As I have been reading the earlier posts from the blog about a knowledge based practice I have been thinking more about the implications and applications in the classroom. Many of the thoughts shared have developed in conjunction with my teaching and research so it is nearly impossible for me to attempt to separate them. I feel I have a pretty good handle on the implications and applications for a class.
Now I am pondering the implications and applications for an entire curriculum. What would an entire DPT curriculum look like that incorporates these ideas and this approach? It would not be traditional, nor would it be entirely problem based as there is a framework to teach for solving problems. Would it be a thread? A sequence? Would classes be systems based any longer? If not - then what would they be based on? Can the basic sciences be infused with more application if taught as a vast causal structure? Are they already taught this way - implicitly? If so, is there any benefit to teaching them this way explicitly? Would an explicit connection between the basic science based causal structure and the clinical decision making causal structure help students wade through the vast set of facts, to find those that are leverage points for making decisions in practice?
A possible next developmental step for a knowledge based practice (aside from some papers and continuing education presentations demonstrating the applications and implications) could include incorporating its principles into an entire curriculum. To do so would warrant a book, or at least a structured development program, to help all faculty of the curriculum become familiar with the underlying system and approaches to developing, analyzing and applying directed acyclic graphs of causal structures. That process, itself, would be highly developmental to the approach.
This past week I met with someone writing a PT textbook (cannot release details yet), that heard the presentation at CSM and is interested in incorporating causal structures modeled with DAGs into the book. We will collaborate on an introductory chapter and then the approach will be threaded through the book. Perhaps that is one of the first steps……