Dasar Dasar Kurikulum

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Dasar-dasar Pengembangan Kurikulum Pendidikan Dokter Titi Savitri Prihatiningsih Bagian Pendidikan Kedokteran Fakultas Kedokteran Universitas Gadjah Mada

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Transcript of Dasar Dasar Kurikulum

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    Dasar-dasarPengembangan Kurikulum

    Pendidikan DokterTiti Savitri Prihatiningsih

    Bagian Pendidikan KedokteranFakultas Kedokteran Universitas Gadjah Mada

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    Definisi Kurikulum Kurikulum pendidikan tinggi adalah

    seperangkat rencana dan pengaturan

    mengenai isi, bahan kajian maupun bahan

    pelajaran serta cara penyampaian dan

    penilaian yang digunakan sebagai pedoman

    penyelenggaraan kegiatan belajar-mengajar diperguruan tinggi

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    Definisi Kurikulum The curriculum is all the experiences that

    students have under the guidance of theuniversity

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    Asas Pengembangan Kurikulum

    Asas Filosofis

    Asas Sosiologis Asas Psikologis

    Asas Pengorganisasian

    Asas yuridis

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    Komponen Kurikulum

    Tujuan

    Materi

    Proses Belajar

    Mengajar

    Penilaian

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    Langkah-langkah

    Pengembangan Kurikulum

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    Model Tyler (1949)

    Tentukan tujuan pendidikan yang akan

    dicapai

    Pengalaman belajar apa yang dapat diberikanagar tujuan tersebut tercapai

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    Model Warwick (1975)

    Susun kurikulum yang paling ideal

    Pertimbangkan segala sumber yang ada

    Identifikasi hambatan atau kendala Modifikasi kurikulum ideal dengan

    mempertimbangkan hambatan

    Disain cetak biru kurikulum dan perhatikanstruktur, ruang lingkup, urutan dankeseimbangan

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    Model Warwick (1975)

    Persiapkan materi pembelajaran

    Disain proses belajar-mengajar yang efektif

    dengan memperhatikan cetak biru kurikulum

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    Model Hilda Taba (1962)

    1. Menentukan tujuan pendidikan:

    Merumuskan tujuan umum

    Mengklasifikasi tujuan Merinci tujuan (mis. Pengetahuan, ketrampilan,

    dll)

    Merumuskan tujuan dalam bentuk spesifik

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    Model Hilda Taba (1962)

    2. Menseleksi pengalaman belajar

    Relevansi dengan kenyataan sosial

    Keseimbangan ruang lingkup dan kedalaman Variasi pengalaman belajar

    Penyesuaian dengan minat dan kebutuhan

    mahasiswa

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    Model Hilda Taba (1962)

    3. Pengorganisasian materi dan kegiatan belajar

    mengajar

    Menentukan pengorganisasian kurikulum Menentukan urutan atau sequence

    Menentukan integrasi

    Menentukan fokus pembelajaran

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    Model Hilda Taba (1962)

    4. Evaluasi hasil kurikulum

    Menentukan kriteria penilaian

    Menyusun program evaluasi yang komprehensif Menentukan teknik pengumpulan data

    Menentukan penafsiran data evaluasi

    Menterjemahkan evaluasi ke dalam kurikulum

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    Harden (2000)

    1. Identifying the need

    2. Establishing the learning outcome

    3. Agreeing the content

    4. Organizing the content

    5. Deciding the educational strategy

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    Harden (2000)

    6. Deciding the delivery methods

    7. Preparing the assessment

    8. Communication about the curriculum

    9. Preparing the educational environment

    10. Managing the study programme

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    Kurikulum baru HARUS

    diujicoba

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    Langkah ujicoba kurikulum

    1. Menyusun bahan ujicoba

    2. Melakukan ujicoba kurikulum

    3. Revisi dan konsolidasi

    4. Review kurikulum yang telah disusun

    5. Pelaksanaan

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    Competency-based

    Medical Education

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    Competency is an action

    performed to a specificstandard under specific

    condition

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    Competencies

    (a cognitive perspective)

    Competence embraces the structure ofknowledge and abilities (Messick, 1984)

    Competence rests on an integrated deepstructure (understanding) and on thegeneral ability to coordinate appropriateinternal cognitive, affective and otherresources necessary for successfuladaptation (Wood & Powers, 1987)

    There are enabling factors for competence

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    Competencies

    (a cognitive perspective)

