The aim of our review was to ensure that:
Curricula are aligned to the GMC's GPC and Excellence by Design Frameworks
Curricula are capability focused
Curricula promote a flexible and adaptable approach to training
Curricula are succinct, user friendly, patient-centred and reflective of current training in practice
To manage the review, a Curriculum Revision Working Group (CRWG) was set up to monitor and govern the review process. Members include Specialty Advisory Committee (SAC) chairs, trainee and patient/lay representatives.
Curriculum Development & Framework
The CRWG, alongside SACs and specialty working groups, have undertaken a “Why, What, How” approach in developing the curriculum framework. Each curriculum is structured as follows:
High Level Outcomes (HLOs) – These outline the “Why”, and provide an overarching view on what should be achieved by trainees. Each HLO is mapped directly onto each of the nine GMC GPC domains.
Key Capabilities – These outline the “What”, and provide key detail on what trainees need to undertake to fulfil specific aspects of the curriculum.
Training illustrations – These outline the “How”, and supplement the Key Capabilities by providing real-world examples of how to achieve each capability.
Development of the curricula included:
Mapping current Intended Learning Outcomes (ILOs) to the new HLO framework
Re-writing competencies so that they were capability focused
Undertaking a thematic analysis of the curricula, to develop key themes/groupings for capabilities
Review and update Workplace Based Assessments (WBPAs) to ensure they align to the new framework
Part of the review has been to ensure Key Stakeholders are involved at each stage of curriculum development. To ensure that all key stakeholders are provided opportunity for consultation, a stakeholder map was developed.
Stakeholder engagement has included:
Direct trainee/trainer/patient/lay involvement at curriculum review meetings
Consultation surveys at each development stage, including feedback on the draft curriculum framework and feedback on full draft curricula
Attendance at meetings with key stakeholders, including NHS Employers and Royal College meetings