Addressing Radiography Workforce Competence Gaps in Zambia: Insights into the Radiography Diploma Training Programme Using a Curriculum Mapping Approach
Keywords:
Curriculum, Mapping, Radiography, ZambiaAbstract
In Zambia, the radiography diploma programme has been offered since 1970 and has undergone only five reviews against an estimated ten [10] over 40 years. Such a situation can call into question the quality of radiography training. Curriculum evaluation is a key factor in ensuring quality standards of an educational training programme. The timely review ensures that curricula are in keeping with contemporary practice requirements. We analysed the 2014 radiography curriculum using a curriculum mapping approach to evaluate the stated objectives and their alignment to the educational domains and contemporary radiography practice requirements. Method: A case study design was used to explore the 2014 TEVETA radiography curriculum. Content analysis was used to identify curriculum learning objectives. A framework based on Harden’s curriculum mapping approach was developed. The first phase involved analysis of the curriculum content against the educational domains [i.e. cognitive, psychomotor, and affective domains, respectively]. The second phase involved comparing the stated learning outcomes with contemporary radiography practices.
Results: A total of 90 learning outcomes were identified. The analysis revealed that 80% [N=72] of all the stated objectives were cognitive, while only 13% and 7% were psychomotor and affective, respectively. Furthermore, over 70% were pitched at the lower-order skills level of Dave’s taxonomy. In terms of radiographer competence, 55% [N=40] were attributed to technical skills. However, more than 90% of the technical competences were knowledge components and 10% actual psychomotor skills.
Conclusion: A curriculum mapping approach was useful in analysing the current Zambian radiography diploma curriculum. The overemphasis on lower-order cognitive and psychomotor competence in the curriculum calls into question the technical readiness of new graduates to effectively perform at the expected level of proficiency in the workplace. Findings of this study provide valuable information that can be used for reviewing the curriculum to make the training more responsive to contemporary radiography practice demands.
References
Ellaway R H, Albright S, Smothers V, Cameron T, Willett T . Curriculum inventory: Modeling, sharing and comparing medical education programs. J Medical teacher. 2014;36[3]:208-15.
HPCZ. Professional code of ethics and discipline: Fitness to practice. Lusaka: HPCZ; 2014.
Britton M, Letassy N, Medina M S, Er N. A curriculum review and mapping process supported by an electronic database system. American journal of pharmaceutical education. 2008;72[5]:99-.
Harden R, M AMEE guide no. 21: Curriculum mapping: A tool for transparent and authentic teaching and learning. Medical teacher. 2001;23[2]:123-37.
Foster M. Frontline radiographic human capital development – a case of zambia and way forward. In: DUT, editor. South Africa 2014.
Beecroft P C, Kunzman L A, Taylor S, Devenis E, Guzek F. Bridging the gap between school and workplace: Developing a new graduate nurse curriculum. Journal of Nursing Administration 2004;34[7]:338-45.
Mcneil R C. A program evaluation model: Using bloom's taxonomy to identify outcome indicators in outcomes-based program evaluations. Journal of adult education. 2011;40[2]:24-9.
Mehay R, Burns R. Miller’s pyramid of clinical competence [1990]. J Abgerufen unter http://wwwessentialgptrainingbook com. 2009.
Andersson B T, Christensson L, Fridlund B, Broström A. Development and psychometric evaluation of the radiographers’ competence scale. Open journal of Nursing. 2012;2[2]:85-96.
Adams N E. Bloom’s taxonomy of cognitive learning objectives. Journal of the Medical Library Association. 2015;103[3]:152.
Society of Radiographers Patient information https://www.sor.org/about-radiography/patient-information 2019
Society of Radiographers . Clinical imaging and oncology. Learning and Development Framework for Clinical Imaging and Oncology. www.sor.org 2007 [
Pratt S, Adams C. How to create a degree course in radiography: A recipe. Radiography. 2003;9[4]:317-22.
Cowling C. A global overview of the changing roles of radiographers. Radiography. 2008;14:e28-e32.
Vanckavičienė A, Macijauskienė J, Blaževičienė A, Basevičius A, Andersson B T. Assessment of radiographers’ competences from the perspectives of radiographers and radiologists: A cross-sectional survey in lithuania. BMC medical education. 2017;17[1]:25.
Meyer G, Shatto B, Delicath T, Von Der Lancken S J N E. Effect of curriculum revision on graduates' transition to practice. J Nurse educator. 2017;42[3]:127-32.
Jackson D. Developing graduate career readiness in australia: Shifting from extra-curricular internships to work-integrated learning. J International Journal of Work-Integrated Learning. 2018;19[1]:23-35.
Walvoord B E. Assessment clear and_simple. A practical guide for institutions,departments, and general education second edition. San Francisco: Jossey-Bass; 2010.
Sterz J, Hoefer S H, Janko M, Bender B, Adili F, Schreckenbach T. Do they teach what they need to? An analysis of the impact of curriculum mapping on the learning objectives taught in a lecture series in surgery. Medical teacher 2019;41[4]:417-21.
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