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Educational Achievement Specifications

 

 

 

 

 

 

 

 

 

Version: 0.7 2
Date: August 25 , 2014 12 May 2016
Authors: Valerie Smothers
Author email: vsmothers@jhmi.edu

 


Version History

 

Version No.

Date

Changed By

Changes Made

0.1

2012-04-11

Valerie Smothers

Initial draft

0.11

2012-05-01

Valerie Smothers

Added assessment results and more subelements.

0.2

2012-05-16

Valerie Smothers

Revised terminology, removed CompetencyObjectReference from AssessmentResults (redundant). Removed title and description from score (redundant). Changed Reference under Evidence to portfolioReference. Added SubScore, PortfolioReference, SummaryScores, and Sequence. Added Note regarding PESC changes to include score ranges.

0.3

2012-06-01

Valerie Smothers

Added definitions for event, integration block, and sequence block. Removed PerformanceLevelReference from Score and Subscore; added FrameworkScore to Score and SubScore (includes a score, performance framework reference, and competency object reference).  Documented FrameworkScore and subelements.

0.4

2012-06-14

Valerie Smothers

Added sources for the terminology definitions, added references, changed SummaryScores to Summary, added Entrustment and EntrustmentEvidence.

0.41

2012-07-03

Valerie Smothers

Added Source element to entrustment, changes summary scores to assessment results. Added ‘without direct supervision” to the description of entrustment.

0.42

2012-07-19

Valerie Smothers

Added PortfolioReference to AssessmentResults.  Harmonized definitions of portfolio reference across document.  Corrected typos. Added XML examples.

0.43

2012-11-30

Valerie Smothers

Modified examples used in the definition of Event ,  Modified the definition of EPA, Removed the STAR definition and replaced with Entrustment,. Modified description of Event element. Updated Score definition to reference new PESC specs.

0.5

2014-01-27

Valerie Smothers

Added site element to Sequence block and Event, made event duration optional, added the capability to link to an external competency and competency framework, added ad hoc and levels elements to entrustment, changed Notes to LearnerNotes, added FacultyNotes to AssessmentResults. Revised Framework Score to account for structure of P d erformance Framework.

0.6

2014-02-20

Valerie Smothers

Removed EntrustmentScales element, added documentation of PerformanceFrameworks element, Changed LevelOfEntrustment datatype to have an EntrustmentScore and Reference, added references for Performance framework and Professional Profile.

0.7

2014-08-25

Valerie Smothers

Changed Score type. Took all the possible score values and put them in a ScoreValue element and created a NotYetAssessable element. Either ScoreValue or NotYetAssessable is required.

0.71

2015-07-30

Valerie Smothers

Added background to introduction.   Revised section 4 and section 8 to reference the Common specification for elements that are references or non-null strings . Formalized document references (section 6 and 10). Removed terms not used in section 7. General copy edits.  

0.72

2016-05-12

Valerie Smothers

Edits to introduction, edits to the definition of entrustment and performance criteria. Corrected schema to reflect NotYetAssessable as an element under FrameworkScore. Updated sample XML.

 

 


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The Consortium hereby grants a perpetual, non-exclusive, non-transferable, license to copy, use, display, perform, modify, make derivative works of, and develop the MedBiquitous XML for any use and without any fee or royalty, provided that you include the following on ALL copies of the MedBiquitous XML or portions thereof, including modifications, that you make.

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In the event that the licensee modifies any part of the MedBiquitous XML, it will not then represent to the public, through any act or omission, that the resulting modification is an official specification of the MedBiquitous Consortium unless and until such modification is officially adopted.

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1          Acknowledgements

 

The MedBiquitous Consortium wishes to acknowledge the help of  the MedBiquitous Educational Trajectory Working Group members, invited experts, and other individuals that contributed to the creation of this document, including:

 

  • Linda Lewin, M.D., University of Maryland, Co-Chair
  • Alan Schwartz, Ph.D., University of Illinois at Chicago, Co-Chair

 

  • Susan Albright, Tufts University
  • Michael Barbouche, Odeon Data
  • Linda Bell, RN, MSN, American Association of Critical-Care Nurses
  • Dana Bostrom, Association of American Medical Colleges
  • Rachel Brown, M.D., University of Missouri-Columbia School of Medicine
  • Diane Burkhart, Ph.D., American Osteopathic Association
  • Timothy Cain, Ph.D., Ohio State University
  • Carol Carraccio, M.D., MA, American Board of Pediatrics
  • Kelly Caverzagie, MD, University of Nebraska Medical Center
  • Christa Chaffinch , National Board of Medical Examiners
  • Brian Clare, One45 Software
  • Elaine Dannefer , Ph.D., Cleveland Clinic Lerner College of Medicine of Case Western Reserve
  • Jeroen Donkers, Ph.D., University of Maastricht
  • Mike Dugan, Federation of State Medical Boards
  • Robert Englander, MD, MPH, Association of American Medical Colleges
  • Maria Esquela, Advanced Informatics
  • Bob Galbraith, M.D., National Board of Medical Examiners
  • Gwen Garrison, Association of American Medical Colleges
  • Maureen Garrity, UC Denver
  • Simon Grant, Ph.D., JISC
  • Hilary Haftel, MD, MHPE University of Michigan
  • Patricia Hicks, MD, MHOE, University of Pennsylvania
  • Kimberly Hoffman, Ph.D., University of Missouri
  • William Iobst, M.D. American Board of Internal Medicine
  • Steve Kenney, American Osteopathic Association
  • John Jackson, University of Virginia
  • Chandler Mayfield, University of California, San Francisco School of Medicine  
  • Neil Mehta, MD., Cleveland Clinic Lerner College of Medicine of Case Western Reserve University
  • David Melamed, M.D., MyEvaluations.com
  • John Norcini, M.D., Foundation for the Advancement of International Medical Education and   Research
  • Patricia O'Sullivan, Ed.D. , University of California, San Francisco School of Medicine
  • Anita Pokorny,   Northeastern Ohio Universities Colleges of Medicine and Pharmacy
  • Vijay Rajput, MD., Cooper University Hospital
  • Sandhya Samavedam, Wright Center for Graduate Medical Education
  • Rosalyn Scott, Wright State University
  • Howard Silverman, University of Arizonia
  • C. Scott Smith, M.D., VA Medical Center, Boise Idaho
  • Kirk Smith, M.D., Ph.D., University of Texas Medical Branch at Galveston
  • Kevin Souza, University of California, San Francisco School of Medicine
  • Anderson Spickard, M.D., Vanderbilt School of Medicine
  • Andria Thomas, Ph.D., Medical College of Georgia
  • Linda Thomas-Hemak, The Wright Center for Graduate Medical Education
  • Hettie Till, University of Dundee
  • Janet Trial, University of Southern California
  • Loreen Troy, University of Illinois College of Medicine
  • Sandra Waters, Federation of State Medical Boards

 

Specification authors also received technical guidance from members of the MedBiquitous Technical Steering Committee.

  • Joel Farrell, IBM, Technical Steering Committee Chair
  • James Fiore, American Board of Surgery
  • Steve Kenney, American Osteopathic Association
  • Andrew Rabin, CECity
  • Dan Rehak, Learning Technologies Architect
  • Dan White, American Board of Internal Medicine

 

 

 


2          Documentation Conventions

This document uses the following conventions:

Convention

Description

Bold Text

When used with an XML element name, indicates that the element contains sub-elements.

Italics

When used in an XML element description, an attribute of the XML element.

Monospaced type

Sample XML tags, code, schema, or portion thereof.

 

The document uses graphics generated by Altova XML Spy® software, which uses the following graphical conventions.

address-example_schemadiagram.png


3          Conformance

To conform to the MedBiquitous Educational Achievement specification, an XML document shall:

  • Validate against the Educational Achievement XML Schema available at: http://ns.medbiq.org/educationalachievement/v1/educationalachievment.xsd
  • Conform to any additional requirements stated in this specification.
  • Optionally include elements not defined in this document only in permitted areas and only if those elements are namespace qualified.

 

 


4          Common Data Types

Most of the elements and attributes in MedBiquitous XML documents use the data types defined by the W3C XML 1.0 schema definition [ XSD ]. In some cases MedBiquitous creates its own datatypes as part of its best practices or to meet a specific requirement. Commonly used datatypes are described below.   Commonly used datatypes are defined in the common.xsd file. For more information about common datatypes, see: http://www.medbiq.org/sites/default/files/CommonSpecifications.pdf  

 

4.1        Non-null string

Non-null string is a datatype derived from the XML string datatype.  Non-null string imposes a minimum length of one character on a string and ensures that required elements are complete.

