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MEU WORKSHOP
At the end of this session, the participant will
be able to:
Define educational objectives and list their
uses.
Differentiate between the types of
educational objectives.
Differentiate between goals, competencies
and objectives.
“A process, which is to bring about desirable
changes in the behavior of the learner ”
(in the form of acquisition of knowledge,
proficiency in skills and development of
attitudes).
1. Can you list what you covered?2. Can you list what the students
learned?
Why is question 1 easier to answer
than question 2?
The goal of a learning activity is like a
target
Aim Of Medical
Education……..? Is to produce a qualified medical
practitioner
The objectives are the arrows that help the learner reach the target and demonstrate mastery
Objective is a precise point in the direction of achieving aim
10
Why should we have an objectives?
Define the outcome of the activity
11
“Statements which tell what the student
should be able ‘to do’ at the end of a
specific learning period”.
“Statements which tell what the student
should be able ‘to do’ at the end of a
specific learning period”.
“Statements which tell what the student
should be able ‘to do’ at the end of a
specific learning period”.
If you have no objective, you
shoot aimlessly.SACS-16
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of + 50 grams.
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of +/- 50 grams.
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of +/- 50 grams.
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of +/- 50 grams.
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of + 50 grams.
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of + 50 grams.
• At the end of the MBBS course, the student will be able to
provide preventive and curative care to individuals and
the community in health and in disease.
• At the end of the final MBBS year, the student will be able
to apply the knowledge of pediatrics towards managing
common health problems of children.
• At the end of this demonstration, the final MBBS student
will be able to record the weight of a new born baby using
a lever scale with an accuracy of + 50 grams.
• At the end of the MBBS course, the student will be
able to provide preventive and curative care to
individuals and the community in health and in
disease.
• At the end of the final MBBS year, the student will be
able to apply the knowledge of pediatrics towards
managing common health problems of children.
• At the end of this demonstration, the final MBBS
student will be able to record the weight of a new
born baby using a lever scale with an accuracy of +
50 grams.
Institutional
objective
Departmental objective
Specific Learning Objective
1. Institutional objectives
2. Departmental objectives
3. Specific learning objectives (SLO)
27
Institutional
Departmental
SLO
Brief, concise and specific statements of
what the learner will be able to do at the
end of a teaching-learning activity.
1. Inform students of the standards and
expectations of the course.
2. Guide the formation of teaching-
learning activities.
3. Aid in the development of tools for
assessment.
4. Provide a framework for evaluation.
Uses of educational objectives
Objective
s
T-L
activities
Assessm
ent
“Broad statement about projected course
outcomes”.
Example:
MCI’s goal for MBBS course: “to create an Indian Medical
Graduate (IMG) possessing requisite knowledge, skills,
attitudes, values and responsiveness, so that he or she
may function appropriately and effectively as a physician of
first contact of the community while being globally
relevant.”
Goals Objectivesbroad statements brief, concise, targeted
statements
abstract, intangible, observable, tangible,
do not detail student
performances
learner oriented
vague concrete
hard to measure measurable
long term time bound
non-specific specific
CompetencyCompetency
Competency
Goal
SLOSLO SLO SLO SLO SLO SLO SLO
36
Summary
Part 1: Educational objectives
• Definition
• Types
• Uses
• Goals, competencies and objectives
Task 1Identify the type of educational
objective:
1. The student will be able to provide
independent preventive and therapeutic care
to individuals and the community in health and
in disease.
2. The student will be able to diagnose and treat
endemic diseases like tuberculosis and
leprosy.
Institutional objective
Departmental
objective
3. The student will be able to implement proactively
the National programmes for the health and well
being of individuals and the community.
4. The student will be able to apply the principles
and concepts underlying normal behaviour and
mental illness.
Institutional objective
Departmental
objective
5. The student will be able to list at least five
bacterial agents that cause pyrexia of unknown
origin.
6. The student will be able to perform basic
cardio-pulmonary resuscitation on a manikin.
7. The student will be able to reassure an anxious
relative of a patient undergoing surgery.
Specific learning
objective
Specific learning
objective
Specific learning
objective
8. The student will be able to define cardiac output.
9. The student will be able to classify diuretics.
10. The participant will be able to differentiate
between
institutional, departmental and specific learning
objectives.
