Why integrate? 
Dr. Khalid Mahmood Cheema 
FCPS,FRCS,MS
Objectives 
Comprehend the concept of 
integration. 
Appreciate the significance of 
integrated curriculum.
Outline 
• What is integration? 
• Shortcomings of traditional curriculum. 
• What is integrated curriculum? 
• Comparison between traditional & integrated curriculum. 
• Why to adopt integrated curriculum? 
• Summary 
• Q&A 
• Take home message.
Integration 
• The term integration literally 
means “ to combine into a whole”. 
• Integration is a process describing 
a movement toward integrated 
learning helping students make 
connections across curricula.
Traditional 
Huge teaching load and less 
learning at the end of the day.
Traditional 
Nobody seriously concerned 
with the learning of the 
student. 
“ Go and study to be a 
parrot”
Traditional 
Rarely incorporates the 
students in the learning 
process.
Traditional 
Failed students labelled as 
“incapable”—It’s a kind of 
dictatorship or monopoly of 
the traditional system.
Shortcomings of Traditional Curriculum 
Traditional educational 
method contains---80% 
listening, 15% observing 
and 5% of doing things. 
We hear during lecture 
class--- we forget mostly, so 
we need to study hard. 
We observe it---we 
remember more, it makes 
things easier for self study. 
We practice it---we 
understand and retain the 
information and incentive 
for self study and 
preparedness for next 
session.
Integrated Curriculum 
An educational system that has an impact greater 
than the sum of its parts. 
The educational system is coordinated, with well 
understood and mutually supporting elements-each 
element taking on a well defined functions. 
All the elements work together to enable 
students to reach program learning outcomes.
Traditional vs Integrated medical education 
Life itself is not divided 
into boundaries or 
compartment, why take 
knowledge in different 
disciplines. 
In integrated curricula 
knowledge is called forth 
in the context of 
problems, interests, 
issues and concerns at 
hand. 
In pursuit of curriculum 
integration, disciplines of 
knowledge are not 
enemy. Instead they are 
useful & necessary ally.
Integration 
Conceptual 
approaches 
Curricular integration can be 
viewed as a ladder with 
discipline based teaching 
(isolation) at the bottom of 
the ladder and full integration 
(trans-disciplinary teaching) at 
the top.
Why integrate? 
Integration enhances deep 
learning as it calls upon 
students to establish links.
Why integrate? 
Human structure and 
functions are integrated. 
Systems cannot function in 
Isolation. 
Integration encourages more 
holistic view of patient 
problems.
Why integrate? 
Cognitive psychology 
Integration develops creative 
thinking as it encourages the 
student to form his own 
opinions about issues 
important to him.
Why integrate? 
Contextual learning: 
Teaching, practicing and 
assessing knowledge and 
skills in the context in which 
the will be used leads to 
better recall and application.
Why integrate? 
Societal demand 
In the context of a rapidly 
changing health care 
environment, it was felt that 
the roles and abilities 
required of physicians needed 
to be further defined and 
explored.
Why integrate? 
Faculty development vs 
professionalization 
Promotion of staff 
communication and 
collaboration with a more 
efficient use of teaching 
resources. 
Teachers become more 
aware of one another’s 
contributions. 
Planning vs implementation
Why integrate? 
Motivation 
Student empowerment 
to learn increases their 
motivation levels.
Why integrate? 
More accurate diagnoses. 
( Schmidt et al, 1996) 
Better understanding of biomedical principles. 
(Dahle et al,2002) 
More input from clinicians needed in vertical integration. 
( Davis & Harden,2003) 
Repetition of content is reduced in an integrated curriculum while 
reinforcement of learning is enhanced.
Summary 
Integrated curriculum leads to better 
engagement and learning of students. 
Integrating the clinical sciences with basic 
concepts will yield better doctors with superior 
understanding, ultimately improving patient 
care and societal satisfaction.
Refrences 
• Schmidt, H. G., Machiels-Bongaerts, M., Hermans, H., ten Cate, T. J., Venekamp, 
R., & Boshuizen, H. P. (1996). The development of diagnostic competence: 
comparison of a problem-based, an integrated, and a conventional medical 
curriculum. Academic Medicine, 71(6), 658-64. 
• Dahle, L. O., Brynhildsen, J., Fallsberg, M. B., Rundquist, I., & Hammar, M. (2002). 
Pros and cons of vertical integration between clinical medicine and basic science 
within a problem-based undergraduate medical curriculum: examples and 
experiences from Linköping, Sweden. Medical Teacher, 24(3), 280-285. 
• Davis, M. H., & Harden, R. M. (2003). Planning and implementing an 
undergraduate medical curriculum: the lessons learned. Medical teacher, 25(6), 
596-608. 