4.2        Reference

Reference contains subelements that describe a reference to an external resource. MedBiquitous uses Resource Description Framework [ RDF ] elements and a Dublin Core metadata initiative [ DCMI ]element to establish links to external documents, including competency objects, competency frameworks, and performance frameworks.  IDs may be appended to the URI of the resource to reference a specific part of a document, such as a component within a performance framework. Use the following format for any use of Reference in this specification.

 

Reference Element Information

Element

Description

Required

Multiplicity

Datatype

Reference

A reference to an external resource.

MedBiquitous uses RDF to specify details about references.

Determined by the datatype using Reference

Determined by the datatype using dcterms:references.

Container

 

Elements from the RDF namespace

The following RDF elements appear within Reference:

 

rdf:Description
The resource being referenced.

MedBiquitous uses the following attribute with rdf:Description:

rdf:about
The URI for the resource being referenced. For example, http://www.example.org/milestone/SBP4.xml .

 

rdf:type
The type of resource being referenced.

MedBiquitous uses the following attribute with rdf:type:

rdf:resource
The URI of the namespace of the resource referenced. For example, when referencing an XML  competency object, use: http://ns.medbiq.org/competencyobject/v1 /

When referencing an XML competency framework, use: http://ns.medbiq.org/competencyframework/v1/

 

When referencing an XML performance framework, use: http://ns.medbiq.org/performanceframework/v1/  

 

Required

 

rdf:Description is required for all instances of the Reference element.

 

rdf:type is required for references to competency objects and competency frameworks.

1-2

Any

dcterms:format

The media type of the resource being referenced.  If the resource referenced is an XML document, use application/xml .

Optional

0 or 1

Media types as specified by IANA. See http://www.iana.org/assignments/media-types/

 

This example references a component with the id of 12345 in the performance framework:

< Reference >

< rdf:description about =" http://www.example.org/performanceframework.xml#123456 "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/performanceframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ Reference >

 

This example references a competency object and its parent competency framework.

< Reference >

< rdf:description about =" http://www.example.org/milestone/SBP4.xml "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/competencyobject/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ Reference >

< Reference >

< rdf:description about =" http://www.example.org/im_milestones.xml "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/competencyframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ Reference >

4.3        Identifying Data through XPath

XPath is a language for finding information in an XML document. XPath is used to navigate through elements and attributes in an XML document. It is a W3C Standard.

The MedBiquitous Curriculum Inventory uses XPath to point to data and resources in a single XML report.

XPath expressions use the following construction:

/SomeElement/SomeSubElement

Selects all SomeSubElements that are sub-elements of SomeElement.

/SomeElement/SomeSubElement[@test= ' x ' ]

Selects all SomeSubElements that have an attribute named test with a value of ‘x’ that are sub-elements of SomeElement.

/SomeElement/SomeSubElement/text()

Selects all element content (text) in all SomeSubElements that are sub-elements of SomeElement.

 

Example:

 

/EducationalAchievement/AchievementInContext/Curriculum/Events/Event[@id= ' 123 ' ]

 

This example provides a reference to the Event with an id of 123.

 

 


5          Introduction

This document describes MedBiquitous Educational Achievement specification in detail. It is intended for use by anyone who wants to develop tools or implement electronic systems for reporting an individual’s achievements, including data about the individual’s performance in relation to defined competencies.

As learners progress through the continuum of health professions education, they attain a number of achievements, including successfully passing required exams (including licensure and certification),attaining important competencies, successful completion of training milestones, and successful completion of training phases (e.g. graduation from medical school and completion of residency). The achievements are important, particularly for the learner and those assessing learner progress along the education, training, practice continuum.   Technology standards are necessary to enable common ways of expressing and transporting th ese is data between systems. Background…

The objective of the specification is to provide a consistent format and data structure for educational achievement data. The standard allows extensions so that data beyond the core set identified in this document may be communicated to other organizations. This specification is intended to work in concert with other specifications.

This specification intentionally excludes the following from its scope:

  • Credentials awarded as a result of achievements, including degrees, certifications, licenses, etc.
  • Continuing education.
  • Activities completed as part of a maintenance of certification or continuous certification process . that are not assessments carried forth from prior GME training .

 

Credentials may be described using the MedBiquitous Professional Profile. Continuing education, maintenance of certification, and continuous certification activities may be described using the MedBiquitous Activity Report. Information on these standards is available through the Med B b iquitous website: http://medbiq.org/std_specs/standards/index.html

 


6          Other Standards, Specifications, or Schema Referenced

 

This standard references the following standards, specifications, or schemas. The informative references here, which describe how these references are used, link to formal references appearing later in this document.

 

  • DCMI Metadata terms [ DCMI ]
    The
    Educational Achievement specification uses the DCMI format element to indicate the format of a referenced resource.
  •  
  • MedBiquitous Competency Framework [ Competency Framework ]
    Competency Framework provides a way of specifying the hierarchical and non-hierarchical relationships among a set of related competencies, learning objectives, learning outcomes, etc. The Performance framework may define performance for competencies in a competency framework.

 

  • MedBiquitous Competency Object [ Competency Object ]
    Competency Object provides a common format for representing competencies, learning objectives, learning outcomes, etc. Educational Achievement may specify learner
    assessment results in relation to specific competencies.
     
  • Implementation Guide to the Postsecondary Electronic Standards Council XML Standard Format for   Education Test Score Reporting Version 1.0.0.1. [ ETS ]
    The
    Postsecondary Electronic Standards Council (PESC) Education Test Score Reporting standard provides a detailed format for assessment results.
     
  •  

 

  • Resource Description Framework [ RDF ]
    RDF is used to link to competency frameworks
    and   performance frameworks as necessary. RDF is the technology used to establish semantic web relationships.
  •  
  • MedBiquitous Competency Framework [Competency Framework]
    note about context..
  • Curriculum Inventory [Curriculum Inventory]
     
  • Healthcare Professional profile
     
  • Performance Framework
     
  • MedBiquitous Common Specifications [ Common ]
    The MedBiquitous Common Specification defines datatypes commonly used across MedBiquitous specifications.
  • Others TBD
     
  • XHTML™ 1.0 The Extensible HyperText Markup Language (Second Edition), A Reformulation of HTML 4 in XML 1.0. W3C Recommendation 26 January 2000, revised 1 August 2002.  [ XHTM L ]
    XHTML provides the format for supporting information embedded in the competency framework.

 

 

 


7          Terminology

Much of the terminology in this area is ill-defined or ambiguous, often employed differently (and sometimes interchangeably) by different professionals [ Harden 1 ]  To ensure clarity and consistency we provide working definitions of the terminology we use in the context of this paper:

Note: the Competencies working group is developing many of these definitions. See: http://groups.medbiq.org/medbiq/display/CWG/Performance+Framework+-+Definitions  

  • Competency – a statement describing a specific ability, or set of abilities, requiring specific knowledge, skill and/or attitude.  Competencies are used to set performance standards that must be met [ Albanese 1 ]
  • Competency Framework – an organized and structured representation of a set of interrelated and purposeful competency objects. [ Competency Framework ]
  • Competency Object – an umbrella term used to describe any abstract statement of learning or performance expectations, and information related to the statement.  Statements can be learning outcomes, competencies per se, learning objectives, professional roles, topics, classifications/collections, etc.  The Competency Object may include additional data to expand on or support the statement.  The Object is abstract in the sense that it does not inherently contain information about connections of the statement to individuals or events or other objects. [ Competency Framework ]
  • Educational Trajectory the path of an individual learner through one or more programs of study. Educational Trajectory may include a sequence of formal curricular activities and events, informal professional development activities and events, and breaks in matriculation. [ Educational Tra j ectory ]
  • Entrustable Professional Activity   An activity that is part of the essential work of a profession, specialty or subspecialty with the following characteristics: requires the integration of knowledge, skills and attitudes and their demonstration within an authentic context; is independently executable within a given timeframe by qualified personnel; and leads to observable and measurable outputs. An EPA describes a unit of work, while a compet ency is characteristic of an individual. [ ten C ate 1 ]
  • Entrustment - a decision to entrust the learner to perform certain activities without direct supervision.
  • Event a single education or assessment activity documented in a curriculum. Examples of events include: lecture, problem-based learning   , simulation ,  laboratory, clinical experience – ambulatory, and clinical experience –  inpatient, to name a few. [ Curriculum Inventory ]
  • Integration Block An integrating concept for a curriculum, such as a theme. [ Curriculum Inventory ]
  • Performance – a demonstration of practice, such as patient care. Can be used as evidence of one or more competencies. [ Competency Framework ]
  • Performance criteria – An explicit description of measurable behaviours behaviors indiciative indicative of achievement of a specific performance level of a specific competency.   Note that this is what the pediatrics group refers to as a ' milestone anchor . '
  • Performance level schema   A generic set of levels of performance (e.g. beginner, novice, expert; or simply 1-2-3-4) that can be used t o frame competency progression.   Commonly, one performance level schema is applied to all competencies within a competency framework.   In undergraduate and postgraduate medical education, the level of performance generally determines the level of supervision required.
  • Performance Framework A set of performance levels and criteria associated with a competency framework.
  • Sequence Block – an organizational component of a curriculum, such as a year, phase, course, module, etc. Sequence blocks can be nested to show a variety of organizational methods. [ Curriculum Inventory ]

 


8          Educational Achievement Schema

The following sections explain the Educational Achievement Schema grammar. Values in bold under XML Tags column indicate that the element has sub-elements.

