Examples of Curriculum Goals and Objectives


From ACGME Program Requirements for Graduate Medical Education in Pediatric Emergency Medicine:

Patient Care and Procedural Skills: Fellows must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Fellows must be able to competently perform all medical, diagnostic, and surgical procedures considered essential for the area of practice.

Medical Knowledge: Fellows must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social behavioral sciences, as well as the application of this knowledge to patient care.

Practice-based Learning and Improvement: Fellows must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning.

Interpersonal and Communication Skills: Fellows must demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals

Professionalism: Fellows must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.

Systems-based Practice: Fellows must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care.

Example of curriculum goals, objectives, and assessment tools:


Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families
Objectives
1. Provide care to a diverse population in the pediatric emergency department
2. Demonstrate effective communication with a diverse population of patients in the pediatric emergency department
Assessment Tool
1. Written feedback from families in the pediatric emergency department
2. Self-reflective essay regarding the care I provided to a family in the pediatric emergency department for which cultural diversity had an impact on patient care

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objectives
1. Assess my interactions with patients and families this month
Assessment Tool
1. Written evaluations by families of children I have cared for in the pediatric emergency department this month

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families
Objectives
1. Provide care to a diverse population in the pediatric emergency department
2. Demonstrate effective communication with a diverse population of patients in the pediatric emergency department
Assessment Tool
1. Written feedback from families in the pediatric emergency department

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objective
1. List terms used to describe extremity injuries in children seen in the pediatric emergency department
2. List eponymous and other named extremity, spine, and pelvis injuries seen in the pediatric emergency department
3. Discuss these lists with attending pediatric emergency physicians on duty during shifts this month
Assessment Tool
1. Verbal feedback from attending pediatric emergency physicians

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objectives
1. Read Spain DA, Bellino M, Kopelman A, et al. Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor act. J Trauma 2007 Jan; 62(1):63-67; discussion 67-68.
2. Demonstrate communication skills by participating in 5 transfer calls in the pediatric emergency department
3. Discuss 5 transfer calls in the pediatric emergency department with the attending on duty
Assessment Tool
1. Verbal feedback from the attending physician supervising me in the pediatric emergency department during these transfer calls

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objective
1. Review the on-line PubMed tutorial from the National Library of Medicine available here
2. Introduce the other fellows and faculty to the PubMed tutorial from the National Institutes of Health
3. Review the literature on cervical spine precaution clearance in children
4. Present a case presentation including cervical spine precaution clearance in children at the next Thursday seminar
Assessment Tool
1. Written assessment of my presentation by faculty and fellows at the next Thursday seminar

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families
Objective
1. Assess the educational level of 5 families I see in the pediatric emergency department this month
2. Review the literature regarding physician communication with families based on educational level
Assessment Tool
1. Written feedback from families this month

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objectives
1. Diagram the human resources within the pediatric emergency department
2. Present this diagram at the next Thursday seminar
Assessment Tool
1. Verbal feedback from faculty and fellows at the next Thursday seminar

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families
Objectives
1. Read Levinson W, Roter DL, Mullooly JP, et al. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA 1997 Feb 19; 277(7): 553-559.
2. Discuss the Levinson article at the next first Thursday seminar
Assessment Tool
1. Verbal feedback from fellows and faculty at the next first Thursday seminar

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with patients and their families
Objectives
1. Review written feedback form from 2 patients/families I cared for in the pediatric emergency department this month
Assessment Tool
1. Written feedback from families in the pediatric emergency department

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objectives
1. Read Spain DA, Bellino M, Kopelman A, et al. Requests for 692 transfers to an academic level I trauma center: implications of the emergency medical treatment and active labor act. J Trauma 2007 Jan; 62(1):63-67; discussion 67-68.
2. Demonstrate communication skills by participating in 5 transfer calls in the pediatric emergency department
3. Discuss 5 transfer calls in the pediatric emergency department with the attending on duty
Assessment Tool
1. Verbal feedback from the attending physician supervising me in the pediatric emergency department during these transfer calls

Competency - Interpersonal and Communication Skills
Goal - Develop interpersonal and communication skills that result in the effective exchange of information and collaboration with health professionals
Objectives
1. List the components of a completed emergency department record
2. Demonstrate a completed level 5 emergency department record and show it to the medical director of the pediatric emergency department
3. Discuss this list and case with the medical director of the pediatric emergency department
Assessment Tool
1. Verbal feedback on my list from the medical director of the pediatric emergency department

Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care
Objective
1. List indication for consultation of a hand surgeon in the pediatric emergency department
2. Review the literature on hand injuries in the pediatric emergency department
3. Present my list and review to the fellows and faculty at the next Thursday seminar
Assessment Tool
1. Verbal feedback from the fellows and faculty at the next Thursday seminar

