This book describes its authors' pioneering effort to develop a curriculum for a new type of practitioner—the health associate—at The Johns Hopkins Medical Institution. The book is filled with information and observations of value to teachers in all primary care disciplines. The designers of the new two-year curriculum began with a carefully researched analysis of the job the health associate would be expected to do and then used this analysis to plan a competency-based curriculum. They eschewed any tendency to include subjects just because they had been traditionally taught to medical students. Everything finally included had survived intense scrutiny and debate.
Because the new practitioners would be involved with patients who were not hospitalized, the curriculum focused on skills needed for working with ambulatory patients, their families, and community agencies. Furthermore, as the task analysis had also indicated that the health associate would need knowledge and skills in the