All the elements having sub-elements will be defined in separate sections. All elements without sub-elements will be defined within the appropriate element sections that use them.

8.1        EducationalAchievement

EducationalAchievment is the root element. It contains subelements that describe a learner’s achievements in detail. EducationalAchievement must occur once within an Educational Achievment document.

EducationalAchievement Element Information

Element

Description

Required

Multiplicity

Datatype

EducationalAchievement

EducationalAchievment is the root element. It describes a learner’s educational achievements in detail.

Required

1

Container

 

Date

The date of this educational achievement record.

Required

1

Date

Learner

Information about the learner whose educational achievement data is described.

Learner uses the MemberType from the MedBiquitous Healthcare Professional Profile [ Professional Profile ].

Required

1

Container

For more information, see ANSI/MEDBIQ 10.1-2008 Healthcare Professional Profile.

AchievementInContext

Information about a learner’s achievements within the context of a curriculum of instruction and/or assessment.

Required

1 or more

Container

 

Example:

<ea:EducationalAchievement>

<ea:Date>2012-05-31</ea:Date>

< ea: Learner>

. . .

</ea:Learner>

<ea:AchievementInContext>
. . .

</ea:AchievementInContext>

<ea:AchievementInContext>
. . .

</ea:AchievementInContext>

</ea:EducationalAchievement>

 

8.2        AchievementInContext

AchievmentInContext is a subelement of EducationalAchievement. It contains subelements that describe a learner’s achievements within the context of a curriculum of instruction and/or assessment.

 

AchievementInContext Element Information

Element

Description

Required

Multiplicity

Datatype

AchievementInContext

Information about a learner’s achievements within the context of a curriculum of instruction and/or assessment.

Required

1 or more

Container

Source

The source of this achievement data.

Required

1

NonNull String Type

For more information, see [ Common ] NonNullString

ReportID

A unique identifier for this set of achievement data. ReportID has the following attribute:

domain

Defines defines the organization that is the source of the unique identifier. Domain has the following format:

idd: domainname : localidentifier

Where:

domainname is an internet domain name owned by the organization issuing the unique ID and

localidentifer is a local identifier for the type of unique ID.

For example:

idd:ucsf.edu:somreport

 

Required

1

NonNull String Type

For more information, see [ Common ] NonNullString

Institution

Institution contains the name, identifier, and address of the institution where the educational achievements were made.

Institution uses the InstitutionInfoType from the MedBiquitous Healthcare Professional Profile [ Pr o fess i onal Profile ].

Required

1

Container

For more information, see ANSI/MEDBIQ 10.1-2008 Healthcare Professional Profile.

Program

Program contains the name and identifier of the program where the achievements were made. 

Program uses the ProgramType from the MedBiquitous Curriculum Inventory [ Curriculum Inventory ].

Optional

0 or 1

Container

For more information, see MedBiquitous Curriculum Inventory.

ReportDate

The date the report was created.

Required

1

Date

ReportingStartDate

The first day of the period that this achievement data covers.

Required

1

Date

ReportingEndDate

The last day of the period that this achievement data covers.

Required

1

Date

Language

The language of the achievement data. For example, en-US indicates US English.

Optional

0 or 1

Language

Description

A free text description of the curriculum in which the learner was engaged.

Optional

0 or 1

NonNullString

SupportingLink

A link to supporting information, such as a pictorial representation of the curriculum or a document explaining the rationale behind the curriculum structure.

The link must be a URN or URL. For example: http://www.example.edu/curriculum.pdf

Optional

0 or 1

anyURI

Events

Events contains information about the education and assessment events the learner experienced.

For more information, see section Events.

Optional

0 or 1

Container

Expectations

Expectations contains subelements that describe the competencies, learning objectives, and learning outcomes  implemented in a curriculum and how they are organized.

Expectations uses the ExpectationsType from the MedBiquitous Curriculum Inventory [ Curriculum Inventory ].

Optional

0 or 1

Container

For more information, see MedBiquitous Curriculum Inventory.

PerformanceFrameworks

PerformanceFrameworks contains   subelements that describe sets of performance levels, entrustment levels, and criteria associated with competency frameworks.

For more information, see section PerformanceFrameworks

Optional

0 or 1

Container

Summary

Summary contains subelements that describe the learner’s performance across the curriculum.

For more information, see section Summary.

Optional

0 or 1

Container

AcademicLevels

AcademicLevels contains subelements that describe information about the academic levels defined for this curriculum.

Program uses the AcademicLevelsType from the MedBiquitous Curriculum Inventory [ Curriculum Inventory ].

Optional

0 or 1

Container

For more information, see MedBiquitous Curriculum Inventory.

Sequence

Sequence contains subelements that describe information about how the learner’s curriculum of study is organized over a period of time.

For more information, see section Sequence.

Optional

0 or 1

Container

Integration

Integration contains subelements that describe how a curriculum is integrated.

For more information, see section Integration.

Optional

0 or 1

Container

Portfolio

Portfolio includes the learner’s educational trajectory and other portfolio data related to this record of achievement.

Optional

0 or 1

Container

Elements from other namespaces

AchievementInContext may include elements from other namespaces provided those elements are namespace qualified.

Optional

0 or 1

Any

 

Example:

<ea: AchievementInContext >

<ea: Source > University of Toronto </ ea:Source >

<ea: ReportID domain =" idd:utoronto.ca:reports "> 123456 </ea: ReportID >

< ea:Institution >

< m:InstitutionName > University of Toronto Faculty of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ ea:Institution >

< ea:Program >

< ci:ProgramName > MD program </ ci:ProgramName >

< ci:ProgramID domain =" idd:aamc.org:program "> 123456 </ ci:ProgramID >

< ci:EducationalContext > undergraduate professional education </ ci:EducationalContext >

< ci:Profession > physician </ ci:Profession >

</ ea:Program >

< ea:ReportDate > 2011-10-05 </ ea:ReportDate >

< ea:ReportingStartDate > 2005-06-01 </ ea:ReportingStartDate >

< ea:ReportingEndDate > 2009-05-13 </ ea:ReportingEndDate >

< ea:Language > en-us </ ea:Language >

< ea:Events >

. . .

</ ea:Events >

< ea: Expectations>

. . .

</ ea: Expectations>

< ea: PerformanceFrameworks>

. . .

</ea:PerformanceFrameworks>

<ea:Summary>

. . .

</ea:Summary>

<ea:AcademicLevels>

. . .

</ea:AcademicLevels>

<ea:Sequence>

. . .

</ea:Sequence>

<ea:Integration>

. . .

</ea:Integration>

<ea:Portfolio>

. . .

</ea:Portfolio>

 

8.3        Events

Events contains information about the education and assessment events the learner experienced.

 

Events Element Information

Element

Description

Required

Multiplicity

Datatype

Events

Events contains sub elements that describe information about the education and assessment events that comprise the curriculum

Optional

0 or 1

Container

Event

Event contains subelements that describe a single education or assessment event. Examples of events include: lecture, problem-based learning activity, virtual patient activity, seminar, lab, OSCE, and written exam, to name a few.

For more information, see section Event.

Required

1 or more

Container

 

Example:

< ea: Events >

< ea: Event id =" e1 ">

. . .

</ ea: Event >

< ea: Event id =" e2 ">

. . .

</ ea: Event >

< ea: Event id =" e3 ">

. . .

</ ea: Event >

< ea: Event id =" e4 ">

. . .

</ ea: Event >

< ea: Event id =" e5 ">

. . .

</ ea: Event >

</ ea: Events >

 

8.3.1         Event

Event is   a single education or assessment activity the learner experienced. Examples of events include: lecture, problem-based learning , simulation ,  laboratory, clinical experience – ambulatory, and clinical experience –  inpatient, Exam - Institutionally Developed, Clinical Performance,and multisource assessment , to name a few. Events can be combined to form a sequence block within a curriculum. Events may reference learning objectives, competencies, or learning outcomes captured in expectations, as well as curricular themes, known as integration blocks. Events may contain assessment results.

 


Event Element Information

Element

Description

Required

Multiplicity

Datatype

Event

Event contains subelements that describe a single education or assessment event. Examples of events include: lecture, problem-based learning activity, virtual patient activity, seminar, lab, OSCE, and written exam, to name a few.