Specific learning
objective
Specific learning
objective
Specific learning
objective
At the end of this session, the participant will
be able
to:
• Define specific learning objectives
• Describe the elements and qualities of
specific learning objectives
Brief, concise and specific statements of
what the learner will be able to do at the
end of a teaching-learning activity.
Brief, concise and specific statements of
what the learner will be able to do at the
end of a teaching-learning activity.
Brief, concise and specific statements of
what the learner will be able to do at the
end of a teaching-learning activity.
“Beginning
with
the end in
mind.”
1. At the end of this practical class, the I
MBBS student will be able to measure
the supine blood pressure of a subject
using a sphygmomanometer, with an
error of not more than + 10 mm Hg.
2. At the end of this demonstration, the final MBBS student will be able to record the weight of a new born baby using a lever scale with an accuracy of + 50 grams.
3. At the end of this session, the participant will be able to independently frame specific learning objectives using the ABCD method, avoiding common errors.
49
Elements of
Specific Learning
Objectives
Elements of Learning Objectives
Elements of Learning Objectives
ABC2D
1. Audience
2. Behaviour
3. Content
4. Condition
5. Degree
1. Audience:
It describes who the learner is
for the particular teaching-
learning activity
Example: the I MBBS student, the
participant,
the post-graduate student, etc.
2. Behaviour:
It describes what the learner
is expected to do and is
normally
expressed in terms of an
active verb
Example: Define, listen, dissect, etc.
Elements [ABCD] of Learning
Objectives
• Understand• Appreciate• Know • Learn • Increase• Improve • Grasp the
significance of• Think critically
3. Content:
It describes the subject, object or
theme of the teaching-learning
activity
Example: Define hypertension, measure the
height,
constitute ORS, etc.
4. Condition:Describes the important conditions (resources supplied and restrictions applied) on the learner while performing a task
Example: using Gram’s stain, given the complete blood count, in a manikin, etc.
Elements [ABCD] of Learning
Objectives
5. Degree:
It describes the acceptable or
the desirable level of
proficiency
expected from the learner
Example: at least three, with an accuracy of
+100 grams, in not more than
two
attempts, etc.
Elements [ABCD] of Learning
Objectives
1. At the end of this demonstration, the
participant will be able to assemble a
laryngoscope handle and blade without
references and in a simulated environment,
without error and within ten seconds.
2. At the end of this posting, the final year
B.Sc. nursing student will be able to
assist with endo-tracheal intubation
in a simulated environment according to
guidelines and standards as stated in the
AACN Procedure Manual for Critical Care.
1. Who
2. Will do
3. How much (how well)
4. Of what
5. By when
Kern’s
method
Qualities of
Specific Learning
Objectives
SMART
Specific
Measurable
Achievable
Realistic
Time-bound with a deadline
They should be relevant, unequivocal,
observable and feasible.
1. At the end of this lecture, the III MBBSstudent will be able to describe in detailthesteps for performing a liver transplant.
2. At the end of this lecture, the studentwill beable to understand infection control in ahospital.
65
(No -
irrelevant)
(No - unclear, equivocal, nonspecific)
3. At the end of this demonstration, the house
surgeon will be able to perform gastro-
jejunostomy surgery independently.
4. At the end of this lecture, the student will be
able
to grasp the significance of smoking
cessation in
the prevention of carcinoma of the lung.
66
(No - unrealistic, not
feasible)
(No - not observable and
measurable)
Step 1:
First create a Stem. The stem should
begin with the line “At the end of this”
and should include the name of the
particular T-L activity.
“At the end of this clinical session …”
Step 2:
To the stem, identify and add the
Audience (learner) for the
particular T-L activity.
“At the end of this clinical session, the
final
MBBS student…”
Step 3:
Connect step 2 with an appropriate
action verb that describes the expected
learner Behaviour after the T-L
activity, using the words “will be able
to”
“At the end of this clinical session, the
final MBBS student will be able to
insert…”
Step 4:
Add Content to step 3. Next clearly
state specific Conditions placed on
the learner and the expected Degreeof proficiency
“At the end of this clinical session, the
final MBBS student will be able to insert
a venous cannula in a mannequin in not
more than 2 attempts”
Step 5:
Use the Checklist to review whether
the learning objectives are effectively
framed
Common Errors in framing
Learning Objectives
1. Instructor performance:
Example:
The teacher will clearly explain the
anatomy
of the blood supply of the stomach.
