Curriculum Design and Development

BWH Education Institute
23 Dec 201618:50

Summary

TLDREric Alexander discusses the essentials of curricular design, emphasizing the importance of an educational plan that integrates multiple facets of learning. He reviews the history of curricular development, debates on its utility, and different learning viewpoints, including transmission, transaction, and transformation. Alexander outlines five practical steps for curriculum development, including defining objectives, creating a map, organizing content, right-sizing the curriculum, and continuous assessment and improvement. He concludes with an example of designing a medical clerkship curriculum, highlighting the need to consider organizational structures and dynamics.

Takeaways

  • 📚 Curricular design involves creating an educational plan that optimizes learning by integrating multiple facets of the process over time.
  • 🏭 The concept of curricular design was influenced by the Industrial Revolution, leading to structured and efficient educational techniques.
  • 📈 The Flexner report was pivotal in defining the modern approach to medical school curriculum, emphasizing a disciplined approach to teaching.
  • 🔍 There is an ongoing debate about the utility of curricular design, with arguments for guiding principles that improve teaching and arguments against over-formality that can stifle creativity.
  • 🤔 Three viewpoints of learning affect curriculum design: transmission (facts and skills delivery), transaction (dialogue between student and curriculum), and transformation (personal change and growth).
  • 👨‍🏫 Different educational philosophers like BF Skinner, Jean Piaget, and John Jacques Rousseau represent the transmission, transaction, and transformation viewpoints respectively.
  • 🛠️ Two conceptual frameworks for curricular development are the social efficiency model, starting with behavioral objectives and moving to content, and the human development model, starting with learner needs and adapting instruction.
  • 🗺️ Curricular mapping is a crucial step in the design process, helping to outline themes, assessments, and skills to be taught.
  • 🏢 A curriculum must be right-sized and fit well within the organizational structure, considering competing demands and ensuring it aligns with the institution's goals and resources.
  • 🔄 Continuous assessment, evaluation, and improvement are vital for a curriculum to evolve and remain effective in facilitating learning.
  • 🏥 An example of practical curriculum design is the medicine clerkship at Brigham and Women's Hospital, which emphasizes core knowledge objectives, presentation skills, and professionalism.

Q & A

  • What is the main focus of Eric Alexander's talk on curricular design?

    -The main focus of Eric Alexander's talk is to review the background in history related to curricular design, define what a curriculum is, discuss different viewpoints of learning that affect curriculum creation, provide five guiding principles for curriculum development, and offer organizational frames for considering curriculum with current examples.

  • What are the three key elements that Eric suggests should be considered when designing a curriculum?

    -The three key elements to consider when designing a curriculum are defining clear objectives, building a curricular map, and organizing and creating a blueprint for the curriculum.

  • How does Eric define a curriculum in the context of learning?

    -Eric defines a curriculum as an educational plan that acknowledges learning is optimized when multiple facets of the learning process are synergized, organized, and integrated over time.

  • What is the historical context of curricular design mentioned by Eric?

    -The historical context includes the impact of the Industrial Revolution on schooling, the publication of the Flexner report defining the modern approach to medical school curriculum, and the introduction of a disciplined approach to teaching by Tyler, embracing educational psychology and behaviorism.

  • What is the ongoing debate in curricular design that Eric refers to?

    -The ongoing debate in curricular design is whether there should be more guiding principles and structured planning to improve teaching, or whether too much formality can constrain learning and stifle creativity and self-direction.

  • What are the three viewpoints of learning that Eric discusses?

    -The three viewpoints of learning discussed are transmission, where learning is about transmitting facts and skills; transaction, where learning is a dialogue between the student and curriculum; and transformation, where learning is about personal change and growth.

  • What are the two conceptual frameworks for curricular development that Eric mentions?

    -The two conceptual frameworks for curricular development mentioned are the social efficiency model, which starts with behavioral learning objectives and leads to content and instructional methods, and the human development model, which starts with the needs of the learner and their developmental stage.

  • How does Eric describe the process of building a curricular map?

