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Original Article

Implementation of Outcome-Based Medical Education Theory into the Pre-existing Curriculum

The Ewha Medical Journal 2017;40(1):35-40. Published online: January 31, 2017

Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.

1Department of Medical Education, Ewha Womans University School of Medicine, Seoul, Korea.

2Department of Microbiology, Ewha Womans University School of Medicine, Seoul, Korea.

3Department of Otorhinolaryngology, Ewha Womans University School of Medicine, Seoul, Korea.

Corresponding author: Jae Jin Han. Department of Medical Education, Ewha Womans University School of Medicine, 1071 Ahnyangcheon-ro, Yangcheon-gu, Seoul 07985, Korea. Tel: 82-2-2650-5629, Fax: 82-2-2650-5152, jjhan@ewha.ac.kr
• Received: September 27, 2016   • Accepted: January 5, 2017

Copyright © 2017. Ewha Womans University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    This paper aims to describe an outcome-based curriculum development process at a medical school that has difficulty in advancement from the higher stage outcomes to the individual lesson outcomes, and to propose a way to implement it practically.
  • Methods
    We reviewed the objectives, strategies and previous products of the school's taskforce activities and suggested the principle of bidirectional approaches of outcome based curriculum development.
  • Results
    The developing strategy identified such as firstly, the evaluation of present curriculum and then, the review of the outcomes developed previously with considering the nation-wide environmental change in medical education. Then, we selected one example course which was focused the resources of the school to, and finally the product of the example course was propagated to the other courses with central monitoring.
  • Conclusion
    Bidirectional model of ‘Top-down’ plus ‘Bottom-up’ approaches could be an efficient way to develop the outcome-based curriculum in a medical school, which has difficulties to advance the developing process due to various reasons including limited resources.
  • 1. Harden RM. Developments in outcome-based education. Med Teach 2002;24:117-120.
  • 2. Harden RM, Crosby JR, Davis MH. AMEE guide No. 14: Outcome-based education: Part 1-An introduction to outcomebased education. Med Teach 1999;21:7-14.
  • 3. Han JJ. Global doctor's role and outcome-based medical education. Ewha Med J 2013;36:3-8.
  • 4. Lee JK. Reflection on a Methodoloy of Developing Competency-Based Curriculum: based on a Case of Curriculum Development for Improving Marketing Competency. J Educ Technol 2002;18:25-56.
  • 5. Harden RM. Outcome-based education: the future is today. Med Teach 2007;29:625-629.
  • 6. Newble D, Stark P, Bax N, Lawson M. Developing an outcome-focused core curriculum. Med Educ 2005;39:680-687.
  • 7. Smith SR, Dollase R. AMEE guide no. 14: outcome-based education: part 2-planning, implementing and evaluating a competency-based curriculum. Med Teach 1999;21:15-22.
  • 8. Ahn JH, Yang EB. An outcome-based approach in medical curriculum development. Korean Med Educ Rev 2013;15:9-18.
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  • 11. WFMEWFME standards for basic education c2016;Available from http://wfme.org/standards/bme
Fig. 1

Whole curriculum of Ewha Womans Medical School.

emj-40-35-g001.jpg
Fig. 2

Graduation outcomes of Ewha Womans Medical School.

emj-40-35-g002.jpg
Fig. 3

Development process of outcome-based curriculum of Ewha Womans Medical School.

emj-40-35-g003.jpg
Fig. 4

Developing lesson outcomes from course review. KAMC, Korea Association of Medical Colleges; KMLE, Korean Medical Licensing Examination.

emj-40-35-g004.jpg
Table 1

Overhaul of objectives and outcomes of Ewha Womans Medical School

emj-40-35-i001.jpg
Table 2

Survey results from M1 integrated course faculties about present curriculum

emj-40-35-i002.jpg
Table 3

Planning of clinical presentation introduced to the ‘infection’ course

TBL, Team Based Learning; CBL, Case Based Learning; CBT, Computer Based Learning.

emj-40-35-i003.jpg

Figure & Data

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      Ewha Med J. 2017;40(1):35-40.   Published online January 31, 2017
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      Figure

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      Implementation of Outcome-Based Medical Education Theory into the Pre-existing Curriculum
      Image Image Image Image
      Fig. 1 Whole curriculum of Ewha Womans Medical School.
      Fig. 2 Graduation outcomes of Ewha Womans Medical School.
      Fig. 3 Development process of outcome-based curriculum of Ewha Womans Medical School.
      Fig. 4 Developing lesson outcomes from course review. KAMC, Korea Association of Medical Colleges; KMLE, Korean Medical Licensing Examination.
      Implementation of Outcome-Based Medical Education Theory into the Pre-existing Curriculum

      Overhaul of objectives and outcomes of Ewha Womans Medical School

      Survey results from M1 integrated course faculties about present curriculum

      Planning of clinical presentation introduced to the ‘infection’ course

      TBL, Team Based Learning; CBL, Case Based Learning; CBT, Computer Based Learning.

      Table 1 Overhaul of objectives and outcomes of Ewha Womans Medical School

      Table 2 Survey results from M1 integrated course faculties about present curriculum

      Table 3 Planning of clinical presentation introduced to the ‘infection’ course

      TBL, Team Based Learning; CBL, Case Based Learning; CBT, Computer Based Learning.

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