Event has the following attribute:

id
A unique identifier for this event. Use of the id attribute is required.

Required

1 or more

Container

Title

A title for this education or assessment event.

Required

1

NonNull String Type

For more information, see [ Common ] Non-null string

EventDuration

The duration of the event.in hours. For example, PT20H indicates 20 hours.

Optional

1

Duration (restricted to hours)

Site

The site where the sequence block occurred.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

Description

A free text description of the education or assessment event.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] Non-null string

Keyword

An important concept or topic related to the event.

Keyword uses the keyword type and custom attributes from Healthcare Learning Object Metadata [ Healthcare LOM ].

Optional

0 or more

For more information see ANSI/MEDBIQ  LO.10.1-2008.

Interprofessional

An indicator as to whether or not this event is designed to engage students of different health professions as teams. The default value is false.

Optional

0 or 1

Boolean

CompetencyReference

CompetencyReference contains subelements that reference either a competency associated with this event. For more information, see section CompetencyReference.

 

Optional

0 or more

Container

 

Resource

A resource used in this event. A recommended list is available as part of the Curriculum Inventory Standardized Instructional and Assessment Methods and Resources [ Vocabularies ].

Optional

0 or more

NonNull String Type

For more information, see [ Common ] Non-null string

InstructionalMethod

An instructional method used in this event. It is strongly recommended that communities using this specification to share information use an agreed upon set of terms. A recommended list is available as part of the Curriculum Inventory Standardized Instructional and Assessment Methods and Resources [ Vocabularies ].

InstructionalMethod has the following attribute:

primary
Indicates whether or not this instructional method is the primary instructional method of the event. Use of the primary attribute is required. Valid values are true and false. One instructional method must be marked as primary for an instructional event.

Either InstructionalMethod or AssessmentMethod is required

0 or more

Non-null string

AssessmentMethod

An assessment method used in this event. It is strongly recommended that communities using this specification to share information use an agreed upon set of terms. A recommended list is available as part of the Curriculum Inventory Standardized Instructional and Assessment Methods and Resources [ Vocabularies ].

AssessmentMethod has the following attribute:

purpose
Indicates whether the assessment is used for formative or summative assessment. Use of the purpose attribute is required. Valid values are Formative and Summative.

Either InstructionalMethod or AssessmentMethod is required

0 or more

Non-null string

AssessmentResults

AssessmentResults contains subelements that provide detailed information on the results of any assessment included in this event.

For more information, see section AssessmentResults.

Optional

0 or 1

Container

PortfolioReference

PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information related to this event.

For more information, see section PortfolioReference.

Optional

0 or more

Container

 

Example:

< ea: Event id =" mde1 ">

< ea: Title > Pediatric Level 3 360 Degree Feedback </ ea: Title >

< ea: EventDuration > PT2H </ ea: EventDuration >

< ea: Description > Residents receive feedback from supervisors, peers, nurses, and patients. </ ea: Description >

< ea: Keyword id =" D007318 " source =" mesh ">

< lom:string > Inservice Training </ lom:string >

</ ea: Keyword >

< ea: Interprofessional > false </ ea: Interprofessional >

< ea: CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/PC1'] </ ea: CompetencyObjectReference >

< ea: Resource > Real Patient </ ea: Resource >

< ea: AssessmentMethod purpose =" Formative "> Multisource Feedback </ ea: AssessmentMethod >

< ea: AssessmentResults >

. . .

</ ea: AssessmentResults >

< ea: PortfolioReference >

< ea: URIReference > http://portfolio.umaryland.edu/jdoe1/sdgh </ ea: URIReference >

</ ea: PortfolioReference >

</ ea: Event >

 

 

8.3.2         CompetencyReference

CompetencyReference contains subelements that reference a competency associated with an event, sequence block, score, integration block, or entrustment decision. The competency may be embedded in this record of achievements or it may exist in an external document.

 


CompetencyReference Element Information

Element

Description

Required

Multiplicity

Datatype

CompetencyReference

CompetencyReference contains subelements that reference either a competency associated with this event.

Optional

0 or more

Container

EmbeddedCompetency

A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects). EmbeddedCompetency has the following format:

/EducationalAchievement/AchievementInContext/ Expectations/CompetencyObject [lom:lom/ lom:general/lom:identifier/lom:entry= ' X ' ]

All in one line, where X is the id of a Competency Object in this achievement record.

Either EmbeddedCompetency or ExternalCompetency is required.

0 or 1

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

ExternalCompetency

A reference to a competency in an external document. The ExternalCompetency uses the ReferenceType datatype from the MedBiquitous Common Specifications.

Either EmbeddedCompetency or ExternalCompetency is required.

0 or 1

Container

See section Reference for more information . For more information, see [ Comm o n ].

 

 


8.3.3         AssessmentResults

AssessmentResults contains subelements that provide detailed information on the results of any assessment included in an event or sequence block. It may also describe summary results for an educational program. Assessment results include the scores, performance levels achieved, competencies or objectives assessed, evidence reviewed and subscores.

 


AssessmentResults Element Information

Element

Description

Required

Multiplicity

Datatype

AssessmentResults

AssessmentResults contains subelements that provide detailed information on the results of any assessment.

Optional

0 or 1

Container

Score

Score contains subelements that describe the overall score on this assessment in detail.  Several different types of scores may be represented. 

For more information, see section Score.

Optional

0 or 1

Container

Evidence

Evidence contains a description of and optional reference to the evidence considered when producing these assessment results.

For more information, see section Evidence.

Optional

0 or 1

Container

SubScore

SubScore contains subelements that describe a subscore for this assessment in detail. Several different types of subscores may be represented.

For more information, see section SubScore.

Optional

0 or more

Container

Date

The date of this assessment.

Required

1

Date

LearnerNotes

Any notes or reflections the learner has recorded related to this assessment.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNullString

FacultyNotes

Any notes the faculty has recorded related to this assessment.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNullString

PortfolioReference

PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information related to these assessment results.

For information, see section PortfolioReference.

Optional

0 or more

Container

Example:

< ea: AssessmentResults >

< ea: SubScore >

< PercentCorrectValue > 78 </ PercentCorrectValue >

< ea: Title > Patient Care </ ea: Title >

< ea: CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/PC ']

  </ ea: CompetencyObjectReference >

</ ea:SubScore >

< ea:SubScore >

< PercentCorrectValue > 75 </ PercentCorrectValue >

< ea:Title > Professionalism </ ea:Title >

</ ea:SubScore >

< ea:SubScore >

< PercentCorrectValue > 70 </ PercentCorrectValue >

< ea:Title > Communication </ ea:Title >

</ ea:SubScore >

< ea:Date > 2011-09-10 </ ea:Date >

</ ea:AssessmentResults >

< ea:PortfolioReference >

< ea:URIReference > http://portfolio.ucsf.edu/pshelley/qwer </ ea:URIReference >

</ ea:PortfolioReference >

 

 

8.3.4         Score

Score contains subelements for describing the overall score on this assessment in detail.  If a learner is not yet assessable, that i may be indicated as well.

 

Score Element Information

Element

Description

Required

Multiplicity

Datatype

Score

Score contains subelements for describing the overall score on this assessment or indicating if the learner is not yet assessable.

Optional

0 or 1

Container

ScoreValue

ScoreValue contains subelements for describing the overall score on this assessment in detail. 

Either ScoreValue or NotYetAssessable is required.

0 or 1

Container

NotYetAssessable

Indicates if the learner is not yet assessable in this area. Valid values are true, false.

Either ScoreValue or NotYetAssessable is required.

0 or 1

Boolean

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Example 1:

<ea:Score>

<ea:NotYetAssessable>true</ea:NotYetAssessable>

</ea:Score>

 

 

 

Example 2:

<ea:Score>

<ea:ScoreValue>

. . .

</ea:ScoreValue>

</ea:Score>

 

8.3.5         ScoreValue

ScoreValue contains subelements for describing the overall score on this assessment in detail.  Several different types of scores may be represented, including descriptive scores (i.e.proficient) and performance levels or milestones.

ScoreValueType is an extension of the PESC EducationTestScoresType from the PESC XML Education Test Score Reporting. For more information, visit: http://www.pesc.org/interior.php?page_id=132   [ ETS ].

 

 

ScoreValue Element Information

Element

Description

Required

Multiplicity

Datatype

Score Value

Score contains subelements that describe the overall score on this assessment in detail.

Optional

0 or 1

Container

RawScoreValue

PercentCorrectValue

ScaleScoreValue

LabelValue

MasteryValue

CourseGrade

GPA

NormReferencedValues

See the Implementation Guide to the Postsecondary Electronic Standards Council XML Standard Format for Education Test Score Reporting Version 1.0.0.1 description of EducationTestScores [ ETS ] and the updated Academic Record v 1.7.0 schema, which has updates to the  Norm Referenced Values to accommodate reporting of score distribution histograms.

