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* 1. Name

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* 2. Domain

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* 3. Based on your content expertise, review of available materials and national committee/ organization recommendations what are the ideal end goals/outcomes for students at graduation in order to be prepared on Day 1 of Internship in your domain:

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* 4. List the material consulted:

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* 5. Which UUSOM Program Objectives align with your goals/outcomes?

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* 6. List the amount of time devoted to content delivery of the subject in each Phase of the curriculum for AY1718:

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* 7. List the number of faculty and residents delivering the content for the subject in each Phase of the curriculum for AY1718 and who they are:

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* 8. List the methods of instruction for delivering content and the percent of time for each method for AY1718:

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* 9. For students to achieve those end goals in your subject, to what extent is there currently an:


a. Appropriate amount of content

b. Appropriate placement of content in each phase of the curriculum

c. Appropriate teaching methods for delivering content

d. Appropriate sequencing/order of content

e. Appropriate progression of expectations to help student build their knowledge/skills in your domain

f. Appropriate integration with other topics (opportunities for students to make connections and transfer knowledge and skills within and across topics) 



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* 10. List the number of assessment types used to measure students’ knowledge/ skills/attitudes in the content by phase of curriculum:

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* 11. Categorize each assessment and its feedback by purpose:

a. Formative/Diagnostic- How is learning going?
b. Summative- pass/fail judgment of learning

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* 12. For students to achieve the end goals proposed in question 1 to what extent is there currently an:

 

a. Appropriate amount of assessment by purpose type

b. Appropriate placement of assessment in each phase of the curriculum

c. Appropriate assessment type(s) for measuring the goals

d. Appropriate level of cognition* expected on the assessments

e. Appropriate amount of feedback to guide future learning

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* 13. Additional comments:

*Please add an appendix and send to harper.davison@hsc.utah.edu if you are not allotted sufficient space to answer the above questions-- thank you!

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