Uniformed Services University
Curriculum Management and Governance Structure
♢ Oversight of the curriculum is by the dean's office.
♢ Policy issues are reviewed and considered by a standing curriculum committee that guides the current renewal process.
♢ The curriculum committee reports directly to the dean.
♢ Phase I
* A steering committee and four subcommittees were established. The four subcommittees were: (1) History of Medical Education in the United States; (2) Current Experiments in Curricular Reform; (3) Curriculum at USUHS-SOM; and (4) Professional Requirements and Outcomes.
* Subcommittee reports and recommendations were produced and reviewed by the faculty.
* The dean's office and the relevant academic departments were charged to implement the recommendations.
♢ Phase II
* A steering committee and five subcommittees were established. The subcommittees were: (1) Objectives/Goals; (2) Organizational Template/Curriculum Management; (3) Basic Science/Intradepartmental and Clinical Integration; (4) Clinical Clerkships Required/Elective; and (5) Outcomes/Evaluation.
* Topic groups were established and the subcommittee and topic group reports and recommendations were reviewed by the steering committee, relevant academic departments, and the dean.
* A consensus was reached on the recommendations and the plans for their implementation.
* The recommendations were implemented.
♢ Phase III
* The curriculum committee provides oversight for the planning process. The areas of focus for this phase include interdisciplinary teaching, academic computing, faculty development, and outcomes assessment.
* The planning resources needed include travel budget, photocopying, faculty time, and clerical/secretarial support.
* The implementation resources needed include faculty time, clerical/secretarial support, photocopying, and Computer Center staff time.
CURRICULUM RENEWAL PROCESS
Themes for Curriculum Renewal
♢ To increase the integration of basic and clinical science content across the four-year curriculum. (The curriculum before the renewal was a traditional “2 + 2” basic science/clinical medicine program.)
♢ To increase student involvement in and excitement about the learning process.
♢ To further integrate military medicine topics into the general curriculum.
Curriculum Renewal Timeline
* 1993–95: Phase I planning and recommendations
* 1996: implementation of Phase I recommendations
* 1996–97: Phase II planning and recommendations
* 1998: implementation of Phase II recommendations
* 1998–present: Phase III planning and recommendations
* Academic year 2000–2001: implementation of Phase III recommendations projected to begin
Challenges to the Process
♢ The school has encountered some expected and some unanticipated challenges during the curricular renewal process. These include
* concerns/anxiety about change
* additional workload for faculty and staff
* establishing and maintaining communication
* reaching consensus on what to change and how to change it
♢ The strategies used in the process include:
* town meetings held by the dean of the school
* use of the university Web site to distribute information/raise issues
* involving representatives from all academic departments
* departmental surveys
* establishment of topic groups to review curriculum content
* student involvement at all levels
Curriculum Review Process
♢ Student evaluations of the curriculum are reviewed throughout the program.
♢ Faculty evaluations of the curriculum are reviewed.
♢ Student knowledge, attitudes, and skills are assessed using standardized measures and internal measures (e.g., USMLE, NBME subject exams, OSCE, AAMC Graduation Questionnaire).