 

 

 

LabelValueDescription

A description of the label that describes the score value. For example, if the label value is proficient, description provides more information about the meaning of that value.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNullString

FrameworkScore

FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework.

For more information, see section FrameworkScore.

Optional

0 or 1

Container

 

Example:

< ea:Score >

< MasteryValue >

< MasteredIndicator > true </ MasteredIndicator >

< CutScore > 80 </ CutScore >

</ MasteryValue >

</ ea:Score >

 

8.3.6         Evidence

Evidence contains a description of and optional reference to the evidence considered when producing assessment results.

Evidence Element Information

Element

Description

Required

Multiplicity

Datatype

Evidence

Evidence contains a description of and optional reference to the evidence considered when producing these assessment results.

Optional

0 or 1

Container

Description

A description of the evidence considered when producing these assessment results.

Either Description or PortfolioReference is required. Both may be present.

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

PortfolioReference

PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry considered when producing these assessment results. There may be multiple PortfolioReference elements to point to multiple portfolio entries considered in this assessment.

For information on the structure of PortfolioReference, see section PortfolioReference.

Either Description or PortfolioReference is required. Both may be present.

0 or more

Container

 

Example:

< ea:Evidence >

< ea:Description > Scores were determined by reviewing assessment results, supervisor ratings and notes, and a competency-based portfolio. </ ea:Description >

< ea:PortfolioReference >

< ea:URIReference > http://www.utoronto.edu/jdoe1/portfolio </ ea:URIReference >

</ ea:PortfolioReference >

</ ea:Evidence >

 

8.3.7         SubScore

SubScore contains subelements that describe a subscore in detail. Several different types of subscores may be represented, including descriptive scores (i.e.proficient) and performance levels or milestones.

SubScoreType extends ScoreType.

 

SubScore Element Information

Element

Description

Required

Multiplicity

Datatype

SubScore

SubScore contains subelements that describe a subscore in detail.

Optional

0 or more

Container

ScoreValue

ScoreValue contains subelements for describing the overall score on this assessment in detail. 

Either ScoreValue or NotYetAssessable is required.

0 or 1

Container

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NotYetAssessable

Indicates if the learner is not yet assessable in this area. Valid values are true, false.

Either ScoreValue or NotYetAssessable is required.

0 or 1

Boolean

Title

A title for the subscore.  For example, Clinical skills.

Required

1

NonNull String Type

For more information, see [ Common ] NonNullString

Description

A description of what the subscore is for.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNullString

CompetencyObjectReference

A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects) associated with this event. CompetencyObjectReference has the following format:

/EducationalAchievement/AchievementInContext/ Expectations/CompetencyObject [lom:lom/ lom:general/lom:identifier/lom:entry= ' X ' ]

All in one line, where X is the id of a Competency Object in this achievement record.

Optional

0 or 1

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

 

Example:

< ea:SubScore >

< ea:ScoreValue >

< LocalValue > 2 </ LocalValue >

< ea:FrameworkScore >

< ea:PerformanceScore > 2 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1 ']

  </ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1']
</ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

</ ea:ScoreValue >

< ea:Title > Medical Expert </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a medical expert across the curriculum </ ea:Description >

</ ea:SubScore >

 

8.3.8         FrameworkScore

FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework.

FrameworkScore Element Information

Element

Description

Required

Multiplicity

Datatype

FrameworkScore

FrameworkScore contains subelements that describe the learner’s score in relation to a performance framework.

Optional

0 or 1

Container

Reference

A reference to the performance framework used for determining the performance score.

The Reference element uses the ReferenceType datatype from the MedBiquitous Common Specifications.

Required

1

  Container

See section Reference for more information. For more information, see [ Com m on ].

PerformanceScore

A score on a scale defined within a performance framework. The score maybe the result of a single assessment or a summary score for multiple assessments.

Either NotYetAssessable or PerformanceScore is required

1

Decimal

NotYetAssessable

An indicator that the learner is not yet assessable with regards to a specific component of the performance framework.

 

 

 

 

Example:

< ea:FrameworkScore >

< ea:PerformanceScore > 2 </ ea:PerformanceScore >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1 ']

</ ea:CompetencyObjectReference >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFrameworks/PerformanceFramework[@='p1']
</ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

 

8.3.9         PortfolioReference

PortfolioReferencecontains subelements that provide an XPath or URI pointer to supporting information or evidence. The URI reference is used to point to an external portfolio. The XPath reference is used to point to the portfolio section of this Educational Achievement data set.

 

PortfolioReference Element Information

Element

Description

Required

Multiplicity

Datatype

PortfolioReference

PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information.

See one of the following parent elements for details on optionality:

AssessmentResults
EntrustmentEvidence
Event
Evidence
SequenceBlock

0 or more

Container

XPathReference

A pointer to a portfolio entry in this EducationalAchievement data set providing supporting information. PortfolioReference has the following format:

/EducationalAchievement/AchievementInContext/ Portfolio/ pathtoentry

All in one line, where pathtoentry provides the path to the specific portfolio entry.

See section Identifying Data through XPath for more information

Either XPathReference or URIReference is required.

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

URIReference

A pointer to an external portfolio entry or supporting evidence providing related information .

Either XPathReference or URIReference is required.

0 or 1

anyURI

 

Example:

< ea:PortfolioReference >

< ea:URIReference > http://portfolio.umaryland.edu/jdoe1/sdgh </ ea:URIReference >

</ ea:PortfolioReference >

 

 

8.4        Performance Frameworks

PerformanceFrameworks contains subelements that describe sets of performance levels, entrustment levels, and related criteria. Performance levels may be associated with competency frameworks.

PerformanceFrameworks Element Information

Element

Description

Required

Multiplicity

Datatype

PerformanceFrameworks

PerformanceFrameworks contains subelements that describe sets of performance levels, entrustment levels, and related criteria. Performance levels may be associated with competency frameworks. 

Optional

0 or 1

Container

PerformanceFramework

A set of performance levels or entrustment levels and related criteria.

PerformanceFrameowrk uses the PerformanceFramework data type from the MedBiquitous Performance Framework specification [ Performance Framework ].

Required

1 or more

Container

For more information, see MedBiquitous Performance Framework Specification.

 

 

8.5        Summary

Summary contains subelements that describe the learner’s performance across the curriculum.

Summary Element Information

Element

Description

Required

Multiplicity

Datatype

Summary

Summary contains subelements that describe the learner’s performance across the curriculum. 

Optional

0 or 1

Container

Assessment Results

AssessmentResults describes a summary score or scores reflecting the learner’s performance across the curriculum.

For more information, see section AssessmentResults.

Either AssessmentResults or Entrustment is required

0 or more

Container

(uses the SubScore datatype)

Entrustment

Entrustment describes a decision to entrust the learner to perform certain activities without direct supervision.

For more information, see section Entrustment.

Either AssessmentResults or Entrustment is required

0 or more

Container

 

Example:

< ea:Summary >

< ea:AssessmentResults >

. . .

</ ea:AssessmentResults >

< ea:Entrustment >

. . .

 

</ ea:Entrustment >

< ea:Entrustment >

. . .

</ ea:Entrustment >

< ea:Entrustment >

. . .

</ ea:Entrustment >

</ ea:Summary >

 

 

8.5.1         Entrustment

Entrustment describes a decision to entrust the learner to perform certain activities without direct supervision. It is based on ten Cate’s notions of Statements of Awarded responsibility and Entrustable Professional Activities [ ten Cate 1].


Entrustment Element Information

Element

Description

Required

Multiplicity

Datatype

Entrustment

Entrustment describes a decision to entrust the learner to perform certain activities without direct supervision.

Either AssessmentResults or Entrusment is required

0 or more

Container

Title

A title for this entrustment decision.

Required

1

NonNull String Type

For more information, see [ Common ] NonNull String

Description

A description of this entrustment decision.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

AdHoc

An indicator as to whether or not the entrustment decision was ad hoc, ie, made to address specific circumstances.  The default value of AdHoc is false.

Optional

0 or 1

Boolean

LevelOfEntrustment

The level at which the learner has been entrusted. See section LevelOfEntrustment for more information.

Optional

0 or 1

Container

CompetencyReference

CompetencyReference contains subelements that reference a competency associated with this entrusment decision. For more information, see section CompetencyReference.

Optional

0 or 1

Container

 

 

 

 

 

Source

The source of the entrustment decision. This could be an individual, a committee, or a URI to a resource that describes the decision maker in more detail.

Required

1 or more

NonNull String Type

For more information, see [ Common ] NonNull String

AwardDate

The date entrustment was awarded to the learner.

Required

1

Date

ExpirationDate

The date this entrustment decision expires.

