The 6 degrees of curriculum integration in medical education in the United States
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Despite explicit expectations and accreditation requirements for integrated curriculum, there needs to be more clarity around an accepted common definition, best practices for implementation, and criteria for successful curriculum integration. To address the lack of consensus surrounding integration, we reviewed the literature and herein propose a definition for curriculum integration for the medical education audience. We further believe that medical education is ready to move beyond “horizontal” (1-dimensional) and “vertical” (2-dimensional) integration and propose a model of “6 degrees of curriculum integration” to expand the 2-dimensional concept for future designs of medical education programs and best prepare learners to meet the needs of patients. These 6 degrees include: interdisciplinary, timing and sequencing, instruction and assessment, incorporation of basic and clinical sciences, knowledge and skills-based competency progression, and graduated responsibilities in patient care. We encourage medical educators to look beyond 2-dimensional integration to this holistic and interconnected representation of curriculum integration.
Abstract
Despite explicit expectations and accreditation requirements for integrated curriculum, there needs to be more clarity around an accepted common definition, best practices for implementation, and criteria for successful curriculum integration. To address the lack of consensus surrounding integration, we reviewed the literature and herein propose a definition for curriculum integration for the medical education audience. We further believe that medical education is ready to move beyond “horizontal” (1-dimensional) and “vertical” (2-dimensional) integration and propose a model of “6 degrees of curriculum integration” to expand the 2-dimensional concept for future designs of medical education programs and best prepare learners to meet the needs of patients. These 6 degrees include: interdisciplinary, timing and sequencing, instruction and assessment, incorporation of basic and clinical sciences, knowledge and skills-based competency progression, and graduated responsibilities in patient care. We encourage medical educators to look beyond 2-dimensional integration to this holistic and interconnected representation of curriculum integration.
참고문헌 (25)
- Flexner A, "Medical education in the United States and Canada" (1910), Science and Health Publications Inc
- Wijnen-Meijer M, "Vertical integration in medical education : the broader perspective", BMC Med Educ, 20, pp.509~ (2020)[DOI]
- "Medical School Graduation Questionnaire" (2024)[URL]
- "Data collection instrument (DCI) for full accreditation surveys" (2023)[URL]
- Hunt D, "The variables that lead to severe action decisions by the Liaison Committee on Medical Education", Acad Med, 91, pp.87~93 (2016)[DOI]
- "Jacobellis v. Ohio 378 U.S. 184" (1964)[URL]
- "Functions and structure of a medical school" (2023)[URL]
- Malik AS, "Twelve tips for developing an integrated curriculum", Med Teach, 33, pp.99~104 (2011)[DOI]
- Brauer DG, "The integrated curriculum in medical education: AMEE guide no. 96", Med Teach, 37, pp.312~322 (2015)[DOI]
- Hays R, "Integration in medical education : what do we mean", Educ Prim Care, 24, pp.151~152 (2013)[DOI]
- Vidic B, "Horizontal and vertical integratiaon of academic disciplines in the medical school curriculum", Clin Anat, 15, pp.233~235 (2002)[DOI]
- Harden RM, "The integration ladder : a tool for curriculum planning and evaluation", Med Educ, 34, pp.551~557 (2000)[DOI]
- Orkwis PD, "Horizontal and vertical integration of design : an approach to curriculum revision", Int J Eng Educ, 13, pp.220~226 (1997)
- Balkos KD, "Pedagogical skill development through the horizontal integration of a second-year engineering curriculum", Proceedings of the 2017 ASEE Annual Conference & Exposition (2017), American Society for Engineering Education
- Brynhildsen J, "Attitudes among students and teachers on vertical integration between clinical medicine and basic science within a problem-based undergraduate medical curriculum", Med Teach, 24, pp.286~288 (2002)[DOI]
- Ginzburg S, "Integration : a strategy for turn ing knowledge into action", Med Sci Educ, 25, pp.533~543 (2015)[DOI]
- "Discipline" (2024)[URL]
- Kulasegaram KM, "Cognition before curriculum : rethinking the integration of basic science and clinical learning", Acad Med, 88, pp.1578~1585 (2013)[DOI]
- Goldman E, "Perspective : deconstructing integration : a framework for the rational application of integration as a guiding curricular strategy", Acad Med, 87, pp.729~734 (2012)[DOI]
- Vergel J, "Extending the theoretical framework for curriculum integration in pre-clinical medical education", Perspect Med Educ, 6, pp.246~255 (2017)[DOI]
- Kotsis SV, "Application of the"see one, do one, teach one"concept in surgical training", Plast Reconstr Surg, 131, pp.1194~1201 (2013)[DOI]
- Carraccio C, "Advancing competency-based medical education : a charter for clinician-educators", Acad Med, 91, pp.645~649 (2016)[DOI]
- "ACGME milestones" (2024)[URL]
- "Health systems science" (2022)[URL]
- Borkan JM, "Health systems science education : the new post-Flexner professionalism for the 21st century", Med Teach, 43(sup2), pp.S25~S31 (2021)[DOI]