    Competence derives from possession of aset of relevant attributes such as

    knowledge, skills and attitudes, calledcompetencies

    a competencyis a combination ofattributes underlying some aspect of

    successful professional performance(Gonczi et al, 1993)

    Competence in an area therefore requiresa specif ic set of prerequisite competencies

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    Competency is

    A complex set of behaviour built on the

    components of knowledge, skills and

    attitudes

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    Differences between Content-based/Structure/Process-based

    and Competency-based

    EducationalProgramme

    Structure/Content-based

    Competency-based

    Driving factorCurriculum Content-knowledgeacquisition Outcome-knowledgeapplication

    Driving force for process Teacher Learner

    Path of learning Hierarchical Non-hierarchical

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    Differences between Content-based/Structure/Process-based

    and Competency-based

    Educational

    Programme

    Structure/Content-

    based

    Competency-based

    Responsibility for

    content

    Teacher Student and teacher

    Goal of educational

    encounter

    Knowledge acquisition Knowledge application

    Typical assessment tool Single subjective

    measure

    Multiple objective

    measures

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    Differences between Content-based/Structure/Process-based

    and Competency-based

    Educational

    Programme

    Structure/Content-

    based

    Competency-based

    Assessment tool Proxy Authentic (mimic real

    task of professional)

    Setting for evaluation Removed Direct observation

    Evaluation Non-referenced Criterion-referenced

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    Differences between Content-based/Structure/Process-based

    and Competency-based

    Educational

    Programme

    Structure/Content-

    based

    Competency-based

    Timing of assessment Emphasis on summative Emphasis on formative

    Program completion Fixed time Variable time

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    Curricular Design for CBE

    1. Competency identification

    2. Determination of competency components

    and performance levels3. Competency evaluation

    4. Overall assessment of the process

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    Examples of performance levels

    1. Novice

    2. Beginner

    3. Competent4. Proficiency

    5. Expert

    1. Beginning level

    2. Intermediate level

    3. Advanced level

    1. Melihat/tahu

    2. Melakukan di bawah

    supervisi

    3. Melakukan mandiri

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    Outcomes(areas of competence)

    Competencies

    Knowledge, Skills, Attitudes

    Curriculum

    Development

    Educating

    Doctor

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    Roles and Functions of Health Professional

    Competencies required for performance of roles/functions

    Knowledge, skills, attitudes for acquisition of competencies

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    Competencies required for performance of roles/functions

    Roles and Functions of Health Professional

    Knowledge, skills, attitudes for acquisition of competencies

    Assess

    Assess

    Assess

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    Elements of CBME (1)

    1. Competencies to be achieved are carefully

    identified, verified and made public in

    advance2. Criteria to be used in assessing achievement

    and the conditions under which achievement

    will be assessed are explicitly stated andmade public in advance

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    Elements of CBME (2)

    3. The instructional program provides for the

    individual development and evaluation of

    each of the competencies specified4. Assessment of competency takes the

    participants knowledge and attitudes into

    account but requires actual performance of thecompetency as the primary source of evidence

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    Elements of CBME (3)

    5. Participants progress through the instructional

    program at their own rate by demonstrated the

    attainment of the specified competencies

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    Characteristics of CBME (1)

    1. Competencies are carefully selected

    2. Supporting theory is integrated with skillpractice. Essential knowledge is learned tosupport the performance of skills

    3. Detailed training materials are keyed to the

    competencies to be achieved and aredesigned to support the acquisition ofknowledge and skills

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    Characteristics of CBME (1)

    1. Competencies are carefully selected

    2. Supporting theory is integrated with skill

    practice. Essential knowledge is learned tosupport the performance of skills

    3. Detailed training materials are keyed to the

    competencies to be achieved and are designedto support the acquisition of knowledge and

    skills

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    Characteristics of CBME (2)

    4. Methods of instruction involve mastery

    learning, the premise that all participants can

    master the required knowledge or skillprovided sufficient time and appropriate

    training methods are used

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    Characteristics of CBME (3)

    5. Participants knowledge and skills are

    assessed as they enter the program and those

    with satisfactory knowledge and skills maybypass training or competencies already

    attained.

    6. Learning should be self-paced

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    Characteristics of CBME (4)

    7. Flexible training approaches including

    large group methods, small group activities

    and individual study are essential components 8. A variety of support materials including

    print, audiovisual, and simulations keyed to

    the skills being mastered are used 9. Satisfactory completion of training is based

    on achievement of all specified competencies.