Optional

0 or 1

Date

EntrustmentEvidence

EntrustmentEvidence contains subelements identifying the evidence weighed in making this entrustment decision.

For more information, see section EntrustmentEvidence.

Optional

0 or 1

Container

 

Example:

< ea:Entrustment >

< ea:Title > Care of a Healthy Newborn </ ea:Title >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://abp.org/epas/epa1']
</ ea:CompetencyObjectReference >

< ea:Source > Thelonius Smith </ ea:Source >

< ea:AwardDate > 2011-08-18 </ ea:AwardDate >

</ ea:Entrustment >

 

 

8.5.2         LevelOfEntrusment

LevelOfEntrusment defines the level at which the learner has been entrusted to perform a professional activity.

 

LevelOfEntrustment Element Information

Element

Description

Required

Multiplicity

Datatype

LevelOfEntrustment

The level at which the learner has been entrusted.

Optional

0 or 1

Container

EntrustmentScore

A score corresponding to the level of entrustment awarded.

Required

1

integer

Reference

A reference to an entrustment scale in an external document. The entrustment scale may be represented as a performance framework.

The Reference element uses the ReferenceType datatype from the MedBiquitous Common Specifications.

Required

0 or 1

Container

See section Reference for more information. For more information, see [ Com m on ].

 

Example:

TBD

8.5.3         EntrustmentEvidence

EntrustmentEvidence identifying the evidence weighed in making this entrustment decision.

EntrustmentEvidence Element Information

Element

Description

Required

Multiplicity

Datatype

EntrustmentEvidence

EntrustmentEvidence contains subelements identifying the evidence weighed in making this entrustment decision.

Optional

0 or 1

Container

Description

A description of this entrustment decision.

At least one of the following elements is required: Description, PortfolioReference, AchievementReference.

0 or more

NonNull String Type

For more information, see [ Common ] NonNull String

PortfolioReference

PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry used as evidence in this entrustment decision. There may be multiple PortfolioReference elements to point to multiple pieces of evidence considered in this decision.

For information on the structure of PortfolioReference, see section PortfolioReference.

At least one of the following elements is required: Description, PortfolioReference, AchievementReference

0 or more

Container

AchievementReference

A pointer to an entry (Event, SequenceBlock, or Summary Score) in this EducationalAchievement data set. AchievementReference has the following format:

/EducationalAchievement/AchievementInContext/ pathtoentry

All in one line, where pathtoentry provides the path to the specific educational achievement entry.

See section Identifying Data through XPath for more information .

At least one of the following elements is required: Description, PortfolioReference, AchievementReference

0 or more

NonNull String Type

For more information, see [ Common ] NonNull String

 

Example:

< ea:EntrustmentEvidence >

< ea:Description > The committee reviewed simulation results, OSCE scores, and supervisor ratings. </ ea:Description >

< ea:AchievementReference > /EducationalAchievement/AchievementInContext/Events/Event[@id='mde1']
</ ea:AchievementReference >

< ea:AchievementReference > /EducationalAchievement/AchievementInContext/Events/Event[@id='mde2']
</ ea:AchievementReference >

</ ea:EntrustmentEvidence >

 

8.6        Sequence

Sequence contains subelements that describe information about how the learner’s curriculum of study is organized over a period of time. The curriculum’s sequence consists of a series of sequence blocks, which correspond to courses or other blocks of curricular content.

Sequence Element Information

Element

Description

Required

Multiplicity

Datatype

Sequence

Sequence contains subelements that describe information about how the learner’s curriculum of study is organized over a period of time.

Optional

0 or 1

Container

Description

A description of the overall sequence of the curriculum.

Optional

0 or 1

NonNull String Type

For more information, see [ Com m on ]

SequenceBlock

Contains sub elements that define an organizational component of the curriculum, such as a year, phase, course module, etc. See section SequenceBlock for more information.

Required

1 or more

Container

 

Example:

< Sequence >

< Description > There are 2 years of preclinical work followed by 2 years of clinical work. </ Description >

< SequenceBlock required =" true " id =" asdfg ">

. . .

</ SequenceBlock >

< SequenceBlock required =" true " id =" sdfgh ">

. . .

</ SequenceBlock >

</ Sequence >

 

8.6.1         SequenceBlock

SequenceBlock is a sub element of Sequence that contains sub elements that define an organizational component of the curriculum, such as a year, phase, course, module, etc. Sequence blocks can be nested to show a variety of organizational methods.

SequenceBlock Element Information

Element

Description

Required

Multiplicity

Datatype

SequenceBlock

SequenceBlock contains sub elements that define an organizational component of the curriculum, such as a year, phase, course, module, etc.

SequenceBlock has the following attributes:

id
A unique identifier for this sequence block. Use of the id attribute is required.

required
Indicates whether this sequence block is a required part of the curriculum. Valid values are Required, Optional, and Required In Track. Use of the required attribute is required.

track
Indicates whether this sequence block is a track within the curriculum. Valid values are true and false; the default value is false.

Required

1

Container

Title

The title of the sequence block.

Required

1

NonNull String Type

For more information, see [ Common ] NonNull String

Site

The site where the sequence block occurred.

Optional

1

NonNull String Type

For more information, see [ Common ] NonNull String

Description

A description of the sequence block.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

StartDate

The date the sequence block began.

Required

1

Date

EndDate

The date the sequence block ended.

Required

1

Date

Level

Level indicates the educational level at which this sequence block occurs. For schools using academic years as the basis for progress through the curriculum, level corresponds to the academic year in which the sequence block occurs. Level has the following format:

/EducationalAchievement/AchievementInContext/ AcademicLevels/Level[@number= ' X ' ]

All in one line, where X is the number 1 through 10 corresponding to an academic level defined for this curriculum.

Required

1

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

ClerkshipModel

If the sequence block represents a clerkship, clerkship model may be used to indicate the type of clerkship. Valid values are: integrated, rotation.

Optional

0 or 1

Restricted
See Description for details.

CompetencyObjectReference

A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects) associated with this event. CompetencyObjectReference has the following format:

/EducationalAchievement/AchievementInContext/ Expectations/CompetencyObject
[lom:lom/lom:general/lom:identifier/lom:entry= ' X ' ]

All in one line, where X is the id of a Competency Object in this Curriculum Inventory.

Optional

0 or more

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

Precondition

Describes preconditions that the learner met to take this course.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

Postcondition

Describes how the curriculum changes depending on the learner’s performance in the sequence block.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] NonNull String

SequenceBlockEventReference

A reference to an education or assessment event included in the sequence block.  SequenceBlockEventReference has the following format:

/EducationalAchievement/AchievementInContext /Events/Event[@id = ' x ' ]

 

All in one line, where X is the id of an event in this curriculum.

SequenceBlockEventReference has the following attribute:

required

Indicates whether this event is a required part of the sequence block. The required attribute uses the Boolean datatype; valid values are true and false. Use of the required attribute is required.

Either SequenceBlockEventReference or SequenceBlockReference is required

0 or more

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

SequenceBlockReference

A reference to a nested sequence block. SequenceBlockReference has the following format:

/EducationalAchievement/AchievementInContext /Sequence/SequenceBlock[@id= ' X ' ]

All in one line, where X is the id of a sequence block in this curriculum.

Either SequenceBlockEventReference or SequenceBlockReference is required

0 or more

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

AssessmentResults

AssessmentResults contains subelements that provide detailed information on the results of any assessment included in this sequence block.

For more information, see section AssessmentResults.

Optional

0 or 1

Container

PortfolioReference

PortfolioReference provides either an XPath reference or a URI reference to a portfolio entry providing supporting information related to this sequence block. There may be multiple PortfolioReference elements to point to multiple portfolio entries related to this sequence block.

See section PortfolioReference for more information.

Optional

0 or more

Container

 

Example:

< ea:SequenceBlock id =" mds4 " required =" Required ">

< ea:Title > Infant and Toddler Rotation </ ea:Title >

< ea:StartDate > 2012-01-15 </ ea:StartDate >

< ea:EndDate > 2012-03-15 </ ea:EndDate >

< ea:Level > /EducationalAchievement/AchievementInContext/AcademicLevels/Level[@number='3'] </ ea:Level >

< ea:SequenceBlockEventReference required =" true ">

/EducationalAchievement/AchievementInContext/Events/Event[@id='mdex']

</ ea:SequenceBlockEventReference >

< ea:AssessmentResults >

< ea:SubScore >

< ea:FrameworkScore >

< ea:PerformanceScore > 3 </ ea:PerformanceScore >

< ea:PerformanceFrameworkReference > /EducationalAchievement/AchievementInContext/PerformanceFramework[@id='x']
</ ea:PerformanceFrameworkReference >

</ ea:FrameworkScore >

< ea:Title >

Manage patients with common, single system diagnoses who require a hospital setting, Observation

</ ea:Title >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://acgme.org/competencies/epa2']

</ ea:CompetencyObjectReference >

</ ea:SubScore >

< ea:Date > 2012-03-01 </ ea:Date >

</ ea:AssessmentResults >

</ ea:SequenceBlock >

 

 

8.7        Integration

Integration contains subelements that describe how a curriculum is integrated. In many cases curricula are structured around organ systems or other organizing concepts, and within that context, content related to a specific topic, discipline, or theme is incorporated. For example, a course on the cardiovascular system may contain content related to themes of anatomy, pharmacology, etc.