2. False performance (behaviour):
Example:
The student will be able to have a
thorough
understanding of the
pharmacokinetics
of antibiotics.
3. False givens (conditions):
Example:
Given six weeks training in endoscopy, the
participant will be able to diagnose gastric
ulcer.
4. False criteria (degree):
Example:
The learner will be able to demonstrate
the knee jerk to the satisfaction of the
examiner.
One participant from every group will
present your group’s SLOs to the entire
group in the plenary, using the OHP
sheet provided.
Time Limit:
Framing SLO: 10 minutes
Plenary: 15 minutes
80
Summary
Specific learning objectives
• Definition
• Qualities
• Elements
Steps in framing specific learning objectives
Step 1: Create stem
Step 2: Add A
Step 3: Add B
Step 4: Add C,C,D
Step 5: Use checklist
“At the end of this clinical session, the final
MBBS student will be able to insert a venous
cannula in a mannequin in not more than 2
attempts”
Elements
A Audience
B Behaviour
C Content
C Condition
D Degree
At the end of this session, the participant
will be able to:
Enlist the three major domains of learning
Describe the different levels of Cognitive,
Psychomotor and Affective domains.
Divides educational
objectives into three
“domains of
learning.”
Benjamin Samuel Bloom ,1956
I. Cognitive: Knowledge-based
domain
II. Psychomotor: Skills-based domain
III. Affective: Attitudinal-based domain
Knowledge
AttitudeSkills
88
Domains of learning
Cognitive
AffectivePsychomotor
Domains of learning
Cognitive – Thinking / Knowledge
Psychomotor – Doing / Skill
Affective – Feeling / Attitude
Comprehension
Application
Knowledge
Analysis
Synthesis
Evaluation
Simplified classification:1. Knowledge 2. Understanding 3.
Application
Synthesis
Analysis
Application
Comprehension
Knowledge
Evaluating
Analysing
Applying
Understanding
Remembering
Old New
Evaluation Creating
Evaluation -Making judgments based on criteria and standards
Synthesis - Bring together parts of knowledge to form a whole and
build relationships for new situations
Analysis - Break down knowledge into parts and show relationships
among parts
Application -Use knowledge or generalization in a new situation
Comprehension - Interpret information in one’s own words
Knowledge -Recall of information
.
Able to define hypertension
Able to classify the hypertension
Able to predict how antihypertensive therapy
would be modified in case the patient develops
angina
Able to take cognizance of socio – economic,
personal and cultural factors while selecting
treatment for HT
Able to write a rational & individualised
perception for a patient with HT
Able to outline the prognosis for a patient with
HT
Example:
Enumerate 5 side effects of rifampicin
Explain the mechanism of hepatotoxicity by
rifampicin
Calculate dose of rifampicin for a patient with
a weight of 20kg
Discuss advantages of using rifampicin in the
initial treatment
Discuss characteristics of drugs which prevent
development of drug resistance
Select the most appropriate drugs for drug
resistant tuberculosis
Responding
Valuing
Receiving
Organization
Characterization
Receiving -student
passively pays attention
Responding - The student actively
participates in the learning process, not only attends to
a stimulus; the student also reacts
in some way
Valuing - The student attaches
a value to an object,
phenomenon, or piece of
information
(1) Receiving :
Ex. The learner would be able to show awareness
of anxiety of the patient waiting for an invasive
procedure.
(2) Responding :
Ex- The learner would be able to reassure the an
anxious patient waiting for an invasive procedure.
(3) Valuing :
Ex- The learner would be able to realize that its
worth spending time reassuring patient whenever they
are anxious.
High degree of proficiency
Independently
Supervision
Imitate
Observe
Set
Guided response
Perception
Mechanism
Complex Overt Response
Adaptation
Origination
Simpson’s Classification
Domain Verbs
CognitiveDefine, List, Name, State, Classify, Describe,
Apply, Compare, Contrast, Differentiate,
Diagnose, Assess, Evaluate, Justify, etc.
