A Competencybased Curriculum: Putting the Puzzle Together

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A Competency-based Curriculum Putting the
Puzzle Together
J. Peter Harris, M.D. and Constance D. Baldwin,
Ph.D. University of Rochester Pediatric
Residency Program
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Disclosures

• We have no financial or proprietary interests to
  disclose
• We do have intellectual interests to disclose,
  and we promise not to hide them

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What Makes up our Curriculum Master Plan?

• At rotation level
• Curriculum planning table
• Individual Learning Plan (ILP)
• Direct observation checklists
• Summative evaluation form
• At program level
• Collation of all rotation plans in one table
• Program review table

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Planning at Rotation Level

• Curricular plans centered on 8-12 essential
  objectives, each with identified
• Competency domain assignment
• Teaching activities
• Evaluation methods (incl. DO and oral exams)
• ILP form for each rotation (essential
  important/optional objectives)
• Direct Observation Checklist cards
• Summative Evaluation Form based on the essential
  objectives only

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Curriculum Planning Table is the Key Document
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Individual Learning Plans

• ILPs list both essential and non-essential
  objectives
• Residents prioritize list and review with faculty
  at start/end of rotation (midpoint also
  recommended)
• ILPs roll over for split and repeating rotations
• Self-evaluation checklists are ILPs for
  longitudinal experiences

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Evaluation Forms Cover ONLY Essential Objectives

• For all observable objectives, direct observation
  checklists on cards
• For all knowledge-based objectives, written or
  oral exam (with preparatory readings or
  exercises)
• Summative evaluation form collects
  objective-based evaluation data from all sources
• NO GLOBAL EVALUATIONS

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Evaluation of Repeating Longitudinal Experiences

• Self-evaluation checklists supplement essential
  objectives (conditions, sign/symptoms)
• Rolling evaluation forms
• Continue from one block to the next
• Previous blocks ratings displayed on form for
  each new block (E-Value)
• Expected level of competence at end of Yr 3 is
  indicated for each objective

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Planning at Program Level

• Program-wide PlanningTable
• collates essential objectives from all rotations
  and experiences
• can be assembled by rotation, then sorted by
  competency domain
• allows review of all comp elements for gaps
• Independent review by residents of competency
  coverage (using EG Program Planning table)

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Results of Our Program-wide Analysis
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Curriculum Evaluation Plan

• Resident and faculty debriefing forms
• Annual program-wide review of competency coverage
  (2 sources)
• by residents
• by program leaders
• Annual targets for improvement incremental
  enhancement of competency teaching and evaluation

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Curriculum Evaluation Plan

• Tracking of long-term learning outcomes by
  surveys of graduates
• Self-directed learning habits
• Practice preparation in competencies
• Certification and recertification

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Questions? Comments?
Questions? Comments?