Competency - Systems-Based Practice
Goal - Develop an awareness of and responsiveness to the larger context and system of health care
Objective
1. List the components of a completed emergency department record
2. Discuss five of my completed emergency department records with the medical director of the pediatric emergency department
Assessment Tool
1. Verbal feedback on my completed emergency department records with the medical director of the pediatric emergency department

Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care
Objectives
1. Participate in base station radio calls
2. Schedule ride outs with AMR and fire department personnel
Assessment Tool
1. Self-reflective essay on my experience during ride outs with AMR and fire department personnel (may occur after August based on ride out availability)

Competency - Systems-Based Practice
Goal - Develop an awareness of and responsiveness to the larger context and system of health care
Objectives
1. Assess my performance on my curricular objectives over the last year
2. Assess my performance with regard to my individual learning plans over the last year
3. Identify ways in which my work as a pediatric emergency physician fits within the larger system of health care
Assessment Tool
1. Self-reflective essay on performance with regard to my curricular objectives and my individual learning plans
2. Self-reflective essay on how my work as a pediatric emergency physician fits within the larger system of health care

Competency - Systems-Based Practice
Goal - Develop an awareness of and responsiveness to the larger context and system of health care
Objective
1. List the components of a completed emergency department record
2. Discuss five of my completed emergency department records with the medical director of the pediatric emergency department
Assessment Tool
1. Verbal feedback on my completed emergency department records with the medical director of the pediatric emergency department

Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care
Objectives
1. List the indications for emergent obstetric consultation in the pediatric emergency department
2. Discuss this list with pediatric emergency medicine fellows and attendings at the next Thursday seminar
3. Review the medical literature on a topic relevant to the emergent care of an adolescent or young woman in late pregnancy (topic to be further refined closer to the time of this rotation)
4. Discuss this topic and relevant literature with an attending obstetrics physician
Assessment Tool
1. Verbal feedback from pediatric emergency medicine fellows and attendings at the next Thursday seminar
2. Verbal feedback from attending obstetrics physician

Competency - Systems-Based Practice
Goal - Develop the ability to call effectively on other resources in the system to provide optimal health care
Objectives
1. List indications for admission of asthmatic patients to varying levels of care at Loma Linda
2. Compare Loma Linda's criteria to other published criteria
3. Discuss with 3 pediatric emergency physicians and compare their answers
4. Present this information at the next Thursday seminar
Assessment Tool
1. Verbal feedback at the next Thursday seminar

Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Complete charts within a timely manner this month
Assessment Tool
1. Verbal feedback from attending physicians and any feedback from health information management regarding delinquent charts

Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Complete charts within a timely manner this month
2. Develop and complete my "make man whole" project
Assessment Tool
1. Notifications from Health Information Management or the Graduate Medical Education Office regarding completion of my charts
2. Completion of my "make man whole" project

Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Demonstrate effective multi-tasking in the pediatric emergency department
Assessment Tool
1. Written evaluation specifically asking about effective multi-tasking on my 2 evaluations from attending physicians this month

Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Demonstrate effective multi-tasking in the pediatric emergency department
Assessment Tool
1. Written evaluation specifically asking about effective multi-tasking on my written evaluations from attending physicians this month

Competency - Professionalism
Goal - Develop a commitment to carrying out professional responsibilities and an adherence to ethical principles
Objective
1. Submit all of my paperwork on time this month
2. Be on time for all of my shifts this month
3. Write a self-reflective essay regarding my timeliness this month
Assessment Tool
1. Self-reflective essay

Competency - Practice-Based Learning and Improvement
Goal - Develop the ability to appraise and assimilate scientific evidence
Objective
1. Review the literature on pediatric elbow trauma
2. Lecture on the topic of pediatric elbow trauma
Assessment Tool
1. Written feedback on pediatric elbow trauma lecture

Competency - Practice-Based Learning and Improvement
Goal - Develop the ability to continuously improve patient care based on constant self-evaluation and life-long learning
Objective
1. Identify a case that I have managed in the pediatric emergency department for which I identified a knowledge deficit I had regarding that case
2. Review the published medical literature regarding this case and my knowledge deficit
2. Lecture on this topic
Assessment Tool
1. Written feedback on my lecture
2. Self-reflective essay on what I learned about this case and my learning style

Competency - Practice-Based Learning and Improvement
Goal - Develop the ability to appraise and assimilate scientific evidence
Objective
1. Review the literature on a topic relevant to the practice of pediatric emergency medicine
2. Lecture on this topic
Assessment Tool
1. Written feedback on by faculty and fellows on this lecture topic