Psychomoto
r
Measure, Perform, Dissect, Palpate,
Assemble, Construct, Sketch, etc.
Affective Listen, Comfort, Share, Choose, Help,
Initiate, Defend, Practice, Display, Reassure,
etc.
Recall
Identify
Recognize
Acquire
Distinguish
Define
Describe
Label
List
Match
Name
Recall
Apply
Sequence
Carry out
Solve
Prepare
Change
Construct
Operate
Generalize
Plan
Repair
Explain
Demonstrate
Use
Write
Plan
Integrate
Synthesize
Formulate
Propose
Specify
Generate
Produce
Organize
Theorize
Design
Build
Systematize
Create
Compose
Evaluate
Verify
Assess
Test
Judge
Critique
Compare
Rank
Measure
Appraise
Select
Check
Defend
Justify
5. The student will be able to list at least five bacterial
agents that cause pyrexia of unknown origin.
6. The student will be able to perform basic cardio-
pulmonary resuscitation in a manikin.
7. The student will be able to reassure an anxious
relative of a patient undergoing surgery.
Cognitive
domain
Affective domain
Psychomotor domain
8. The student will be able to define cardiac
output.
9. The student will be able to classify diuretics.
10. The participant will be able to differentiate
between
institutional, departmental and specific
learning
objectives.
Cognitive
domain
Cognitive
domain
Cognitive
domain
Cognitive
levelSample verbs
Knowledge Define, List, Name, State
Comprehensio
n
Describe, Classify, Give Examples
Application Apply, Demonstrate, Calculate
Analysis Compare, Contrast, Differentiate,
Classify
Synthesis Design, Develop, Diagnose, Plan
Evaluation Assess, Evaluate, Justify, Judge
Examples:
At the end of this lecture, the III MBBS student will
be able
to:
1. List the clinically important causes of secondary
hypertension.
(Knowledge)
2. Classify a given set of blood pressure readings
as normal or hypertensive.
(Understanding)
3. Plan an individualized therapy for a patient with
systemic hypertension.
(Application)
Simplified classification:
1. Imitation
2. Practice under supervision/guidance
3. Performance with high degree of skill
(proficiency)
Sample verbs of the Psychomotor Domain:
Measure, Perform, Dissect, Palpate,
Assemble,
Construct, Sketch, etc.
Examples:
At the end of this demonstration , the III MBBS
student
will be able to:
1. Perform basic cardiopulmonary resuscitation
(CPR) on a manikin. (Imitation)
2. Perform CPR on a patient in a hospital under
supervision. (Practice under
supervision)
3. Perform CPR in emergency situations with
confidence. (Performance with
proficiency)
Simplified classification:
1. Receiving
2. Responding
3. Internalization
Sample verbs of the Affective Domain:
Listen, Comfort, Share, Choose, Help,
Initiate,
Defend, Practice, Display, Reassure,
etc.
Examples:At the end of this demonstration, the III MBBS
student will
be able to:
1. Listen attentively to an anxious patient about to
undergo an invasive procedure.
(Receiving)
2. Comfort an anxious patient about to undergo
an invasive procedure by verbal or non-verbal
communication.
(Responding)
3. Habitually comfort patients about to undergo
invasive
Communication skills
Does
(action)
Shows how (performance)
Knows how
(competence)
Knows
(knowledge)
11
8
Summary
Part 2:Taxonomy of educational objectives
Domains of learning (Bloom’s Taxonomy)
I. Cognitive
Verbs: Define, list, classify, differentiate, etc.
II. Psychomotor
Verbs: Dissect, palpate, measure, perform, etc.
III. Affective
Verbs: Listen, comfort, share, choose, help, etc.
Task 2Identify the domain of learning of
the
following educational objectives:
1. …will be able to list the types of glaucoma.
2. …will be able to conduct a normal delivery
using safe
delivery practices in the primary care setting.
3. …will be able to define aseptic meningitis and
enumerate the causes.
Cognitive
Psychomotor
Cognitiv
e
4. …will be able to communicate effectively to
patients with terminal illness.
5. … will be able to demonstrate the use of an
insulin pen to a diabetic patient.