    -Building a curricular map involves brainstorming and organizing ideas, defining themes or enduring understandings, planning assessments, and considering standards-based essential skills. It helps in visualizing the curriculum structure and content.

  • What does Eric mean by 'right sizing' a curriculum?

    -'Right sizing' a curriculum refers to ensuring that the curriculum fits well within the existing educational structure and is alert to other forces such as politics, human resources, and organizational symbolism that may impact its success.

  • Can you explain the five steps to curriculum development that Eric suggests?

    -The five steps to curriculum development suggested by Eric are: 1) Define objectives or endpoints, 2) Build a curricular map, 3) Organize and create a blueprint, 4) Right size the curriculum and be alert to environmental forces, and 5) Assess, evaluate, and constantly improve the curriculum.

  • What is the practical example Eric uses to illustrate the curriculum development process?

    -Eric uses the example of designing a curriculum for a medicine clerkship at Brigham and Women's Hospital. He walks through the process of defining objectives, building a curricular map, organizing the curriculum into blocks, right sizing it within the hospital structure, and assessing and improving it based on feedback.

Outlines

00:00

📚 Introduction to Curricular Design

Eric Alexander introduces the topic of curricular design, aiming to review its historical background, define the concept of a curriculum, and discuss different viewpoints on learning that influence curriculum creation. He outlines the goals of the session, which include providing five guiding principles for curriculum development and exploring organizational frameworks. The discussion begins with a thought-provoking question about teaching various skills, emphasizing that a curriculum is an educational plan that optimizes learning by integrating multiple aspects of the learning process over time.

05:00

🏫 Historical Context and Debates in Curricular Design

This section delves into the history of curricular development, highlighting key moments such as the industrial revolution's impact on schooling and the publication of the Flexner report, which defined the modern medical school curriculum. It also touches on Ralph Tyler's disciplined approach to teaching influenced by educational psychology. The ongoing debate between the utility of curricular design and the potential constraints it imposes on learning is presented, with arguments for guiding principles to improve teaching and counterarguments that emphasize the importance of adaptability and creativity in education.

10:02

🤔 Philosophies of Learning and Conceptual Frameworks

The paragraph explores different philosophies of learning, such as the transmission, transaction, and transformational views, and their implications for curriculum design. It contrasts the views of BF Skinner, who supported a transmission model, with those of Jean Piaget and John Jacques Rousseau, who advocated for more interactive and transformative learning processes. The importance of aligning curriculum design with one of these perspectives is emphasized, along with the acknowledgment of various conceptual frameworks for curricular development, including the social efficiency model and the human development model.

15:02

🛠️ Steps to Developing a Curriculum

Eric outlines five practical steps for developing a curriculum: defining objectives, building a curricular map, organizing and creating a blueprint, right-sizing the curriculum to fit within the educational system, and assessing, evaluating, and improving the curriculum. He stresses the importance of considering the curriculum's fit within the larger organizational structure and being aware of external forces that may impact its success. The paragraph also introduces the concept of viewing the curriculum through various organizational 'frames' or lenses to ensure a comprehensive approach to curriculum development.

🏥 Practical Example: Designing a Medical Clerkship Curriculum

The final paragraph provides a practical example of designing a curriculum for a medical clerkship at Brigham and Women's Hospital. It walks through the process of defining objectives, creating a curricular map, organizing the curriculum into blocks, and ensuring it fits within the hospital's structure and educational goals. The importance of faculty development, student assessments, and continuous improvement is highlighted, emphasizing the dynamic and integrated nature of curriculum development within an organizational context.

Mindmap

Keywords

💡Curricular Design

Curricular Design refers to the process of planning and organizing educational programs, including the selection of content, learning experiences, and assessment methods. It is central to the video's theme, as it discusses the historical development, viewpoints, and practical steps involved in creating a curriculum. The script mentions curricular design as an educational plan that optimizes learning by integrating multiple facets of the process over time.

