Hanyang Med Rev.  2012 Feb;32(1):8-16. 10.7599/hmr.2012.32.1.8.

The Process of Developing a Clinical Presentation Curriculum

• Rhee BD
• Park HK

• KMID: 2053753
• DOI: http://doi.org/10.7599/hmr.2012.32.1.8

Abstract

In Korea, many medical schools have adapted their curricula to the recent paradigm shift introducing a professional graduate school system with universal accreditation criteria for medical education. This rapid transformation has driven the new adoption of system-based integrated curriculum, problem-based learning, team-based learning, and competency-based assessment. In the hundred years since the publication of Flexner's report that suggested a two-phase educational structure consisting of a basic science didactic curriculum followed by the practicum of clinical clerkships, there have been many advancements in curriculum development for medical education. Medical education is undergoing a major paradigm shift from structure- and process-based to competency-based education utilizing outcome-based assessments. The authors reviewed the existing medical literature to provide practical insight into the clinical presentation curriculum introduced by University of Calgary in 1994, developing a roadmap to accomplish full implementation and evaluation. In the clinical presentation based curriculum, schemata (schemes) are organized by experts from terminal objectives, and are considered to have two functions: first, to serve as frameworks around which students can learn new information and secondly, to provide an approach to clinical problem solving. We conclude that there should be further meticulous review of this new system and a prospective evaluation of the students' ability to benefit from it before launching a program based on the indiscreet adoption of a fashionable curricular reform.

Keyword

Curriculum; Medical Education; Competency-Based Education; Decision Support Techniques; Problem Solving

MeSH Terms

Accreditation
Adoption
Clinical Clerkship
Collodion
Competency-Based Education
Curriculum
Decision Support Techniques
Education, Medical
Humans
Korea
Learning
Problem Solving
Problem-Based Learning
Publications
Schools, Medical
Collodion

Figure

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  Fig. 1 Sample of blank clinical presentation cards (Ref. 18 with permission from Wolters Kluwer Health).

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  Fig. 2 Pictorial representation of scheme for urinary frequency (Ref. 18 with permission from Tylor & Francis).

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