The Model of Value-Based Curriculum for Medicine and Surgery Education in Iran

Abstract

Background: Theneedforinternalizationof valuesforprofessionaldevelopmentinmedicineandsurgery,andsenseof dutylinked to the practice of the medical professionalism were recognized in Iran. With regard to the shortcomings currently existed in the curriculumof themedicaleducation,in2013,thedesignof anoperationalmodelforthecurriculumbasedonvalueswasplacedon the agenda through the PhD thesis. Objectives: The aim of this study is to develop the operational model of the value-based curriculum for medicine and surgery education with respect to indigenous values in Shahid Beheshti University of Medical Sciences, Tehran, Iran. Methods: Our value-based curriculum model was developed through qualitative ontology foundations of Hugh McKenna concept analysis. Finally we developed our operational model by comparing our domestic extracted attributes with what is existed and ex-periencedinothercountriesthroughsystematizedsearching,determinedtheprocessof valuecurriculum,thesequenceof process steps, menu and taxonomy for operationalization of each step, and recommended practices for each step for integration of values in medicine and surgery education in Iran. Results: Ten steps of curriculum model for integration of values in medicine and surgery education include: general need assessment of values, designing hierarchy system of values, need assessment of targeted learners’ values, developing value programme statement, determination of value outcomes and objectives, production of value rich content, value based teaching and learning methods, value based settings, value themes management, determination of values evaluation and assessment methods. Conclusions: This Indigenous operational model of value based curriculum proposes the process with exact sequence for the con-creteimplementationof valueseducationinmedicineandsurgery,accordancewithourcountryoffers. Theoperationalvaluebased curriculummodelwaspreparedinordertodevelopapracticalguidelineforvaluebasedexperimentsinmedicineandsurgery,helps to move from the information level and expressing factual knowledge, to the conceptual and judgment level, understanding the connections and interactions between facts and analysis them.