💡Educational Curriculum

An Educational Curriculum is a structured set of learning objectives, content, and experiences designed to facilitate student learning. The script defines it as more than just good teaching or clear objectives; it's about how the educational pieces are put together to create a cohesive learning experience.

💡Learning Viewpoints

Learning Viewpoints encompass different theories and approaches to how learning occurs. The video discusses these viewpoints as they affect curriculum creation, such as transmission, transaction, and transformation models of learning. These viewpoints influence the design and implementation of educational programs.

💡Guiding Principles

Guiding Principles are fundamental rules or beliefs that direct the development and implementation of a curriculum. The script mentions providing five guiding principles for curriculum development, which serve as a foundation for creating an effective educational plan.

💡Organizational Frames

Organizational Frames refer to the structural, human resource, political, and symbolic contexts within which a curriculum operates. The script discusses the importance of considering these frames when designing a curriculum to ensure it fits well within the existing organizational structure and culture.

💡Transmission Theory

Transmission Theory is a model of learning where knowledge is transmitted from the teacher to the student, who is expected to master it. The script contrasts this with other learning theories, suggesting it aligns with the work of B.F. Skinner and emphasizes the teacher's role in delivering content.

💡Transaction Theory

Transaction Theory views learning as a dialogue between the student and the curriculum, where the student actively participates in constructing knowledge. The script positions this theory in contrast to the transmission theory, highlighting the student's role in the learning process.

💡Transformational Process

A Transformational Process in learning refers to a deep change in the learner's understanding, attitudes, or behaviors. The script describes this as an interdependent movement towards harmony between the teacher and learner, with the learner's intrinsic motivation being key.

💡Curricular Map

A Curricular Map is a visual representation of the curriculum's structure, showing the relationships among its various components. The script provides examples of curricular maps, illustrating how they can help in brainstorming and organizing the curriculum's content and assessment methods.

💡Blueprint

A Blueprint in the context of curricular design is a detailed plan that outlines how the curriculum will be operationalized. The script discusses the importance of creating a blueprint to bring together the objectives, content, and methods of instruction into a coherent educational program.

💡Assessment and Evaluation

Assessment and Evaluation are processes used to measure student learning and the effectiveness of the curriculum. The script emphasizes the importance of these processes in the continuous improvement of the curriculum, ensuring it remains dynamic and responsive to student needs.

Highlights

Eric Alexander discusses the fundamental concept of a curriculum as an educational plan that synergizes, organizes, and integrates multiple facets of the learning process.

Curricular design has a historical background, with significant developments about 100 years ago during the Industrial Revolution, likening schooling to factory work.

The Flexner Report had a major impact on modern medical school curriculum design.

Tyler's introduction of a disciplined approach to teaching in the mid-20th century, emphasizing educational psychology and behavior understanding, was another major step forward.

Miller's Pyramid illustrates the progression of learning from knowing to doing, forming a basis for curricular design in the 1970s.

The ongoing debate in curricular design centers around the need for guiding principles versus the argument that formality can stifle creativity and self-direction.

Different viewpoints of learning—transmission, transaction, and transformation—impact how curricula are designed, with references to Skinner, Piaget, and Rousseau.

Conceptual frameworks for curricular development include the social efficiency model and the human development model, each with distinct approaches.

There is a need to consider diverse educational needs on local, regional, state, and national levels, as well as the goals and contexts of teaching, such as discovery versus topic-driven learning.

Five guiding principles for curriculum development: define objectives, build a curricular map, organize and create a blueprint, right-size the curriculum, and assess, evaluate, and improve.

A curriculum map helps outline themes, assessment methods, and essential skills, and can take various forms, such as outlines or visual figures.

The importance of creating a detailed blueprint that operationalizes the curriculum and ensures alignment with educational methods and evaluation techniques.

The significance of considering organizational frames (structural, human resources, political, and symbolic) to ensure a good fit and successful curriculum launch.

Continuous assessment, evaluation, and improvement are essential to keep a curriculum effective and evolving.

Practical examples, such as the medicine clerkship at Brigham and Women's Hospital, illustrate the application of these principles and the importance of defining objectives, creating curricular maps, and engaging faculty.