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    Characteristics of CBME (5)

    Evaluation is focused on the measurement of

    the mastery of information and skills.

    Criterion-referenced should be used

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    Implications for using CBME (1)

    1. Organizations must be committed to

    providing adequate resources and training

    materials 2. Audiovisual materials need to be directly

    related to the written materials

    3. Training activities need to match theobjectives

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    Implications for using CBME (2)

    4. Continuous participant interaction and

    feedback must take place

    5. Trainers must be trained to conductcompetency-based training courses

    6. Individuals attending training must be

    prepared for CBT as this approach is likely tobe very different.

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    Design activities for CBME (1)

    1. Identification of specific clinical

    performance or clinical skills (e.g. CPR, etc)

    2. Identification of the conditions under whichthe clinical performance or clinical skills

    must be demonstrated (e.g. using simulators,

    role plays, etc)

    3. Development of the criteria or standards to

    which the skills must be performed

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    Design activities for CBME (2)

    4. Development of the competency-based

    learning guides and checklists which list each

    of the steps and sequence required to performeach skills or activity

    5. Development of the reference manuals

    which contain the essential, need-to-know

    information related to the performance or

    skills to be developed

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    Design activities for CBME (3)

    6. Development of the models to be usedduring training

    7. Development of training objectives whichoutline what the participant must do in orderto master the clinical performance or clinicalskills

    8. Development of course outlines whichmatch a variety of training methods andsupporting media to course objectives

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    Design activities for CBME (4)

    9. Development of course syllabi and

    schedules which contain information about

    the course and which can be sent toparticipants in advance so they are aware of

    details concerning the course.

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    Delivery and Evaluation Activities for

    CBME using a clinical skill as anexample

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    1. Administration of a precourse questionnaireto assess the participants knowledge andattitudes about course content

    2. Administration of precourse skillassessments using model to ensureparticipants possess the entry level skills to

    complete the course successfully and roleplays to determine the level of theircommunication skills

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    3. Delivery of the course by a

    trainer/facilitator using an interactive and

    participatory approach 4. Transfer of skills from the instructor to the

    students through clinical counselling skill

    demonstrations using slide set, videotapes,

    models, role plays and finally clients

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    5. Development of the students skills using a

    humanistic approach, which means

    participants acquire the skills and thenpractice until competent using anatomic

    models and role plays

    6. Practice of the skills following the steps in

    the learning guide until the participant

    becomes competent at performing the skills

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    During this time, the trainer functions as a

    coach providing continous feedback and

    reinforcement to participants. Only whenparticipants are assessed and determined to be

    competent on a model do they work with

    clients

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    7. Presentation of supporting information and

    theory through interactive and participatory

    classroom session using a variety of methodsand audivisuals

    8. Administration of midcourse test to

    determine if the participants have mastered

    the new knowledge associated with clinical

    skills

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    9. Guided practice in providing allcomponents of the clinical performance

    10. Evaluation f each participantsperformance (i.e. knowledge, attitudes,practice and clinical skills) with clients. Theevaluation by the trainer using performance-

    based test. The participant is either qualifiedor not qualified as a result of knowledge,attitude and skills assessments.

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    11. Presentation of a statement of

    qualification which identifies the specific

    clinical performance the individual isqualified to provide

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    Learning principles underlying CBME (1)

    1. Learning is most productive when the

    student is ready to learn. The Clinical teacher

    should create a climate that will nurturemotivation

    2. Learning is most effective when it builds on

    what the students already knows or has

    experienced

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    Learning principles underlying CBME (2)

    3. Learning is most effective when students

    are aware of what they need to learn

    4. Learning is made easier by using a varietyof training methods and techniques

    5. Opportunities to practice skills initially is in

    controlled or simulated situations are essentialfor skill acquisition and for develoment of

    skill competency

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    Learning principles underlying CBME (3)

    6. Repetition is necessary to become

    competent or proficient in a skill

    7. The more realistic the learning situation,the more effective the learning

    8. To be effective, feedback should be

    immediate, positive and nonjudgemental.

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    Key Words

    Relevant- task orientedparticipatory

    friendlyvariedbuilt on past experience

    Faculty members must be genuinelyinterested in teaching and must be trained in

    interactive method

    From teacher-oriented to learner oriented,including self-paced learning and assessment

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    Key Words

    Changing from narrow-discipline oriented

    teaching to a problem-solving approach

    Moving from lecture-oriented teaching toexperiential and interactive learning

    Changing the medical teachers role to a

    coach of student learning

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    Thank You