Outcome-Based Education:
Writing Instructional Objectives
by Anita Duhl Glicken, MSW

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After completing instructional goals, learner performance indicators demonstrating student mastery should be identified. Specific learning objectives provide an operational definition in behavioral terms. Instructional objectives start with an action verb that describes an observable student response. Such verbs describe types of responses and are only intended to be a sample of performance indicators that might be considered for the goal. The instructor must decide how many indicators are necessary and at what level of achievement to provide evidence that the student has learned the material. For example, instructional objectives related to an overall goal of using critical thinking in patient diagnosis might include either or both of the following objectives:

  • The student will distinguish between subjective and objective information in the patient history
  • The student will distinguish between relevant and irrelevant patient information

Instructional objectives include two essential components: a behavior and an object. The first component is a specific behavior or action that follows instruction and could serve as evidence that the objective has been achieved. Active verbs describe the observable behavior. The second component identifies the focus of learning content, concept, skill, or attitude.

Other qualified models for writing objectives exist. Additional, optional components to the objective format provide clarity and should be considered. These components may more clearly define elements such as the target group, conditions, defined content, performance criteria, and performance stability.

Figure 4. illustrates the essential and optional components of instructional objectives:

The following objective illustrates the essential and optional components:

  • Following related workshops, the student will demonstrate the accurate technique for assessing vaginal labor progress and delivery(with attention to intrapartum assessment of the fetus, monitoring of maternal labor, the four stages of delivery, episiotomy, and indications for cesarean birth)utilizing a synthetic model, and meeting the criteria established by the instructor and clinical preceptor.
The two essential components of the objective's behavior and object are identified:
  • Behavior:demonstrate
  • Object: technique for assessing vaginal labor progress and delivery

Optional components include "target groups" that specify a subgroup when the objective applies differentially. This does not apply to the objectives described in this manual as they all uniformly address PA students as the target audience.

“Conditions” give information about situations in which the student will be required to demonstrate the behavior—how, when, or where:

  • Conditions: following related workshops utilizing a synthetic model
"Defined content" is specific elements of the object:
  • Defined Content: with attention to intrapartum assessment of the fetus, monitoring of maternal labor, the four stages of delivery, episiotomy, and indications for cesarean birth
"Performance criteria" state any minimum level of performance:
  • Performance Criteria: meeting the criteria established by the instructor

Lastly, "performance stability" gives information about how often the student behavior must be observed to be a true indication that the behavior is a stable part of the student's achievement repertoire. This may included repeated assessments over time or evaluations from different sources:

  • Performance Stability: by the instructor and clinical preceptor

The above objective focused on a clearly defined task with a specific knowledge base that allows for the detailed description of the instructional content and a directly measurable performance. Some areas of instructional content are more conceptual than the above practical example, but objectives can be written that clearly define the parameters of the expected student performance.

The following objective illustrates the performance indicators as applied to the conceptual knowledge of legal issues in health care:

  • The student will demonstrate professional decorum with respect, patient safety and sensitivity during model patient encounters, as evaluated with a checklist by faculty and standardized patients.

The essential and optional components of this objective are identified below:

  • Behavior: demonstrate
  • Object: professional decorum
  • Condition: during model patient encounters
  • Defined Content: with respect, patient safety and sensitivity
  • Performance Criteria: evaluated with a checklist
  • Performance Stability: by faculty and standardized patients

 

Outcome-Based Education
Next Creating a Set of Learning Objectives

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Use “case-based immersion” to teach basic sciences in anatomy, physiology, pharmacology and pathology.

Aftab Hassan, PhD, ScD,
CUNY/CCNY at Harlem Hospital PA Program
afhassan@ccny.cuny.edu

 

 

 

 

 

 

Teaching Tip

When evaluating practical exams or write-ups where subjectivity is an issue, provide the students with your grading template prior to the assignment so they know what to expect and how to achieve the best grade.

Tammy Ream
Texas Tech University PA Program
tammy.ream@ttuhsc.edu

 

 

 

 

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Formally involve students with the quality improvement process for the entire program (outcomes assessment).

Jodi Cahalan
Des Moines University PA Program
jodi.cahalan@dmu.edu

 

 

 

 

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To improve student learning and collaboration, partner older and younger students together in cooperative groups. Younger students are more comfortable with these groups and help older students. Older students are more mature and focused, and often offer learned time management skills.

Mona Sedrak
Kettering College of Medical Arts PA Program
mona.sedak@kcma.edu

 

 

 

 

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At a minimum, at the beginning of each week the clinical year student should specifically ask the preceptor, “What can I do to improve my performance?”

Keith Moore
Barry University PA Program
kmoore@mail.barry.edu