Transcripts

play00:00

[Music]

play00:12

I'm Eric Alexander and I'd like to talk

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about curricular design the goals in the

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next 15 minutes or so are to review the

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background in history as it relates to

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curricular design I'm gonna define what

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it means to be a curriculum we'll talk

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about different viewpoints of learning

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that affect how you create a curriculum

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but we'll try and be very practical and

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we'll end by giving you five guiding

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principles for curriculum development

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and some organizational frames in which

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you should consider your curriculum and

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land with some current examples so I'll

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start with this I want you to think

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through this problem how would you teach

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someone to tie their shoe or this how

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would you teach someone to sing or

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perhaps the hardest question how would

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you train someone to be a doctor and the

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answers that you have conveyed are

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really a plan but the plan is more than

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that it really is an educational

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curriculum fundamentally a curriculum is

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an educational plan that acknowledges

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that learning is optimized only when

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multiple facets of the learning process

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are synergized organized and integrated

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over time a curriculum is more than just

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good teaching it's more than just having

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clear objectives or ensuring that a

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skill is mastered a curriculum is really

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how the pieces are put together before

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we talk about the practical process of

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defining and designing a curriculum I

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want to talk to you about the history of

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curricular development and there were a

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few defining moments about 100 years ago

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Baban first thought about schooling and

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realized that's similar to factory work

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coming out of the Industrial Revolution

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schooling itself could be reduced to a

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structured and efficient technique and

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this had major impact also on the

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publication of the Flexner report a

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Flexner report of course defined the

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modern approach to medical school

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curriculum about 20 or 30 years later

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another big step forward came when Tyler

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introduced a disciplined approach to

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teaching largely embracing the

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educational psychology and the process

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and understanding of behaviors and you

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may be most familiar here with the

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concept of Miller's pyramid

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that we've really all come to embrace

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that as an student moves forward

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they are moving from knowing to knowing

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how to showing to finally doing this

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really formalized itself than in the

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1970s with the field of study that we

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now refer to as curricular design but as

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soon as this was created there then

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followed the debate on the utility of

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this process and what is the debate well

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on one side it is this concept that we

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acknowledge there are guiding principles

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that will improve our teaching and the

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bigger the deliverable of teaching the

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more design that may be needed a plan

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really will be helpful but others will

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logically argue that you really don't

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want to constrain learning that systems

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are different needs are different at the

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core each of us as learners are

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different and that formality at times is

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the enemy of creativity and self

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direction and that curricular design can

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simply lead to too much formality in the

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process this ongoing debate has been in

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existence for decades and may not ever

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end but allows you to put your hands

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around the thought process as we move

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forward now as we think about designing

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a curriculum I'll ask you this

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intriguing question what is your view of

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learning do you feel that learning at

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its core is a transmission it is the

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function of schooling simply to be

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viewed as transmitting facts skills and

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other values to students and the goal is

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simply for the student to master

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knowledge or is learning really more of

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a transaction that at the core the

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student is a rational and capable

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individual they can intelligently

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problem-solve and so education at its

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core is a dialogue between the student

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and the curriculum in which student

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reconstructs the knowledge through a

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dialogical process that you really have

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to put it in perspective or do you view

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learning as a transformational process

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this really is all about how the person

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the learner changes there's an

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interdependence and movement towards

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harmony as the teacher and the learner

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work together but the students

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ultimately must really want to learn

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what they desire if you follow the first

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concept and believe in the transmission

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theory then you really follow BF Skinner

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the long term chair of Harvard

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department of psychology who championed

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this model if you are believer that

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education is more of a transaction that

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really falls under Jean Piaget who did a

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great deal of work and led

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the concept and area of child psychology

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for decades and if you believe education

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is more of a transformational process

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and then you are similar to John Jacques

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Rousseau who really led the concept of

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thought and behavior and education of

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following the French Revolution none of

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these is correct and none of them is

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wrong they are all simply different

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viewpoints but they must allow you to

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frame your design of a curriculum within

