Table 2.

System-based evaluation framework for medical education [6]

Level of evaluation	Evaluation questions	Evaluation feedback
Level 1: Provides feedback about individual curriculum activities or stakeholders	Does the “glands and guts” course meet its stated learning objectives? Do an appropriate portion of our students match into their first residency?	Timely and specific feedback actionable at the course level
Level 2: Program performance	What is the relationship between the learning environment, performance, and well-being? What is the effectiveness of a new longitudinal patient safety course?	Identify root cause for variability in student performance and experiences in the program
Level 3: System readiness for future	How well are students prepared for internships? Do school objectives predict career success?	Evaluate longitudinal trends and alignment with national regulatory and best practices

The system-based learning evaluation model provides comprehensive and dynamic feedback to enable curriculum planners to make timely improvements to specific educational activities using level 1 evaluation, plan programmatic improvements which require more complex interventions using level 2 evaluation, and better anticipate attainment of long range programmatic and community health goals using level 3 evaluation