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Large-scale curriculum change in a system of ten indonesian medical schools — A case study of educational innovation
Authors:Peter J Blizard  Claire M MacMahon  Douglas J Magin
Institution:(1) World Health Organisation, South East Asia Regional Office, New Delhi, India;(2) Royal Newcastle Hospital, Newcastle, Australia;(3) Tertiary Education Research Center, University of New South Wales, Sydney, Australia
Abstract:This article reviews the literature on educational innovation and change, and emphasises factors which are held to facilitate rapid change. The remainder of the paper presents a detailed case history o1 educational innovation in 10 Indonesian medical schools, involvingN=260 academic departments. Within a 3-year period three-quarters of these departments have developed new curricula haled on sets of explicit instructional objectives, and most of these departments now indicate they are using these sets of objectives both for their teaching and for assessing students' competence. This case history describes how this task was approached, provides a synoptic picture of the results which have been obtained: then attempts to provide an overall account o1 those factors which assisted these changes to take place. It is contended that this case history of change within a system of established medical schools clarifies selected aspects of the theoretical literature on educational innovation and diffusion, on the planning of effective programmes of staff development, and provides planners with sonic practical guidelines for programme development and evaluation.
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