Events I A E B C D J

Events I A E B C D J F G H K L • A curriculum is made up of many educational events • Events have metadata, descriptive information about the events

Objects 3 1 2 4 7 10 6 5 8 11 9 12 • Curricula may reference objectives , competencies, learning outcomes, or milestones.

Objects and Events 1 G 2 K 2 6 • An event may be intended to address one or more objects (learning objectives, competencies, and milestones) • An object may be associated with many events

Sequence Blocks I A E B F 1 G D 2 K C A J 7 L H • Events can be organized into blocks of instruction, called Sequence Blocks (think course/module/year/phase/clerk ship etc) • An recurring event may be associated with more than one Sequence Block • Sequence blocks may be associated with objects (competencies, milestones, objectives) • Sequence blocks have metadata, too

Integration Blocks A I E J B 1 F K C A G L D H M 3 I E J O 2 N P C Q G R S H • Curricular themes, or Integration Blocks, may apply to many sequence blocks, events, or objectives/ competencies and describe how the curriculum is semantically integrated. • An event or block may link to many Integration Blocks and an Integration Block may link to many events, blocks or objects

Sequence A I E J B 1 F K C A G L D H M 3 I E J O 2 N P C Q G R S H • Sequence blocks can be put together to form a the main structure of the curriculum (a sequence of courses, modules, phases, clerkships)

Sequence Block Nesting I A E B J F 2 1 I A E B J F 1 2 • Sequence blocks can be nested: a module or clerkship might be in a year which is within a phase and so on … • Blocks will inherit any relations to competency objects from their sub-blocks • No restriction on the number of nest levels • Recursion explicitly forbidden

Types of blocks: ordered Block Sequence=ordered Required=true Block Required A E B I J F Block Required R D C J Q Z Block Required T Y A X M B - All sub-blocks within an ordered block happen with a prescribed sequence

Types of blocks: unordered Block Sequence=unordered Required=true Block Required A E B I J F Block Required T Y A X M B Block Required R D C J Q Z Block Required L C D K N S - All sub-blocks within an unordered block happen for all students, but students may encounter them in a variable order

Types of blocks: selectives - Every student must participate in [specify number] of the blocks, and the order is variable Block Sequence=unordered Minimum=1 Block Optional A E B I J F Block Optional OR R D C J Q Z Block Optional OR T Y A X M B

Types of blocks: electives - Students may or may not participate in any of the blocks Block Sequence=unordered Minimum=0 Block Optional A E B I J F Block Optional OR R D C J Q Z Block Optional OR T Y A X M B

Types of blocks: parallel - All sub-blocks within a parallel block happen at the same time, but are distinct educational units Block sequence = parallel Required = true Block Required R D C J Q Z Block Required A E B J F I

Nesting different types Block sequence = parallel Required = true Block Required Block sequence = ordered Required = true Block Required A E B I J F A X M B J Block Required R D C J Q Block Required T Y C Z Z Block Required Y N R J L D E Q R

Nesting different types Block sequence = ordered Required = true Block Sequence = selective minimum=1 Block Optional A E B I J F Block Optional OR P D C J Q Z Block Required R L B G F H Block Optional OR T Y A X M B

Nesting different types Block sequence = unordered Required = true Block Required R L B G F Block sequence = selective Minimum=1 H Block Required H O V Q K P Block Optional A E B I J F Block Optional OR P D C J Q Z Block Optional OR T Y A X M B

Nesting different types Block sequence = selective Minimum=2 Block Optional A E B I J F Block Optional R AND C J D /OR Q Z Block sequence = selective Minimum=1 Maximum=1 AND /OR Block Optional A E B I J F Block Optional OR R D C J Q Z

Nesting different types Block sequence = unordered Required = true Block sequence = selective minimum=1 Block Optional S B R K D F Block sequence = selective minimum=1 Block Optional P W OR M L X A Block Optional A E B I J F Block Optional OR R D C J Q Z

Competency-based Learning I A E B J F 2 1 And maybe I A E B J F 1 2 • A sequence block, object, or event may be a conditional part of the curriculum

Some terminology for discussion • Successful = successful completion or attainment • Unsuccessful = attempted but not successfully completed, not attained Events, Objects, or Sequence blocks can be successful or unsucessful (integration blocks? )

Preconditions - prerequisites An 1 E B J F 2 1 An 2 I E B J F 2 1 Ca 1 B Preconditions: An 1 & An 2 status = successful I E J F 1 • In this example, a student must successfully complete An 1 and An 2 before taking Ca 1. I 2

Preconditions - prerequisites Clinical Reasoning CR M 1 CR M 2 Cr 3 B J F 1 Preconditions: CR M 2 Status = successful I E CR M 3 2 • In this example, a student must successfully attain Clinical Reasoning Milestone 2 before taking Cr 3.

Postconditions - remediation An 1 E B J F 2 1 Ed 1 B Ho 1 B I E 1 E J 2 Ed 2 J F status = unsuccessful then Ed 2 is required I F 1 • In this example, the curriculum includes Ed 2 for students who are Postconditions: if Ed 1 not successful in Ed 1. I 2 B I E J F 1 2

Postconditions – remediation Pr 2 I E B Professionalism J F P 1 Postconditions: If Professionalism Status = unsuccessful then Pr 2 is required Pr 2 B I E J F 1 2 • In this example, the curriculum includes Pr 2 for students who do not attain the object Professionalism.

Postconditions - Advanced Placement In 1 I E B F 2 1 Ho 1 I E B J Z 2 1 Lg 1 B I E J F 1 F J 2 If Event F status = successful then Ho 1 not required • In this example, the curriculum excludes Ho 1 for students who do well on assessment event F.

Postconditions- Alternate Course Clinical Reasoning CR M 1 CR M 2 Ed 1 B C R Ns 1 B C R I E Postconditions: M 2 status = successful then Ns 2 required and Ns 1 not required I E J F M 1 Ns 2 J F CR M 3 M 2 B C R I E J F M 3 • In this example, the curriculum includes Ns 2 as a substitute for Ns 1 for students who attain milestone object M 2 earlier than anticipated.