 

Integration Element Information

Element

Description

Required

Multiplicity

Datatype

Integration

Integration contains sub elements that describe how a curriculum is integrated.

Optional

1

Container

Description

A description of the approach to integrating the curriculum.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] Non-null string

IntegrationBlock

Contains sub elements that define an integrating concept for this curriculum, such as a theme. See section IntegrationBlock for more information.

Required

1 or more

Container

 

Example:

< Integration >

< Description > We have themes woven throughout the curriculum </ Description >

< IntegrationBlock id =" 8765 ">

. .

</ IntegrationBlock >

< IntegrationBlock id =" 7654 ">

. .

</ IntegrationBlock >

</ Integration >

 

8.7.1         Integration Block

IntegrationBlock contains subelements that define an integrating concept for this curriculum. Many curricula have several integrating concepts, or themes, that apply to many courses, competencies, objectives, and events.

 

 


IntegrationBlock Element Information

Element

Description

Required

Multiplicity

Datatype

IntegrationBlock

Contains sub elements that define an integrating concept for this curriculum, such as a theme. IntegrationBlock has the following attribute:

id
A unique identifier for this integration block. Use of the id attribute is required.

Required

1 or more

Container

Title

The title of the integration block. For example, Rural Health.

Required

1

NonNull String Type

For more information, see [ Common ] Non-null string

Description

A description of the integrating concept.

Optional

0 or 1

NonNull String Type

For more information, see [ Common ] Non-null string

CompetencyObjectReference

A reference to the unique id for a learning objective, competency, learning outcome, (all of which are known as competency objects) associated with this integration block. CompetencyObjectReference has the following format:

/EducationalAchievement/AchievementInContext /Expectations/CompetencyObject
[lom:lom/lom:general/lom:identifier/lom:entry= ' X ' ]

All in one line, where X is the id of a Competency Object in this curriculum.

Optional

0 or more

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

EventReference

A reference to an event associated with this integration block. EventReference has the following format:

/EducationalAchievement/AchievementInContext /Events/Event[@id= ' X ' ]

All in one line, where X is the id of an event in this curriculum.

Optional

0 or more

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

SequenceBlockReference

A reference to a sequence block associated with this integration block. SequenceBlockReference has the following format:

/EducationalAchievement/AchievementInContext /Sequence/SequenceBlock[@id= ' X ' ]

All in one line, where X is the id of an event in this curriculum.

Optional

0 or more

Restricted (to conformant XPath)

See section Identifying Data through XPath for more information

 

Example:

< ea:IntegrationBlock id =" text ">

< ea:Title > a </ ea:Title >

< ea:Description > a </ ea:Description >

< ea:CompetencyObjectReference > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' ']
</ ea:CompetencyObjectReference >

< ea:EventReference >
/EducationalAchievement/AchievementInContext/Events/Event[@id='mde1']
</ ea:EventReference >

< ea:EventReference >
/EducationalAchievement/AchievementInContext/Events/Event[@id='mde3']
</ ea:EventReference >

< ea:SequenceBlockReference >
/EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id='mds1']
</ ea:SequenceBlockReference >

< ea:SequenceBlockReference >
/EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id='mds4']
</ ea:SequenceBlockReference >

< ea:SequenceBlockReference >
/EducationalAchievement/AchievementInContext/Sequence/SequenceBlock[@id='mds6']
</ ea:SequenceBlockReference >

. . .

</ ea:IntegrationBlock >

8.8        Portfolio

Portfolio includes the learner’s educational trajectory and other portfolio data related to this record of achievement. Portfolio may contain any elements from other namespaces provided those elements are namespace qualified.

 

 

 


9          Sample XML Document s

 

<?xml version="1.0" encoding="UTF-8"?>

<!-- Sample XML file generated by XMLSpy v2012 rel. 2 sp1 (http://www.altova.com) -->

< ea:EducationalAchievement xsi:schemaLocation =" http://ns.medbiq.org/educationalachievement/v1/ educationalachievement.xsd " xmlns:ea =" http://ns.medbiq.org/educationalachievement/v1/ " xmlns:lom =" http://ltsc.ieee.org/xsd/LOM " xmlns:a =" http://ns.medbiq.org/address/v1/ " xmlns:cf =" http://ns.medbiq.org/competencyframework/v1/ " xmlns:co =" http://ns.medbiq.org/competencyobject/v1/ " xmlns:ci =" http://ns.medbiq.org/curriculuminventory/v1/ " xmlns:m =" http://ns.medbiq.org/member/v1/ " xmlns:n =" http://ns.medbiq.org/name/v1/ " xmlns:AcRec =" urn:org:pesc:sector:AcademicRecord:v1.6.0 " xmlns:pesc =" urn:org:pesc:core:CoreMain:v1.7.0 " xmlns:rdf =" http://www.w3.org/1999/02/22-rdf-syntax-ns# " xmlns:dcterms =" http://purl.org/dc/terms/ " xmlns:xsi =" http://www.w3.org/2001/XMLSchema-instance ">

<!-- modified May 12, 2016 -->

< ea:Date > 2012-05-31 </ ea:Date >

< ea:Learner >

< m:UniqueID domain =" idd:aamc.org:student "> 123456 </ m:UniqueID >

< m:Name >

< n:GivenName > John </ n:GivenName >

< n:FamilyName > Doe </ n:FamilyName >

< n:Degree > MD </ n:Degree >

</ m:Name >

< m:EducationInfo >

< m:Degree > MD </ m:Degree >

< m:InstitutionInfo >

< m:InstitutionName > University of Toronto Faculty of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ m:InstitutionInfo >

< m:EducationStatus > Graduated </ m:EducationStatus >

< m:StartDate > 2005-06-01 </ m:StartDate >

< m:EndDate > 2009-05-13 </ m:EndDate >

< m:GraduationDate > 2009-05-13 </ m:GraduationDate >

</ m:EducationInfo >

< m:TrainingInfo >

< m:ProgramInfo >

< m:ProgramName type =" Residency "> University of Maryland Pediatric Residency Program </ m:ProgramName >

< m:ProgramID domain =" idd:aamc.org:residencies "> 123456 </ m:ProgramID >

< m:Accreditation > ACGME </ m:Accreditation >

< m:Specialty > Pediatrics </ m:Specialty >

< m:InstitutionInfo >

< m:InstitutionName > University of Maryland School of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ m:InstitutionInfo >

</ m:ProgramInfo >

< m:TrainingStatus > year 2 </ m:TrainingStatus >

< m:StartDate > 2009-06-01 </ m:StartDate >

</ m:TrainingInfo >

< m:PersonalInfo >

< m:Gender > Male </ m:Gender >

< m:EmailAddress > john.doe@example.org </ m:EmailAddress >

</ m:PersonalInfo >

</ ea:Learner >

< ea:AchievementInContext >

< ea:Source > University of Toronto </ ea:Source >

< ea:ReportID domain =" idd:utoronto.ca:reports "> 123456 </ ea:ReportID >

< ea:Institution >

< m:InstitutionName > University of Toronto Faculty of Medicine </ m:InstitutionName >

< m:InstitutionID domain =" idd:ecfmg.org:imed "> 123456 </ m:InstitutionID >

</ ea:Institution >

< ea:Program >

< ci:ProgramName > MD program </ ci:ProgramName >

< ci:ProgramID domain =" idd:aamc.org:program "> 123456 </ ci:ProgramID >

< ci:EducationalContext > undergraduate professional education </ ci:EducationalContext >

< ci:Profession > physician </ ci:Profession >

</ ea:Program >

< ea:ReportDate > 2011-10-05 </ ea:ReportDate >

< ea:ReportingStartDate > 2005-06-01 </ ea:ReportingStartDate >

< ea:ReportingEndDate > 2009-05-13 </ ea:ReportingEndDate >

< ea:Language > en-us </ ea:Language >

< ea:Events >

< ea:Event id =" e1 ">

< ea:Title > History Taking </ ea:Title >

< ea:EventDuration > PT4H </ ea:EventDuration >

< ea:Description > Practical experience history taking </ ea:Description >

< ea:InstructionalMethod primary =" true "> Clinical Experience - Ambulatory </ ea:InstructionalMethod >