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one of these perspectives and equally as

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important just so you've heard it once

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there are also conceptual frameworks too

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curricular development and I will share

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two of them with you there is the social

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efficiency model the concept here that

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you start with behavioral learning

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objectives you then move on and

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determine the content decisions that

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must be made and finally that leads then

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to what you teach and the instructional

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methods but another equally reasonable

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framework is the human development model

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this one really starts with the needs of

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the learner and their developmental

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stage and really understanding the

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learner then would allow you to modify

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your instructional method to match that

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learning style and finally at the end

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you progress to content the first is a

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little bit that we know what's best and

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how it should be taught it's a very

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top-down approach but the second is a

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blended model the needs of the students

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come first learning how to learn is just

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as important as the knowledge itself

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it's much more bottom-up and making this

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even more complex we should acknowledge

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that there's a lot of diversity in

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education and as we think about

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developing any curriculum we can think

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that there's diverse needs on a local

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regional state or national level there's

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a big difference in how you would think

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about your own teaching session versus

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planning a clerkship or perhaps a four

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year curriculum or if you were teaching

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kindergarten or you were teaching

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professional school and also what is

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your goal when you're teaching is it to

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discover or is it a topic driven

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learning process how are we assessing

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the student and what is your role in the

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educational process all of these factors

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will create equal diversity and

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complexity to how you think about a

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curriculum

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[Music]

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but to bring all of this together when

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we ask the question what is a curriculum

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well it's a system it's a plan it's a

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process to facilitate teaching and

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learning but it's embedded within your

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viewpoint of the learning process in

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your conceptual framework for curriculum

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design but what's critical here is that

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we all acknowledge there is a logic to

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how any system of learning and teaching

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is created even if we disagree on the

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viewpoint or framework you bring to the

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process at the end of the whole of the

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process is better than the sum of its

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part and therefore we should all agree

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that curricular planning is critical and

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improves the educational process now I'd

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like to move from the background into

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being more practical and as you think

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about designing a curriculum I want to

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talk you through five commonly accepted

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steps to developing this process and of

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course they will be adapted to your own

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philosophy of learning and your

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framework so first you need to define

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your objectives

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what are your end points what is it that

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you want the goal here really is going

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to drive how you think about developing

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your curriculum you really do need to be

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thoughtful you really need to be

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realistic but you do need to define that

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end point because at the end of the day

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being faithful to the end point will

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drive a successful curriculum the next

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step is to build a curricular map

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knowing where you're going and how

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you're going to get there is just as

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important as knowing the end point and

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you may ask what is a curricular map and

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there are many different ways to build

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one I show you here simply one that is

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an outline or blue skying of different

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ideas this was a curriculum map for a

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high school unit in here they just

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decided to create columns the first was

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that they would define the themes that

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they wanted to teach what are the

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enduring understandings they wanted the

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students to know then they talked about

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really more assessment how students will

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demonstrate their learning and then what

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are some standards-based essential

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skills etc etc and this allowed them to

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really begin to brainstorm and blueSky

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the process but you could build a

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curricular map that looks more like a

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figure this one as you see is a

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curricular map related to a writing

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course in the grade 12 of high school

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and they decided that there would be

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some big figures here and kind of over

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arching themes that would exist

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throughout the course but they could

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then really bring down their map to four

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big issues the first is that would be

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teaching methods there would be writing

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activities and then there would be

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content standards and then they

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essentially filled them out here below

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or perhaps most related to the medical

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community this is aligning your courses

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with educational methods and evaluation

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methods so this group was looking to

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develop a clerkship for family medicine

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and really began by thinking first about

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their different courses and then really

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thinking about their eleven educational

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methods and finally their eight

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evaluation methods then for this

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clerkship in family medicine they were

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able to think for each patient case

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presentation that they would align

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course experiences evaluation methods

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etc a very structured approach each of

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these is a very reasonable approach to

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curricular mapping the third step then

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is to organize and create a blueprint

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this is really how it all comes together

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now you know where you're going