6. … will be able to classify opiod analgesics.
7. … will be able to describe the management
of acute
diarrhoeal diseases.
Affective
Psychomotor
Cognitive
Cognitive
8. … will be able to list the indications for using
general anesthesia during surgery on adults.
9. … will be able to start an intravenous line in
a
convulsing patient.
10. …will demonstrate the ability to make
empathetic
responses to anxious relatives of chronically
ill patients.
Cognitive
Psychomotor
Affective
1. Ananthanarayanan. PH, Sethuraman KR, Santosh Kumar, editors.
Medical Education, Principles and practice. 2nd ed. Pondicherry:
National Teachers Training Course (NTTC) JIPMER; 2000.
2. Mager RF. Preparing Instructional Objectives. Belmont: Fearon
Publishers;1975.
3. Bloom BS. ed.Taxonomy of Educational Objectives: The
Classification of Educational Goals, handbook 1: Cognitive
Domain. New York: McKay; 1956.
4. Harrow AJ. A Taxonomy of the Psychomotor Domain: A Guide for
Developing Behavioral Objectives. New York: McKay; 1972.
5. Krathwohl DR, Bloom BS and Masia BB. Taxonomy of
Educational Objectives: The Classification of Educational Goals,
Handbook 2: Affective Domain. New York: McKay;1964.
6. Epstein RM, Hundert E. Defining and assessing professional
competence. JAMA 2002;287: 226-34
7. American Association of Medical Colleges Report 1-Learning
Objectives for Medical Student Education: Guidelines for Medical
Schools, MSOP;1998.
8. Core Committee, Institute for International Medical Education.
Global minimum essential requirements in medical education.
Med Teach. 2002; 24(2):130-135.
9. Singh T, Gupta P, Singh D. Principles of medical education 3rd
ed. New Delhi: Jaypee Brothers Medical; 2009.
10. www.mciindia.org/tools/announcement/MCI_booklet.pdf
Questions?
1. The three components of the
Education spiral are:
a. Knowledge, Skills and Attitude
b. Goals, Competencies and Objectives
c. Objectives, T-L activities and
Assessment
d. Institutional, Departmental and
Specific
1. The three components of the
Education spiral are:
a. Knowledge, Skills and Attitude
b. Goals, Competencies and Objectives
c. Objectives, T-L activities and
Assessment
d. Institutional, Departmental and
Specific
2. The uses of Objectives are :
a. To guide formation of T-L activities
b. In assessment
c. In evaluation of the course
d. All of the above
2. The uses of Objectives are :
a. To guide formation of T-L activities
b. In assessment
c. In evaluation of the course
d. All of the above
3. The three domains in Bloom’s
taxonomy of
educational objectives are
a. Affective, psychological and
cognitive
b. Assertive, psychomotor and
cognitive
c. Affective, psychomotor and cognitive
d. Affective, psychomotor and creative
Choose the single best response:
3. The three domains in Bloom’s
taxonomy of
educational objectives are
a. Affective, psychological and
cognitive
b. Assertive, psychomotor and
cognitive
c. Affective, psychomotor and cognitive
d. Affective, psychomotor and creative
Choose the single best response:
4. In the cognitive domain , which level
would be
considered by Bloom as being at the
lowest level?
a. Analysis
b. Comprehension
c. Knowledge
d. Evaluation
Choose the single best response:
4. In the cognitive domain , which level
would be
considered by Bloom as being at the
lowest level?
a. Analysis
b. Comprehension
c. Knowledge
d. Evaluation
Choose the single best response:
5. What does “S” stand for in ‘SMART’
objectives?
a. Special
b. Specific
c. Smart
d. Super
5. What does “S” stand for in ‘SMART’
objectives?
a. Special
b. Specific
c. Smart
d. Super
6. Which of the following words should a
‘SMART’ objective NOT contain?
a. Evaluate
b. Analyze
c. Understand
d. Use
Choose the single best response:
6. Which of the following words should a
‘SMART’ objective NOT contain?
a. Evaluate
b. Analyze
c. Understand
d. Use
Choose the single best response:
At the end of this session, the participant will be able
to: • Define competency.• Differentiate between goals,
competencies and objectives.• Describe the steps in framing
competencies and identify role and subject based competencies.
