Submission ID 77719
| Code | OC-4-3 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Early Career Faculty - (Less than 7 years of practice) |
| Title | Uncommon Places: Learning From the Design of Competence by Design |
| Background/Purpose | Curriculum making is a contested, contextual, ongoing process. However, the literature on curriculum design for CBME is largely conceptual. In the implementation of Competence by Design (CBD), there is opportunity to study the process. According to Schwab, four "commonplaces" should be represented as sites of curriculum making. How were the commonplaces of teachers, learners, milieu, and subject matter expert included in the design of Competence by Design? Understanding the influence of these commonplaces can offer insights for curriculum improvement. |
| Methods | This thematic analysis uses Schwab's theoretical framework to interpret a set of 18 semi-structured interviews with CBD implementation leads at national, institutional, and program levels in 3 Canadian provinces. Interviews explored participants' experience of the process of curriculum design and translation to practice. Two researchers independently coded the data to identify examples of human and material actors representing the commonplaces. We then engaged in 4 analytic team meetings to discern the effects of inclusions and exclusions in these sites of decision making. |
| Results | The commonplace of subject matter expert was well-represented, while the perspectives of teachers and learners were frequently overlooked. We found three, often unanticipated material actors in the milieu for CBD, represented by institutional policies, technologies, and training contexts. When silent or hidden, the commonplaces of teachers, learners, and milieu had unintended consequences of disconnecting assessment and entrustment from tailored learning experiences in early implementation of CBD. |
| Discussion | This study of curriculum making in CBD offers empirical and critical insights to inform quality improvement of competency-based curricula in medical education. |
| Keyword 1 | Curriculum making |
| Keyword 2 | Competence by Design |
| Keyword 3 | Unintended consequences |
| Abstract content most relevant to: (check all that apply) | Residency Education |
| Abstract Track - First Choice | Curriculum |
| Curriculum | Competency-Based Education Quality improvement |
| Authors | Mary Ott Mary Ott Lori Dengler Kathy Hibbert Michael Ott |
