Review of an Initial Physician Assistant Training Program Orthopaedics Course Curriculum Using Kern's 6-Step Process

Robyn L. Chalupa, Lance A. Beahm, Adrian Donias, Torrance L. Nevels, Teresa A. Walters
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Abstract

Graduating an average of 169 graduates per year, the Interservice Physician Assistant Program (IPAP) is the largest physician assistant training program in the world. The IPAP orthopedics course is a 4-credit hour course that started as approximately 60 hours of lecture, 9 hours of laboratory practice to prepare for an Objective Structured Clinical Examination, and 4 hours of splinting laboratory. After several cohorts performed poorly on the second block exam and student critiques voiced the need for course revision, the curriculum committee formed a sub-committee to review the course content and structure. The primary course instructor was familiar with Kern's 6-step approach to curriculum development and proposed using the Kern’s approach for the curriculum review and revision. This article aims to demonstrate the use of Kern's 6-step approach for review and revision of an introductory orthopedic course curriculum. This article shows how an IPAP curriculum sub-committee executed the 6 steps of the Kern’s process: (1) problem identification and general needs assessment, (2) targeted needs assessment, (3) development of goals and objectives, (4) development of educational strategies, (5) implementation, and (6) evaluation and feedback. To our knowledge, this is the first example of a physician assistant program using Kern's 6-step process to revise a curriculum. Thus far, the revisions show a positive change, indicating that other physician assistant programs could conduct similar reviews using the Kern’s 6-step approach.
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使用Kern的6步过程对初级医师助理培训计划骨科课程的回顾
跨部门医师助理计划(IPAP)平均每年毕业169名毕业生,是世界上最大的医师助理培训计划。IPAP骨科课程是一门4学分的课程,最初大约有60小时的讲座,9小时的实验室实践,为目标结构化临床检查做准备,4小时的夹板实验室。在几组学生在第二次分组考试中表现不佳,学生批评表示有必要修改课程后,课程委员会成立了一个小组委员会来审查课程内容和结构。初级课程讲师熟悉科恩的六步课程开发方法,并建议使用科恩的方法进行课程审查和修订。本文旨在展示科恩六步法在骨科入门课程复习和修订中的应用。本文展示了IPAP课程小组委员会如何执行Kern过程的6个步骤:(1)问题识别和一般需求评估,(2)有针对性的需求评估,,(3)目标和目的的制定,(4)教育战略的制定,以及(5)实施和(6)评估和反馈。据我们所知,这是第一个使用科恩六步程序修改课程的医生助理项目的例子。到目前为止,修订显示出积极的变化,表明其他医生助理项目可以使用科恩的6步方法进行类似的审查。
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