• Define competency based medical education and outcomes.
Example:
“The Indian Medical Graduate should be able to demonstrate
knowledge of normal human structure, function and
development from a molecular, cellular, biologic, clinical,
behavioral and social perspective”.
An observable ability of a health
professional, integrating multiple
components such as knowledge, skills,
values and attitudes.
14
4
ACGME competencies [Accreditation Council for Graduate medical Education]
The habitual and judicious use of
communication,knowledge, technical
skills, clinical reasoning, emotions,
values, and reflection in daily practice
for the benefit of the individual and
community being served.
Relevant to an individual’s job responsibilities, roles and capabilities.
Clinician, who understands and provides preventive, promotive, curative, palliative and holistic care with compassion
They are a way to verify that a learner has in fact learned what was intended in the learning objectives.
Competencies define the applied skills
and knowledge that enable people to
successfully perform their work while
learning objectives are specific to a
course of instruction.
A Goal is a broad statement about projected course
outcomes.
A competency is an
observable ability of a health
professional,
integrating multiple
components
such as knowledge, skills,
values and attitudes.A specific learning objective is a brief, concise and specific
statement of what the learner will be able to do at the end of a
teaching-learning activity.
SLO
Goal
CompetencyCompetency
Competency
SLO SLO SLO SLO SLO SLO SLO
Objectives say what we want the
learners to know (teacher
centred)
Competencies say how we can
be certain they know it.
Competency
– the thing(s)
they need to
do
Competent
– can do all
of the things
Competence – does all of the
things consistently, adapting
to contextual and situational
needs
Ballet dancer
Goal:
• Perform gracefully on
stage.
Competencies:
• Perform intricate dance
moves while keeping in
tune to music.
Objectives:
• Demonstrate ability to
stand on tip-toe without
losing balance for thirty
seconds.
Mountain climber
Goal:
• Reach the mountain
peak.
Competencies:
• Demonstrate skill in
climbing up a rope
while judging risks
involved.
Objectives:
• Demonstrate ability to
climb 100 feet using a
rope.
1. … modify the treatment of a patient who
is receiving propranol for systemic
hypertension if he develops bronchial
asthma.
2. …recognise, rescuscitate, stabilize and
provide advanced life support to patients
following trauma.
SLO
Competency
3. … perform CPR on a patient with
cardio-respiratory arrest under
supervision.
4. … demonstrate the ability to choose,
calculate and administer appropriately
intravenous fluids, electrolytes, blood
and blood products based on the
clinical condition.
SLO
Competency
5. … create an “Indian Medical Graduate”
(IMG) possessing requisite knowledge,
skills, attitudes, values and
responsiveness, so that he or she may
function appropriately and effectively as
a physician of first contact of the
community while being globally relevant.Goal
1. Begin with a present tense action verb. 2. Each action verb requires an object. 3. Each competency is4. Each competency is based on performance. 5. Do not use evaluative or relative adjectives.
(Do not use words like good, effective, appropriate.)
6. Do not use evaluative or relative adverbs. (Do not use words like quickly, slowly, immediately.)
7. Do not use qualifying phrases. (Do not use a phrase such as “Write with greater confidence.”)
8. Say what you mean, using only necessary words.
Miller’s Pyramid provides a framework of levels of competence in
medical education and can assist clinical teachers in matching
learning outcomes and competencies with expectations of what
the learner should be able to do at any stage.
MCI’s goal for MBBS course: “to create an Indian Medical
Graduate (IMG) possessing requisite knowledge, skills,
attitudes, values and responsiveness, so that he or she
may function appropriately and effectively as a physician of
first contact of the community while being globally
relevant.”
Clinician Leader Communicator
Lifelong learner
Professional
Goal: Indian Medical
Graduate
Role based and subject based
competencies
R
O
L
E
S
ROLES
Demonstrate knowledge of abnormal
human structure, function and
development from a molecular, cellular,
biological, clinical, behavioural and
social perspective.
Clinician
Demonstrate the ability to function
effectively, responsibly and
appropriately as a health care team
leader in primary and secondary health
care settings.