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you've really brainstormed and mapped

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out what you need to teach and put

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together and this is where you become

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the chief operating officer and I will

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emphasize to you what I think is a very

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important point that the devil really is

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in the details as you move on to your

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fourth point I'm gonna stress quite a

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bit the importance of right sizing your

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curriculum and also ensuring a good fit

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in the system it's really critical that

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you consider the other forces that may

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impact your success because I would

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argue that the most common reason for

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incomplete success is that your

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curriculum does not live in a vacuum we

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each live within a hospital or another

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teaching structure or a separate entity

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that has competing demands in your

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curriculum must be aware of that and I'd

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like to take a little bit of a tangent

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to talk further about this concept of

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other forces I think one of the best

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ways to think about the other forces

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that can impact your curriculum is to

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return to a book that was written by

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leave Ullman and Terry deal that is

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referred to as reframing organisations

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and they made an argument that as a

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leader you should view your organization

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and therefore your curriculum through

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various lenses realizing that you and

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your curriculum exist within a social

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construct well what is a lens or they

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will refer to it as a frame this is a

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set of concepts metaphors and values

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which provide us

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a folding for organizing experience in

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the real world nobody uses only one

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frame or one lens at a time all are

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important and I'll walk you through

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these different lenses or frames first

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is the concept that you should view your

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curriculum within this entity we refer

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to as a structural frame the origins of

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this are really more in sociology but in

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management science that each of us have

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goals in an organization roles and

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relationships that we are actually

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linked together via a hierarchical tree

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and so there are responsibilities there

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are rules there are policies there are

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procedures but if you don't consider

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this when you launch your curriculum the

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problem will arise when the structure

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does not fit the situation if you are

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right here but don't really report up to

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notify your supervisor about your

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curriculum this can lead to trouble

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Boman and deal would also argue that you

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should really learn and consider the

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human resources frame when you launch a

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curriculum because organizations are

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more than just a structure they're

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really an extended family that we all

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have needs feelings prejudices skills

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and limitations as a psychological

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framework to it but if you launch your

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curriculum and you don't take note of

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this you will find that the challenge

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then will be to tailor the organization

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to people find a way for individuals to

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get the job done while feeling good

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about what they're doing a simple thank

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you

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a simple showing up to introduce a

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speaker as part of your broad curriculum

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can go a long way to making them feel

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valued a third frame according to Bowman

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India will be to make sure you are aware

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of the politics of course its origins

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are in political science but

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organizations are not just structures or

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related in terms of the human entity but

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they are also at times contests or as

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the two authors would discuss jungles

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there are differing interests competing

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for power and therefore there can be

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conflict and competitive nature and so

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you have to bargain you have to

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negotiate and if you don't the problem

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will arise when power begins to be

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concentrated in the wrong place so

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always be alert to the politics in your

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organization and how your curriculum

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fits in to that and symbolically take

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into consideration that we actually all

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value the symbolism of what we are

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within a hospital and our organization

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so you need to play your part and

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symbolically also appreciate what others

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are doing for your curriculum

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so when I say right size and ensure a

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good fit this is really what I'm talking

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about

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I think there's a real value here in

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asking yourself where might I go wrong

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with regards to the structural frame or

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lens or perhaps the human resource frame

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or lens or the political frame or

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symbolically what am I missing if you do

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that I think you ensure that a much

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better fit and a successful launch and

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the fifth step to a curriculum as it is

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developed is to make sure that you

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assess you evaluate and you constantly

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improve a curriculum itself is rarely

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static it is always evolving so my five

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steps that I would recommend to you when

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you're thinking about a curriculum

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define your objectives or your endpoints

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then build a curricular map organize and

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create a blueprint as you really think

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about operationalizing the process right

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size your curriculum and be alert to

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those environmental and other political

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forces and then always assess evaluate

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and improve so I'm gonna end with just a

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very practical example and there are

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many that we could choose from but I'm

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going to speak about designing a

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curriculum for the medicine clerkship at

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the Brigham and Women's Hospital as I

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mentioned to you the five steps I

