All Posts by @GoogleGuacamole

A free weekend

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Do we need to take anyone home
Friday, 1:04 PM ET. A text from me to my husband: Indeed, as a newly-minted director with people working for me, a significant amount of my work has turned into emailing people instructions, giving feedback, and distributing tasks.  By Friday afternoon, I had sent out all the emails I had to send and would need... […]
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Systematic Inquiry: A design perspective

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The following post consists of the lightning round remarks I made as part of the OLC Accelerate 2018 Research Summit.  I was asked to speak on systematic inquiry – what is it and why it is important – to a group of higher ed online instructional designers, faculty, and administrators.  I was an interesting choice... […]
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Connected learning goes to medical school

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Connected Learning has evolved since I wrote my dissertation on it a couple years ago. Back then, the Connected Learning Alliance was promoting an awkward framework that combined learner perspectives and instructional design in the same space (who does that?).  But now they have boiled their messaging down to the essence: Connected learning is an... […]
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Personalized Learning in MedEd: Multiple Learning Pathways

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WWW.NORTHBOUND.CO (1)
Personalized learning, or the ability to customize the learning experience for the purpose of student satisfaction, effective learning, and better (more + more relevant) outcomes is a trend emerging across every aspect of higher education. In the context of medical education, the concept of personalized learning as a mandate can be linked to its mention in 2010... […]
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Reconciling Competency-based and Precision medical education

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Competency-Based and Precision education.jpg
We have all heard the challenges associated with US medical education.  They include the need for greater flexibility;  the modern student (medical or otherwise) wants to be able to customize their learning experience so that it fits in and around their other life pursuits and obligations. Reduction of cost is another challenge. As costs rise... […]
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Precision Education

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In 2015, the Obama administration launched the Precision Medicine Initiative as a means to support “the emerging approach for disease treatment and prevention that takes into account individual variability in genes, environment, and lifestyle for each person.” Precision medicine signifies a transition away from “one-size-fits-all” medical research and practice and towards that which takes into... […]
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The CBME Resource Database

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I’ve created a database for all of the resources I collected for my self-education on competency-based medical education.  Y means yes, N means no, NA means not applicable. Access the excel spreadsheet here.  I Some explanations of column names (except where self-explanatory): Year of Publication  First Author Title Full Citation DOI or URL Country of... […]
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Breaking Down Medical Education 2.0_A First Draft

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In their article introduction, Spickard, Ahmed, Lomis, Johnson, & Miller (2016) identify the defining characteristics of Medical Education 2.0 as the presence of (1) early clinical exposure, (2) competency-based assessment, and (3) personalized pathways to degree completion.  Normally I might ignore the list, since Spickard et al. (2016) is an IT- rather than an ID-centric article,... […]
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CBME at Oregon Health & Science University

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Competency-Based Medical Education (CBME) focuses design (and the designer) on learner objectives and outcomes.  Milestones, which are created through the study of typical development, help track a learner’s progress from novice to expert across any number of tasks. Information about a learner’s progress is collected from diverse sources in a variety of ways and kept... […]
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Workplace-Based Assessment in Competency-Based Medical Education

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CBME chart
Competency-based education expresses competency as a progression through milestones: criterion-referenced, performance-based trajectory from novice to expert for any number of behaviors.  The most commonly used development framework used for expressing milestones in clinical contexts is Miller’s Pyramid of Clinical Skills, Competency, and Performance:  Know, Know How, Show How, Do. As discussed in my last blog post, competency-based... […]
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