Leader
Demonstrate the ability to communicate
adequately, sensitively, effectively and
respectfully with patients in a language that
the patient understands and in a manner
that will improve patient satisfaction and
health care outcomes.
Communicator
Demonstrate the ability to perform an
objective self‐assessment of knowledge
and skills, continue learning, refine
existing skills and acquire new skills.
Lifelong learner
Demonstrate respect and maintain
professional boundaries between
patients, colleagues and society.
Professional
1. Demonstrate understanding of the
biochemical basis and rationale of
clinical laboratory tests and
demonstrate the ability to interpret
these in the clinical context.
2. Demonstrate the ability to assess and
promote optimal growth, development
and nutrition of children and
adolescents and identify deviations
from normal.
Biochemistry
Paediatrics
An outcome based
approach to designing,
implementing,
assessment and
evaluation of a medical
education programme
using an organizing
framework of
competencies.
Medical education
programme
Outcom
eCompetencie
s
Approach to designing,
implementing, assessment and
evaluation
“New MBBS syllabus to introduce students to patients in first year
Ekatha Ann John, TNN | Sep 19, 2014, 04.07AM IST
CHENNAI: Medical students could soon have their first brush with treating
patients in the first year of MBBS with the Medical Council of India (MCI) giving
final shape to a revision of the undergraduate medical curriculum. This will be
the first major overhaul of MBBS syllabus in 17 years.
At a recent press conference in Chennai, Dr M Rajalakshmi, MCI's chief
consultant in the academic cell said the conversion of the existing MBBS
curriculum to a competency-based one is almost complete. In a move that
has raised eyebrows, MCI is also applying for a copyright, following which the
syllabus will be put up on its website.
In 2011, MCI submitted the proposed new syllabus, titled Vision 2015, with the
ministry of health, but the implementation was stalled due to wrangles within
the body. "The apex regulatory body of doctors has now revived the plan by
submitting a fresh version of the syllabus after making a few modifications,"
said a source in MCI.”
- The Times of India, September 19, 2014
1 2 3 4 5 6 7 8
No. Competencies Domain
K/S/A/C
K/KH/SH/
P
Core
Y/N
Suggested
Teaching
Learning
method
Suggested
Assessme
nt method
No req
to certify
P
See
legend
Instructions - column 1: number; column 2: competency : must start with a
measurable verb. column 3: K- Knowledge, S – Skill, A - Attitude / professionalism, C-
Communication. column 4: K – Knows, KH - Knows How, S - Shows how, P-
performs independently.
column 8:entry is P: indicate how many procedures must be done independently for
certification/ graduationSummary
Name of Topic: Number of competencies: ( )
Number of procedures that require certification :
Prerequisite knowledge for topic from previous phases:
Topic Continued:
• Knows the places for IM Injection
• Capable of using aseptic precautions
• Demonstrates the ability to give IM inj
Learning Objectives
• Capable of giving IM injection Learning
Outcomes
• Give IM injection to deltoid independently Competency
Clinician Leader Communicator
Lifelong learner
Professional
Transition to competency
based medical education
Competenc
yCompetency
Competency
Goal
SL
OSL
O
SLO SLO SLO SLO SLO SLO
1. Frank JR, Snell L, Cate OT, Holmboe ES, Carraccio
C, Swing SR et al. Competency based medical
education: theory to practice. Medical Teacher 2010;
32: 638-45
2. Cate OT. Competency based medical training and
evaluation. Definitions and correlations with real
clinical practice. Reviews in Cardiology (Argentina)
2011; 79: 405
3. Carracio C et al. Shifting paradigms: From Flexner to
Competencies. Academic Medicine 2002; 77: 361
4. Ananthanarayanan. PH, Sethuraman KR, Santosh
Kumar, editors. Medical Education, Principles and
practice. 2nd ed. Pondicherry: National Teachers
Training Course (NTTC) JIPMER; 2000.
5. www.mciindia.org/tools/announcement/MCI_booklet.
Questions?
1. Which of the following is NOT a role of an
IMG?
a. Clinician
b. Communicator
c. Lifelong partner
d. Communicator
e. Professional
1. Which of the following is NOT a role of an
IMG?
a. Clinician
b. Communicator
c. Lifelong partner
d. Professional
Thank you!