no publication of evaluation of adoption or adherence to these guidelines is available. The purpose of this survey was to determine how family nurse practitioner programs incorporate the guidelines into their curriculum. A mailed self-report questionnaire to 193 schools yielded a 41% response rate. Eighty-five percent (n = 68) of the programs have not yet fully integrated the guidelines into their curriculum. Difficulties addressing the extensive content within a 3-credit course and the challenges of teaching students with varied clinical backgrounds and knowledge levels were frequently cited. Although further study of achievement of the guidelines is necessary, an increase in credit allocation, consideration of a conceptual approach to the topic, and use of varied teaching strategies may make achievement of the guidelines more realistic.

Curriculum↗

Operational medicine experience integrated into a military internal medicine residency curriculum.

The optimal training of physicians should prepare them for the environment in which they will practice. During the past several years, the practice of internal medicine has shifted from a focus on the inpatient setting to one that includes an emphasis on the ambulatory clinic. Military internists must be further prepared to practice medicine with forward units, at field hospitals, and in other operational settings. Community-based teaching programs that reflect present and future practice are increasingly recognized as essential, yet details on the structure and implementation of such programs, especially those designed to teach field and operational medicine, are lacking. The Internal Medicine Residency Program at Walter Reed Army Medical Center has developed and implemented an operational medicine curriculum that includes a field medical training exercise. The program is driven by the residents and chief resident and requires little additional funding. Resident research continues to increase, morale remains high, and the first class to complete the 3-year operational curriculum achieved a 100% pass rate on the American Board of Internal Medicine certification examination. We describe our 3-year experience of implementing this program, with an emphasis on curriculum design and execution, qualitative assessment, and initial lessons learned.

Clinical Competence↗

An integrated curriculum for MBBS.

OBJECTIVE: To report the formulation and implementation of an organ system based integrated curriculum for MBBS students at Ziauddin Medical University (ZMU) Karachi. STEPS OF INTEGRATION: The Basic Medical Science Faculty (Anatomy, Physiology and Biochemistry) along with representatives from Medicine, Surgery and Community Health Sciences held joint meetings spread over weeks to design a system based integrated curriculum for the first two years of the MBBS class. Objectives of an integrated course were devised and the duties of term coordinator determined. CONCLUSION: Horizontal integration of Basic Science subjects can be achieved, with the subject specialists coordinating the teaching of a system based as opposed to subject based curriculum. The basic sciences can also be integrated with Community Health Sciences to achieve partial vertical integration.

Biological Science Disciplines↗

American psychology's struggles with its curriculum. Should a thousand flowers bloom?

Although discussions of a core curriculum in doctoral training in psychology can be heard in contemporary psychology, there is no such common core, nor has one ever existed in American psychology's history. Advocates of a core curriculum argue that it ensures breadth of training, an outcome made even more important by growing specialization in psychology, and that it provides psychologists with a needed common identity as members of a recognized professional discipline. Opponents argue that a core curriculum places unwanted constraints on a program of study, prohibiting the kind of diversity needed to keep abreast of changes in psychology and related fields of study. The author reviews the history of this struggle within American psychology and discusses its implications for the science and practice of psychology.

Curriculum↗

The Third Educational Conference to Develop the Curriculum in Temporomandibular Disorders and Orofacial Pain: introduction.

The principal aim of the Third Educational Conference to Develop the Curriculum in Temporomandibular Disorders and Orofacial Pain was to enhance the teaching of temporomandibular disorders (TMD) and orofacial pain to predoctoral dental students and to postdoctoral students in this field. Within this context, the conference sought to: (1) provide information regarding the current status of the predoctoral and postdoctoral teaching of TMD and orofacial pain, (2) present ways in which teaching of the basic sciences can be better integrated into the teaching of TMD and orofacial pain in the predoctoral and postdoctoral curriculum, (3) present ways in which the teaching of oral medicine can be better integrated into the teaching of TMD and orofacial pain in the predoctoral and postdoctoral curriculum, and (4) discuss how TMD and orofacial pain should be taught in a manner that is consistent with newly proposed accreditation standards. The papers addressing these specific aspects, as well as a summary paper on the conclusions from the conference, are presented in this issue of the journal.

Accreditation↗

Integration of basic sciences into the predoctoral curriculum to study temporomandibular disorders and orofacial pain.

This paper outlines several aspects of the integration of basic sciences into the predoctoral dental curriculum. It addresses a number of the points or questions posed by the organizers of the Third Educational Conference to Develop the Curriculum in Temporomandibular Disorders and Orofacial Pain. The importance of the basic sciences for a comprehensive overview of knowledge bearing on temporomandibular disorders and orofacial pain is first emphasized, followed by considerations of what material should be taught and by whom. The paper concludes by considering at what stage of the curriculum this material should be included, how the pertinent basics sciences should be taught, and under what circumstances. Under the term "basic sciences" are included not only relevant biomedical or biologic sciences such as physiology and anatomy, but also the behavioral sciences such as psychology and cognitive science.

Behavioral Sciences↗

The new Pretoria curriculum.

Macro-environmental changes in tertiary education have prompted a review of dental curricula in order to address shortcomings in the traditional curriculum. This paper defines the philosophical principles that highlight concepts in the new innovative curriculum. The stance adopted in the development of the macro- as well as the micro-curriculum is described.

Competency-Based Education↗

[Compliance with the core curriculum of laboratory medicine (private school)].

A model core curriculum for medical education was proposed in March 2001. Medical schools have to revise their curriculum according to the guideline. Showa University School of Medicine revised its curriculum of lectures and clinical practice for laboratory medicine according to the guideline. The GIO of the lecture at 4th grade was for the clinical practice at 5th grade. The GIO of the clinical practice at 5th grade was for the post-graduate clinical training. This revision is expected to improve education and result in better doctors.

Curriculum↗

[The correspondence between the clinical laboratory medicine and the core curriculum of national universities].

A model core curriculum for medical education is proposed to serve as the essential basis of material to be mastered at present and as a reference for curricula to be constructed by individual universities. The author carried out a questionnaire in departments of clinical laboratory medicine in the national universities in order to clarify the actual conditions of countermeasures of this education program for clinical laboratory medicine. As a result, 50% of universities satisfied this program's objectives and the remainder were insufficient. School hours are reduced by half. There were great differences in the methods of clinical laboratory training between universities. In the Toyama Medical and Pharmaceutical University, general clinical laboratory education is administered in the first semester of the 4th year. In clinical training, all the members should study compulsory fundamental laboratory technique in first semester of the 5th year and, in addition, 6th graders in the last 2 months should be able to choose an advanced clinical training course. To this basic curriculum addition of an elective curriculum will be required, providing individual or unique training programs based on student needs and the educational principles of each university.

Curriculum↗