</ ea:Event >

</ ea:Events >

< ea:Expectations >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R1 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Medical Expert </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R2 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Professional </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R3 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Communicator </ lom:string >

</ lom:title >

< lom:description >

< lom:string > As Communicators, physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

</ lom:string >

</ lom:description >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/ </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Collaborator </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R5 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Manager </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R6 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Health Advocate </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyObject >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds/R7 </ lom:entry >

</ lom:identifier >

< lom:title >

< lom:string > Scholar </ lom:string >

</ lom:title >

</ lom:general >

</ lom:lom >

< co:Status > Active </ co:Status >

</ ci:CompetencyObject >

< ci:CompetencyFramework >

< lom:lom >

< lom:general uniqueElementName =" general ">

< lom:identifier >

< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://royalcollege.ca/canmeds </ lom:entry >

</ lom:identifier >

</ lom:general >

</ lom:lom >

< cf:EffectiveDate > 2005-01-01 </ cf:EffectiveDate >

< cf:SupportingInformation >

< cf:Link > http://www.royalcollege.ca/shared/documents/canmeds/the_7_canmeds_roles_e.pdf </ cf:Link >

</ cf:SupportingInformation >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R1 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R2 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R3 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R4 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R5 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R6 </ cf:Entry >

</ cf:Includes >

< cf:Includes >

< cf:Catalog > URI </ cf:Catalog >

< cf:Entry > http://royalcollege.ca/canmeds/R7 </ cf:Entry >

</ cf:Includes >

</ ci:CompetencyFramework >

</ ea:Expectations >

< ea:Summary >

< ea:AssessmentResults >

< ea:Evidence >

< ea:Description > Scores were determined by reviewing assessment results, supervisor ratings and notes, and a competency-based portfolio. </ ea:Description >

< ea:PortfolioReference >

< ea:URIReference > http://www.utoronto.edu/jdoe1/portfolio </ ea:URIReference >

</ ea:PortfolioReference >

</ ea:Evidence >

< ea:SubScore >

< ea:ScoreValue >

< LocalValue > 2 </ LocalValue >

< ea:FrameworkScore >

< ea:Reference >

< rdf:description about =" http://www.example.org/performanceframework.xml#123456 "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/performanceframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ ea:Reference >

< ea:PerformanceScore > 2 </ ea:PerformanceScore >

</ ea:FrameworkScore >

</ ea:ScoreValue >

< ea:Title > Medical Expert </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a medical expert across the curriculum </ ea:Description >                            

</ ea:SubScore >

< ea:SubScore >

< ea:ScoreValue >

< ea:FrameworkScore >

< ea:Reference >

< rdf:description about =" http://www.example.org/performanceframework.xml#234567 "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/performanceframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ ea:Reference >

< ea:PerformanceScore > 1.8 </ ea:PerformanceScore >

</ ea:FrameworkScore >

</ ea:ScoreValue >

< ea:Title > Communicator </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a communicator across the curriculum </ ea:Description >

</ ea:SubScore >

< ea:SubScore >

< ea:ScoreValue >

< ea:FrameworkScore >

< ea:Reference >

< rdf:description about =" http://www.example.org/performanceframework.xml#345678 "/>

< rdf:type rdf:resource =" http://ns.medbiq.org/performanceframework/v1/ "/>

< dcterms:format > application/xml </ dcterms:format >

</ ea:Reference >

< ea:PerformanceScore > 2.2 </ ea:PerformanceScore >

</ ea:FrameworkScore >

</ ea:ScoreValue >

< ea:Title > Collaborator </ ea:Title >

< ea:Description > A score summarizing the learner's performance as a collaborator across the curriculum </ ea:Description >

</ ea:SubScore >

< ea:Date > 2009-05-31 </ ea:Date >

</ ea:AssessmentResults >

</ ea:Summary >

< ea:AcademicLevels >

< ci:LevelsInProgram > 4 </ ci:LevelsInProgram >

< ci:Level number =" 1 ">

< ci:Label > Year 1 </ ci:Label >

< ci:Description > The first year of study - preclerkship. </ ci:Description >

</ ci:Level >

< ci:Level number =" 2 ">

< ci:Label > Year 2 </ ci:Label >

< ci:Description > The second year of study - preclerkship. </ ci:Description >

</ ci:Level >

< ci:Level number =" 3 ">

< ci:Label > Year 3 </ ci:Label >

< ci:Description > The third year of study - clerkship. </ ci:Description >

</ ci:Level >

< ci:Level number =" 4 ">

< ci:Label > Year 4 </ ci:Label >

< ci:Description > The fourth year of study - clerkship. </ ci:Description >

</ ci:Level >

</ ea:AcademicLevels >

< ea:Sequence >

< ea:SequenceBlock id =" S1 " required =" Required " track =" false ">

< ea:Title > The Art and Science of Medicine </ ea:Title >

< ea:Description > This course is organized in hospital-based groups of 5-6 students, and will take place .5 day each week of the academic year. </ ea:Description >

< ea:StartDate > 2005-09-01 </ ea:StartDate >

< ea:EndDate > 2006-07-30 </ ea:EndDate >

< ea:Level > /EducationalAchievement/AchievementInContext/AcademicLevels/Level[@number='1'] </ ea:Level >

< ea:CompetencyReference >

< ea:EmbeddedCompetency > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1'] </ ea:EmbeddedCompetency >

</ ea:CompetencyReference >

< ea:CompetencyReference >

< ea:EmbeddedCompetency > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R2'] </ ea:EmbeddedCompetency >

</ ea:CompetencyReference >

< ea:CompetencyReference >

< ea:EmbeddedCompetency > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R3'] </ ea:EmbeddedCompetency >

</ ea:CompetencyReference >

< ea:CompetencyReference >

< ea:EmbeddedCompetency > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R5'] </ ea:EmbeddedCompetency >

</ ea:CompetencyReference >

< ea:CompetencyReference >

< ea:EmbeddedCompetency > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R7'] </ ea:EmbeddedCompetency >

</ ea:CompetencyReference >

< ea:Postcondition > Students deemed to have failed the course by the Board of Examiners will be required to repeat the course in the following academic year. </ ea:Postcondition >

< ea:SequenceBlockEventReference required =" text "> /EducationalAchievement/AchievementInContext/Events/Event[@id='ex'] </ ea:SequenceBlockEventReference >

< ea:AssessmentResults >

< ea:Score >

< ea:ScoreValue >

< MasteryValue >

< MasteredIndicator > true </ MasteredIndicator >

< CutScore > 80 </ CutScore >

</ MasteryValue >

</ ea:ScoreValue >

</ ea:Score >

< ea:Date > 2006-07-30 </ ea:Date >

</ ea:AssessmentResults >

</ ea:SequenceBlock >

< ea:SequenceBlock id =" S2 " required =" Required ">

< ea:Title > Medicine Clerkship </ ea:Title >

< ea:StartDate > 2007-09-25 </ ea:StartDate >

< ea:EndDate > 2007-12-15 </ ea:EndDate >

< ea:Level > /EducationalAchievement/AchievementInContext/AcademicLevels/Level[@number='3'] </ ea:Level >

< ea:CompetencyReference >

< ea:EmbeddedCompetency > /EducationalAchievement/AchievementInContext/Expectations/CompetencyObject[lom:lom/lom:general/lom:identifier/lom:entry=' http://royalcollege.ca/canmeds/R1'] </ ea:EmbeddedCompetency >

</ ea:CompetencyReference >

< ea:CompetencyReference >

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< ea:Date > 2007-12-15 </ ea:Date >

< ea:FacultyNotes > Interacted exceptionally well with patients and staff. </ ea:FacultyNotes >

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< ci:EducationalContext > graduate professional education </ ci:EducationalContext >

< ci:Profession > physician </ ci:Profession >

< ci:Specialty > pediatrics </ ci:Specialty >

</ ea:Program >

< ea:ReportDate > 2011-10-05 </ ea:ReportDate >

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< ea:ReportingEndDate > 2011-10-05 </ ea:ReportingEndDate >

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< PercentCorrectValue > 78 </ PercentCorrectValue >

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< PercentCorrectValue > 75 </ PercentCorrectValue >

</ ea:ScoreValue >

< ea:Title > Professionalism </ ea:Title >

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< ea:SubScore >

< ea:ScoreValue >

< PercentCorrectValue > 70 </ PercentCorrectValue >

</ ea:ScoreValue >

< ea:Title > Communication </ ea:Title >

</ ea:SubScore >

< ea:Date > 2011-09-10 </ ea:Date >

</ ea:AssessmentResults >

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</ ea:PortfolioReference >

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< lom:string > Gathering Essential Information </ lom:string >

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< lom:catalog uniqueElementName =" catalog "> URI </ lom:catalog >

< lom:entry > http://acgme.org/competencies/PC3