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Goals and objectives are critical to planning educational experiences. A goal is a general
description of what the learner will gain from instruction; an objective is a statement in specific
and measurable terms that describes what the learner will know or be able to do as a result of
the learning activity. Objectives serve as guides in planning, delivering, and evaluating
instruction. They help learners know what is expected of them and help them prioritize
content. They provide a template for tests and other evaluation tools. Learning objectives
typically are composed of four parts, also known as the ABCD’s of objective writing:
A = audience who
B = behavior will do what (in measurable terms)
C = condition under what conditions
D = degree how much, or how well, or both
The most important component of a learning objective is the action verb that specifies the
performance required. When creating objectives, the more precise the action verb the better.
When choosing verbs for objectives, the emphasis is on sing verbs that are specific and
unambiguous. The three domains of learning objectives are: cognitive (knowledge),
psychomotor (skill), and affective (attitude)
Created by Teri L Turner, MD, MPH, MEd and Sandra M Sanguino, MD September 2013
Psychomotor Objectives:
Psychomotor (skill) objectives are easier to measure than affective or cognitive objectives
because they are readily observable. It is important to delineate the degree or standard of
performance expected. The degrees for performance of psychomotor objectives tend to be
very explicit to allow the learners
(and evaluators) to know if the objectives were achieved relative to standards. An example
would be, “The learner will intubate a child older than one year of age who does not have
underlying airway problems utilizing a curved blade. The outcome will be considered successful
if the learner performs the task within two attempts, does not break or dislodge any teeth, and
positions the tip of the endotracheal tube 5-15 mm above the carina.”
align integrate measure percuss disinfect
arrange collate palpate utilize assemble
hold close prepare perform dismantle
clean straighten insert repair tie
tighten manipulate operate extract standardize
compose react troubleshoot arrange prepare
Affective Objectives:
The affective domain involves attitudes, feelings, values, and beliefs. While this domain is very
important, it is also the most difficult to teach. Because objectives for the affective domain
involve attitudes, beliefs, and values, they are difficult to write and extremely difficult to
measure. Despite these limitations, every effort should be made to include affective objectives
when possible.
Level Judgment Verbs Example
Receiving Learners are Accept, acknowledge, attend The physician will
(attending) willing to receive (to) follow, listen, meet, listen attentively
the subject observe, receive while the patient
matter expresses his beliefs
about the cause of
his illness
Responding Learners prefer Agree, answer, ask, attempt, The resident will
the subject choose, comply, conform, answer a call for
matter cooperate, exhibit, help, notify, volunteers to work
offer, participate (in), read, with patients
respond, try displaced by
Hurricane
Katrina
Valuing Learners are Adopt, care (for), compliment, The physician will
committed to contribute, encourage, endorse, express appreciation
the subject foster, initiate, join, praise, for the contributions
matter propose, respect, seek, of all team members
subscribe, suggest support, in the care of his
thank, uphold, express patients
appreciation
Organization Learners are Collaborate, confer coordinate, The medical student
forming a life direct, establish, facilitate, will choose to eat
philosophy follow through, lead, manage, nutritious food over
organize, oversee, recommend, food obtained from
choose (to) the snack achiness
while in the hospital
Characterization The learners’ Act, advocate, challenge, The physician will
by value or values promote, promulgate, reject, habitually abide by
value complex consistently serve, strive, commit (to), the standards
guide their defend, empathize, enhance, outlined in the
behaviors endeavor, forgive, influence, Hippocratic Oath
without motivate, negotiate, persevere,
conscious persist, promulgate, profess,
forethought reject, serve, strive, volunteer
(for)
Created by Teri L Turner, MD, MPH, MEd and Sandra M Sanguino, MD September 2013
Cognitive, Affective, and Psychomotor Domains
Grading
Cognitive Domain
According to various researchers, there are six levels of cognitive complexity: knowledge,
comprehension, application, analysis, synthesis, evaluation. In the chart below, note the
hierarchical arrangement, which means that higher levels subsume ability in lower levels. The
higher the level, the presumably more complex mental operation is required. Higher levels are
not necessarily more desirable than lower levels, because one cannot achieve the higher levels
without an ability to use the lower levels. As one moves up into higher levels, however, the
more applicable the skills are to those needed in daily life.
Action Verbs
Level Description Describing Learning
Outcomes
Evaluation Requires the formation of judgments and Appraise Judge
decisions about the value of methods, ideas, Compare Justify
people, products. Must be able to state the Contrast Support
bases for judgments (e.g., external criteria or Criticize Validate
principles used to reach conclusions.) Defend
Affective Domain
Like the cognitive domain, the affective domain is hierarchical with higher levels being more
complex and depending upon mastery of the lower levels. With movement to more complexity,
one becomes more involved, committed, and self-reliant. Note the parallel between external and
internal motivation. As one moves from being externally to internally motivated, one moves to
higher levels.
Psychomotor Domain
This domain is given primarily for information. Other courses within the curriculum stress this
various levels of psychomotor performance (e.g., Clinical Skills Laboratory, Pharmacy Practice
I).
Psychomotor behaviors are performed actions that are neuromuscular in nature and demand
certain levels of physical dexterity.