Objective

An evidence-based clinical practice (EBCP) subcurriculum within a chiropractic curriculum was restructured to distribute EBCP topics to courses throughout the curriculum. We posited that this would enhance student learning through early exposure, repetition, and the use of progressively more difficult levels of learning. In this paper we describe how we determined if Bloom's verb level trended upward from the beginning of the curriculum to the end and if there were any gaps in presentation of topics periodically in the curriculum. We describe how we determined if the restructured subcurriculum provided adequate integration of topics.

Methods

EBCP committee chairs created templates of the new structure, solicited feedback from the faculty, and faculty members volunteered to assimilate topics into courses. Support for the faculty included comprehensive PowerPoint production and in-service training. Assessment for trends and gaps was performed of the resultant learning outcomes by mapping 13 quarters against 6 Bloom's verb levels for 19 topics.

Results

Fourteen of the topics had increasing linear model trends indicating verb progression. Decreased attention to EBCP topics was identified in some quarters.

Conclusion

The graphical mapping process seemed useful to find EBCP topics that did not show progression of Bloom's verb difficulty and gaps in topics in the restructured subcurriculum.

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Author notes

Mark Murdock is an associate professor at Palmer College of Chiropractic (4777 City Center Pkwy, Port Orange, FL 32129; mark.murdock@palmer.edu). Teresa Brennan is a retired associate professor from Palmer College of Chiropractic (4777 City Center Pkwy, Port Orange, FL 32129). Edward Murphy is the campus librarian and library manager at Palmer College of Chiropractic (4777 City Center Pkwy, Port Orange, FL 32129; edward.murphy@palmer.edu). William Sherrier is the associate dean of academics at Palmer College of Chiropractic (4777 City Center Pkwy, Port Orange, FL 32129; william.sherrier@palmer.edu). This article was received September 24, 2020; revised February 24 and March 3, 2021; and accepted April 14, 2021.

Concept development: MM, TB, EM, WS. Design: MM, TB, EM, WS. Supervision: MM. Data collection/processing: MM, EM. Analysis/interpretation: MM, EM. Literature search: EM, MM, TB. Writing: TB, MM, EM . Critical review: MM, TB, EM, WS. Extraction of information from Literature Search: MM, TB, EM, WS.