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Curriculum content from critical incidents
Author(s) -
HAYES D. M.,
FLEURY R.A.,
JACKSON TANYA B.
Publication year - 1979
Publication title -
medical education
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.776
H-Index - 138
eISSN - 1365-2923
pISSN - 0308-0110
DOI - 10.1111/j.1365-2923.1979.tb01437.x
Subject(s) - curriculum , competence (human resources) , respondent , medical education , medical school , psychology , recall , critical thinking , nursing , medicine , pedagogy , social psychology , political science , cognitive psychology , law
Summary The aim of this study was the creation of a medical school curriculum which meets the needs of students, teachers, and community. The method for collecting data was the Critical Incident Technique (CIT). Using appropriate modifications in questions and format, responses were sought from the medical school staff and students, all alumni of the medical school, members of the state medical society, nursing and technical personnel of the school's three teaching hospitals, and patients at each of these hospitals. Each respondent was asked to recall as many incidents as possible in which he observed a doctor do (or fail to do) something which was critical to the care of a patient. From 2,739 individuals there were 942 responses. These yielded 2,181 critical incidents which, in turn, were dissected into 5,657 critical behaviours. These behaviours were catalogued in rank order under the following headings: (1) wisdom in deciding on appropriate care; (2) diagnostic acumen; (3) responsibility as a doctor; (4) effectiveness of doctor‐patient relationship; (5) physical examination skill; (6) medical education; (7) test technique and understanding; (8) judgment and skill in implementing care; (9) competence of continuing care; (10) history‐taking competence. Each behaviour was reviewed by a committee of teachers which gave an opinion as to whether it was an essential competence for a medical school graduate. The resulting list constitutes a core curriculum for the medical school.