Competency - Practice-Based Learning and Improvement
Goal - Develop the ability to appraise and assimilate scientific evidence
Objective
1. Review the literature on the management and treatment of shock in the pediatric emergency department and pediatric intensive care unit (this topic will be narrowed based on my PICU experience)
2. Discuss my literature review with an attending pediatric intensivist
3. Present this literature during my required PICU lecture
Assessment Tool
1. Verbal feedback of my presentation by PICU faculty and fellows

Competency - Practice-based Learning and Improvement
Goal - Develop the ability to investigate and evaluate my care of patients
Objectives
1. Review the literature on the intervention and treatment of commonly seen cyanotic heart disease in the pediatric emergency department
2. Present this literature review at the next Thursday seminar
Assessment Tool
1. Written assessment of my presentation by faculty and fellows at the next Thursday seminar

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review general pediatric topics relevant to the practice of pediatric emergency medicine
2. Test my knowledge of these general pediatric topics with written practice tests
Assessment Tool
1. Practice test results

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review specific chapters of the textbook, Ma, et al. Emergency Ultrasound 2nd edition on ultrasound techniques including the FAST scan (chapters to be selected prior to October 1, 2010)
2. Demonstrate ultrasound techniques with the ultrasound technician in the emergency department and the ultrasound fellow, Dr. Tae Kim
Assessment Tool
1. Verbal feedback on my performance from the ultrasound technician and Dr. Tae Kim
2. Written performance assessment from Dr. Tae Kim

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review the published medical literature relevant to a case I have seen in the pediatric emergency department
2. Compile presentation materials for this case presentation
3. Present this case at the next Thursday seminar
Assessment Tool
1. Written assessment of my presentation by faculty and fellows at the next Thursday seminar

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review the literature regarding a topic relevant to the management of adults experiencing acute ST elevation myocardial infarction (topic will be narrowed as I learn more about the topic)
2. Discuss this literature with attending general emergency physicians on duty during my shifts
Assessment Tool
1. Verbal feedback from adult ED attending physicians regarding my literature review

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review the literature of epidemiology of bronchiolitis
2. Present a case presentation of bronchiolitis at the next Thursday seminar
Assessment Tool
1. Written assessment of my presentation by faculty and fellows at the next Thursday seminar

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objectives
1. Review the on-line PubMed tutorial from the National Library of Medicine available here
2. Review the literature on the identification and management of appendicitis in children and adolescents
3. Discuss this literature review with an attending pediatric emergency physician
Assessment Tool
1. Verbal feedback with an attending pediatric emergency physician

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Conduct a literature review on blunt pediatric abdominal trauma
2. Discuss this literature review with an attending pediatric emergency physician
Assessment Tool
1. Self-reflective essay on what I learned about blunt abdominal trauma

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review my SITE performance
2. Develop individual learning plans based on weaknesses identified in my SITE performance
Assessment Tool
1. Completion of these individual learning plans

Competency - Medical Knowledge
Goal - Develop knowledge of established and evolving biomedical, clinical, and epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care
Objective
1. Review the literature regarding community acquired pneumonia in children
2. Discuss current literature with faculty and fellows at the next Thursday seminar
Assessment Tool
1. Verbal assessment of my presentation by faculty and fellows at the next Thursday seminar

Competency - Patient Care
Goal - Develop knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of the knowledge to patient care
Objective
1. Review the literature regarding the management of acute stroke in adults
2. Discuss this literature with attending general emergency physicians on duty
3. Assess the effectiveness of the stroke team at Loma Linda by personally observing their activation
Assessment Tool
1. Verbal feedback from attending physician regarding my literature review

Competency - Patient Care
Goal - Develop patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
Objective
1. Develop an individual learning plan related to the management of acute myocardial infarction in adults (topic to be narrowed or modified based on my experience in the adult emergency department)
Assessment Tool
1. Completion of the individual learning plan

Competency - Patient Care
Goal - Develop patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
Objective
1. Develop an individual learning plan for a topic related to trauma
Assessment Tool
1. Completion of the individual learning plan

Competency - Patient Care
Goal - Develop knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of the knowledge to patient care
Objective
1. Review the literature regarding the management of malignant hypertension in adults
2. Discuss this literature with attending general emergency physicians on duty
Assessment Tool
1. Verbal feedback from attending physician regarding my literature review

Competency - Patient Care
Goal - Develop patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health
Objective
1. Develop an individual learning plan for a topic related to the management of blunt head trauma in children
Assessment Tool
1. Completion of the individual learning plan