• Harden, R. M. (2000). The integration ladder: a tool for curriculum planning and 
evaluation. MEDICAL EDUCATION-OXFORD-, 34(7), 551-557.
Questions?
Why integrate !!!

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Why integrate !!!

  • 1. Why integrate? Dr. Khalid Mahmood Cheema FCPS,FRCS,MS
  • 2. Objectives Comprehend the concept of integration. Appreciate the significance of integrated curriculum.
  • 3. Outline • What is integration? • Shortcomings of traditional curriculum. • What is integrated curriculum? • Comparison between traditional & integrated curriculum. • Why to adopt integrated curriculum? • Summary • Q&A • Take home message.
  • 4. Integration • The term integration literally means “ to combine into a whole”. • Integration is a process describing a movement toward integrated learning helping students make connections across curricula.
  • 5. Traditional Huge teaching load and less learning at the end of the day.
  • 6. Traditional Nobody seriously concerned with the learning of the student. “ Go and study to be a parrot”
  • 7. Traditional Rarely incorporates the students in the learning process.
  • 8. Traditional Failed students labelled as “incapable”—It’s a kind of dictatorship or monopoly of the traditional system.
  • 9. Shortcomings of Traditional Curriculum Traditional educational method contains---80% listening, 15% observing and 5% of doing things. We hear during lecture class--- we forget mostly, so we need to study hard. We observe it---we remember more, it makes things easier for self study. We practice it---we understand and retain the information and incentive for self study and preparedness for next session.
  • 10. Integrated Curriculum An educational system that has an impact greater than the sum of its parts. The educational system is coordinated, with well understood and mutually supporting elements-each element taking on a well defined functions. All the elements work together to enable students to reach program learning outcomes.
  • 11. Traditional vs Integrated medical education Life itself is not divided into boundaries or compartment, why take knowledge in different disciplines. In integrated curricula knowledge is called forth in the context of problems, interests, issues and concerns at hand. In pursuit of curriculum integration, disciplines of knowledge are not enemy. Instead they are useful & necessary ally.
  • 12. Integration Conceptual approaches Curricular integration can be viewed as a ladder with discipline based teaching (isolation) at the bottom of the ladder and full integration (trans-disciplinary teaching) at the top.
  • 13. Why integrate? Integration enhances deep learning as it calls upon students to establish links.
  • 14. Why integrate? Human structure and functions are integrated. Systems cannot function in Isolation. Integration encourages more holistic view of patient problems.
  • 15. Why integrate? Cognitive psychology Integration develops creative thinking as it encourages the student to form his own opinions about issues important to him.
  • 16. Why integrate? Contextual learning: Teaching, practicing and assessing knowledge and skills in the context in which the will be used leads to better recall and application.
  • 17. Why integrate? Societal demand In the context of a rapidly changing health care environment, it was felt that the roles and abilities required of physicians needed to be further defined and explored.
  • 18. Why integrate? Faculty development vs professionalization Promotion of staff communication and collaboration with a more efficient use of teaching resources. Teachers become more aware of one another’s contributions. Planning vs implementation
  • 19. Why integrate? Motivation Student empowerment to learn increases their motivation levels.
  • 20. Why integrate? More accurate diagnoses. ( Schmidt et al, 1996) Better understanding of biomedical principles. (Dahle et al,2002) More input from clinicians needed in vertical integration. ( Davis & Harden,2003) Repetition of content is reduced in an integrated curriculum while reinforcement of learning is enhanced.
  • 21. Summary Integrated curriculum leads to better engagement and learning of students. Integrating the clinical sciences with basic concepts will yield better doctors with superior understanding, ultimately improving patient care and societal satisfaction.
  • 22. Refrences • Schmidt, H. G., Machiels-Bongaerts, M., Hermans, H., ten Cate, T. J., Venekamp, R., & Boshuizen, H. P. (1996). The development of diagnostic competence: comparison of a problem-based, an integrated, and a conventional medical curriculum. Academic Medicine, 71(6), 658-64. • Dahle, L. O., Brynhildsen, J., Fallsberg, M. B., Rundquist, I., & Hammar, M. (2002). Pros and cons of vertical integration between clinical medicine and basic science within a problem-based undergraduate medical curriculum: examples and experiences from Linköping, Sweden. Medical Teacher, 24(3), 280-285. • Davis, M. H., & Harden, R. M. (2003). Planning and implementing an undergraduate medical curriculum: the lessons learned. Medical teacher, 25(6), 596-608. • Harden, R. M. (2000). The integration ladder: a tool for curriculum planning and evaluation. MEDICAL EDUCATION-OXFORD-, 34(7), 551-557.