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Writing Goals and Objectives RPS PDW 2015

Competency Based Goals and Objectives For PDW
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Todd Shaffer

on 30 March 2015

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Transcript of Writing Goals and Objectives RPS PDW 2015

Writing Competency Based Goals and Objectives
Todd Darian Shaffer, MD, MBA, FAAFP
Professor of Medicine
Program Director
University of Missouri- Kansas City FMRP
Objectives
1 Consistently formulate SMART goals and objectives
for each rotation or educational experience
SMART
Specific
Measurable
Attainable
Relevant
Time Bound
Used in all areas of Life
What are we going to do today?
Cover our objectives by:

Learning basics of goals and objective writings
Use verb tables for writing cohesive objectives in SMART Format
Each Participant will write at least one objective
and we will discuss to see how it fits.
Writing Goals and Objectives
Goals (Major categories)
A statement that describes what the learner will gain from the instruction
Think of goals as broad overarching statements
Goals are not necessarily measurable
Objectives (Minor categories)
Contain behaviorally explicit statement reflecting what a resident will learn
More Specific and Measurable
Three Rules:
Tips:
Need to get away from the old classic views of Knowledge, Skills and Attitudes-these are all intermingled in the new competencies.
Do not create too many objectives
(<30 is best for each rotation or experience)
You can still create “extra” stuff beyond the minimum they learn.

Do not overwhelm the learner or they will learn nothing!
Competency based goals and objectives for each experience at each level of training
Evaluation process specifically addresses competencies
You need a Plan
Example for Women’s Health
Goal: The resident will have a basic understanding for gynecologic malignancies
Objectives: By the end of this rotation, the resident will be able to demonstrate:
1. Adequate skill at Pap smear performance and management of results (ASCUS, AGUS, SIL)

2. Adequate skill at bimanual examination performance and understanding of tests and limitations thereof in screening for ovarian cancer

3. Ability to state common presenting complaints for vulvar malignancies and their appearance

4. Listing risk factors for various gyn malignancies (HPV and the new HPV vaccine)

5. Indications for colposcopy, know basic procedure and recognize common findings (per ASCCP guidelines.)
Sports Medicine
Surgery
Obstetrics
Pediatrics
Emergency Medicine
Dermatology
Geriatrics
Psychiatry
Orthopedics
Neurology
Cardiology
ACGME Rules
Provide an instructional roadmap
Provide clarity about the educational program to learners, teachers and external stakeholders
Encourage higher order learning
This should be where you and the faculty spend their time
Don’t worry about the competencies at this point
4
3
2
1
Receive 50+ objectives formulated by other workshops to use in your program after the presentation.
Consistently formulate SMART goals and objectives for each rotation or educational experience
Groups between 3-6

Each Group chooses one macro area- ie Maternity Care, Psychiatry, Sports Medicine, Geriatrics, Milestone or EPA, etc

Choose one Goal for that subject and write it down

Then work on 1-2 objectives for the goal written in SMART Language using the provided verb tables.
Understandable
Obtainable
Measurable
Break into groups
http://www.umkcfm.org/
Identify broad overarching goals
Identify specific objectives the resident should learn
Align assessment method with objective
Be able to measure the outcomes
Create new Needs Assessment and start over
The cycle continues as needs and material changes over time.
Summary
Examples of Goals:
Examples of Objectives:
By the end of next month I will achieve at least one swim stroke time under US Record Time
Writing Competency Based Goals and Objectives
Why is this so Important?
ACGME Guidelines and Milestones
Competency based goals and objectives for each experience at each level of training

NAS- Now are doing yearly PDSA for your programs annual review and self improvement.

Writing Clear IEP plans when not meeting milestones on what they need to accomplish.
Quote from Natalie Coughlin (Olympic Swimmer)- “Our Team uses SMART objectives to get us to the goal of Olympic Competition."

Life long skill used in many different areas. You know when you made your goal and when you didn’t if they are SMART.
I will formulate and organize an effective plan for achieving a complete swim meet season to be near the top of all world swimmers by years end
Provide effective care for my diabetics
By the end of the year I will have all my diabetics A1C below 7.0
How do you integrate this into everyday Residency?
Provide writing opportunities:
Milestones
Resident at beginning of rotation
Create new rotations
Longitudinal Learning items
NAS: PDSA cycle and improve objectives over time
Create Needs Analysis every year for areas of improvment
Summary:
3. Recite the importance of linking objectives with assessment methods
Representative educational objectives
Educational objectives match assessment
Use multiple, appropriate assessment methods
Use multiple evaluators
Obtain multiple observations
Fair
Important Criteria for Assessment Methods
Assessment tools should be:
Reliable
Valid
Feasible
Provide valuable information
4. Now to receive your 50+ objectives from previous group projects including these, email me at and I will send them to you!
Need to define good quality measurement tools
Some are in line with the present pay for performance models
Clear and objective tools for measuring end outcomes in patient populations and in quality of our graduates after graduation.
Outcome Measurement
Questions?
Community Medicine
todd.shaffer@tmcmed.org
I want to win an Olympic Gold Medal
Every Week I will practice 8 hours per day on my swim stroke.
todd.shaffer@tmcmed.org
If you click the following Hyperlink, this will take you to the Competency Grid
http://fmdrl.org/index.cfm?event=c.beginBrowseD&clearSelections=1&criteria=competency%20based%20goals%20and%20objecitives#2365
Recite the importance of Linking assessment methods with Objectives
Consistently write objectives with action verbs that define the desired outcome.
Consistently write objectives with action verbs that define the desired outcome
Objective 2:
Consistently write objectives with action verbs that define the desired outcome.
Writing Competency Based Goals and Objectives
Todd Shaffer, MD, MBA
University of Missouri- Kansas City
PC-1 Cares for acutely ill or injured patients in urgent and emergent situations and in all settings
Milestone: Provide a reliable source of comprehensive, longitudinal medical care for people of all ages
Milestones
MK-2 Applies critical thinking skills in patient care
PC-1 Cares for acutely ill or injured patients in urgent and emergent situations and in all settings
SBP-3 Advocates for individual and community health
PROF-3 Demonstrates humanism and cultural proficiency
PBLI–3 Improves systems in which the physician provides care
todd.shaffer@tmcmed.org
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