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considered the first is what were my

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objectives and my goals in this

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curriculum well I would say to myself

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you know there are at least twenty kind

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of core internal medicine knowledge

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objectives if you will the core

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knowledge that students do need to learn

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during this clerkship but I really also

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value their ability to work on their

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presentation skills and effective

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communication I'm gonna acknowledge that

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this is really a difficult objective but

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I do value clinical reasoning and that

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that will be something we emphasize so

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it's not something they have to be

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experts on by the end of that 12-week

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period but I always expect

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professionalism so that's kind of an

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expectation I want the students to

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emerge from the 12 weeks really able to

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own the basic skills and knowledge to

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doctor even if there's a lot still left

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to learn they can begin the process of

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putting it together but by the way I

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don't worry about technical skills

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procedures etc that's not part of this

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12-week effort now the second piece I

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told you about was designing and

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building a curricular map and I just

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kind of scribbled this here just so you

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could see I chose again more of a blue

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sky organizational process I said first

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we'll have to think about the timing you

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know maybe I'll have two months on the

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inpatient block one month on the

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torie block and they do have to be

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consecutive here but I want weekends off

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that made me just think about that you

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know then I thought about locations that

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I need everyone to be at least for one

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month at the Brigham but I wonder if I

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could use the cardiology service or

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oncology as a place then I need a second

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month at my two other institution

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students can be at the VA hospital or

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Faulkner etc I discussed all of my

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assessments here and then I really began

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to think who would I use for my faculty

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is there a core faculty or perhaps how

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do I use my many other faculty members

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that I would consider non core and of

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course I just decided I can't lose sight

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here of this concept I really need a

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curricular map to understand all the

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process he said I'm going to be teaching

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over the course of 12 weeks so that was

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my blue skying process and then we moved

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into the blueprint a little more this is

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one way we started really getting into

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the details is well we then organized

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into three four week blocks and they

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each have specific dates as you can see

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here and then we began looking at who's

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at the Brigham for their four weeks

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who's at the Faulkner Hospital the West

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Roxbury or the ambulatory month and then

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we put each person's name so you see

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Paul listed here but then he's down for

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the second month in ambulatory and then

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he's finally out at the VA and so the

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blue here represents one class the red

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the different one but it's really

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getting into the details now I was alert

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as I talked you about right sizing and

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fitting into a structure that you know I

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have a lot of students moving around

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there's a lot going on in 12 weeks so

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from a structural framework I made sure

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I talked to my vice chair and they

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always know what's going on and how this

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relates to the residency and I do a lot

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with primary care from a human resource

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frame I made sure I valued everyone who

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taught in my clerkship I do a lot of

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faculty development times we'll try and

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do that over a little bit of dinner as

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well it just really adds to the value I

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think that the educators feel and

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whenever they do come from off-site we

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make sure we cover their parking or

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occasionally try and feed them if it's a

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lunchtime hour now symbolically in my

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clerkship I always try and do a group

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picture amongst the students I think

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they like that and we'll remember that

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it gives them a real home I always try

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and show up at every teaching session

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even if it's just for an introduction

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and when we talk about politics I

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realize that there's a lot of competing

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demands and I always want to put this in

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perspective and of course the final step

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was assessing evaluating and improving

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we do this all the time students

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evaluate confidentially we also received

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some Ray

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for the clerkship from the medical

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school centrally and we give feedback

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directly to our faculty a via some

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internal reviews I'm going to conclude

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with this again as we've walked through

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the last 15 minutes I think what's

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important here is understanding a

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curriculum is a system it's a plan it's

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a process to facilitate teaching and

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learning but it's embedded within your

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viewpoint of the learning process in

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your conceptual framework for curriculum

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development but we should all walk away

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from this realizing that a curriculum

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and curriculum development helps

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learning there's a lot of broad thinking

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and developing a curriculum there's a

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lot of integrations it's an operations

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process and again don't forget that

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curriculum live within an organizational

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structure that you should analyze your

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curriculum through many different lenses

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and frames

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