Abstract
Faculty development programmes must adapt to changing expectations in curriculum design, assessment, educational scholarship, technology, leadership and interprofessional practice. The Diploma in Medical Education (Dip. Med. Ed.) at the Defence Services Medical Academy (DSMA), Myanmar, provides a longitudinal example of such adaptation. In 2024, DSMA and the Military Institute of Nursing and Paramedical Sciences (MINP) combined their contributions to the programme, marking a new collaborative phase in its development. This study examined how the DSMA Dip. Med. Ed. programme changed between 2010 and 2026 and to identify the principal curricular and institutional transitions that moved it from foundational faculty development toward contemporary health professions education, including the development of DSMA-MINP collaboration from 2024. We conducted a retrospective documentary analysis using course handbooks from the first course in 2010-2011 through the 16th course handbook in 2026. A structured extraction framework examined programme aims, duration, curriculum architecture, teaching-learning strategies, educational technology, assessment, leadership, communication and professionalism, educational research, workshops and governance. The authors compared documents chronologically and synthesized recurring patterns and material changes into developmental phases. Five phases were identified: foundation and formalisation (2010-2013); consolidation of the modular faculty-development model (2014-2019); outcomes, constructive alignment and digitally supported delivery (2020-2023); DSMA-MINP collaboration and curricular expansion (2024-2025); and further curriculum modernisation (2026). The 2026 curriculum incorporated outcome-based and competency-based medical education, curriculum mapping, quality assurance and accreditation, interprofessional education, problem- and case-based learning, e-learning, simulation, artificial intelligence and AI ethics, educational governance, professionalism, research ethics and critical appraisal. The Dip. Med. Ed. retained a stable core mission while progressively broadening from teacher preparation to a more integrated health professions education programme. The combination of DSMA and MINP from 2024 and the subsequent curricular developments through 2026 represent important milestones in this transformation. Future evaluation should determine whether these intended curriculum changes translate into sustained changes in educational practice, scholarship and institutional outcomes.
Keywords
Medical Education, Faculty Development, Curriculum Transformation, Documentary Analysis, Health Professions Education, DSMA
1. Introduction
Faculty development in medical education has expanded beyond improving classroom teaching to encompass curriculum design, assessment, leadership, educational scholarship and institutional change. Systematic reviews have shown that well-designed faculty-development initiatives can improve participants' knowledge, attitudes and teaching skills, while also highlighting the need for longer-term evaluation of behavioural and organisational outcomes
| [1] | Steinert Y, Mann K, Centeno A, Dolmans D, Spencer J, Gelula M, et al. A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach. 2006; 28(6): 497-526.
https://doi.org/10.1080/01421590600902976 |
| [2] | Steinert Y, Mann K, Anderson B, Barnett BM, Centeno A, Naismith L, et al. A systematic review of faculty development initiatives designed to enhance teaching effectiveness: a 10-year update: BEME Guide No. 40. Med Teach. 2016; 38(8): 769-786. https://doi.org/10.1080/0142159X.2016.1181851 |
[1, 2]
.
At the same time, medical education has moved increasingly toward explicit learning outcomes, competency-based approaches and closer alignment among outcomes, teaching-learning activities and assessment
| [3] | Harden RM, Crosby JR, Davis MH, Friedman M. AMEE Guide No. 14: Outcome-based education: Part 5 - From competency to meta-competency: a model for the specification of learning outcomes. Med Teach. 1999; 21(6): 546-552.
https://doi.org/10.1080/01421599978951 |
| [4] | Frank JR, Snell LS, Ten Cate O, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010; 32(8): 638-645.
https://doi.org/10.3109/0142159X.2010.501190 |
| [5] | Biggs J. Enhancing teaching through constructive alignment. High Educ. 1996; 32: 347-364.
https://doi.org/10.1007/BF00138871 |
[3-5]
. Interprofessional education has also become an important strategy for preparing health professionals to work collaboratively across disciplinary boundaries
| [6] | World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010. |
[6]
. These developments have changed what is expected of medical educators and, consequently, what faculty-development programmes need to address.
In Myanmar, the Defence Services Medical Academy (DSMA) established a distance-learning Diploma in Medical Education (Dip. Med. Ed.) to prepare medical teachers for broader educational roles. A previous evaluation of DSMA medical educator training reported favourable perceived effects on knowledge, attitudes and workplace application, while also identifying challenges related to institutional support, research collaboration, networking and information and communication technology
. That evaluation examined programme impact among graduates; it did not investigate how the intended curriculum itself changed over time.
Successive Dip. Med. Ed. course handbooks provide an unusually continuous institutional record through which curricular change can be examined. The early programme emphasised educational psychology, curriculum, teaching-learning methods, assessment, leadership, communication, educational workshops and educational research. Later handbooks increasingly incorporated outcome orientation, constructive alignment, online learning, simulation, interprofessional education, quality assurance, professionalism and artificial intelligence.
An important institutional transition occurred in 2024, when DSMA and the Military Institute of Nursing and Paramedical Sciences (MINP) combined their contributions to the Dip. Med. Ed. programme. This collaboration broadened participation across the health professions and became an important feature of the programme's later development.
This study therefore aimed to trace the transformation of the DSMA Dip. Med. Ed. from foundational faculty development toward contemporary health professions education between 2010 and 2026, identify major phases of curricular change, and interpret these changes in relation to wider developments in medical education.
2. Materials and Methods
2.1. Study Design
A retrospective qualitative documentary-analysis design was used. Documentary analysis treats written records as data that can be systematically examined, interpreted and compared to identify patterns, continuity and change
. The study focused on the intended representation in Dip. Med. Ed. handbook documents.
2.2. Documentary Corpus and Source Selection
The documentary corpus comprised the available Diploma in Medical Education (Dip. Med. Ed.) course handbooks of the Defence Services Medical Academy (DSMA) covering the period from 2010 to 2026. The course handbooks were selected as the primary documentary sources because they provide the formal record of the intended curriculum for each course, including the programme vision and objectives, curriculum structure, module content, teaching-learning strategies, assessment approaches, assignments, workshops, educational research activities, and programme administration. The documentary series included the first-course handbook (2010-2011), and the available subsequent course handbooks through the 16th course in 2026
| [9] | Defence Services Medical Academy. Diploma in Medical Education course handbook, 2010-2011. Yangon, Myanmar: Defence Services Medical Academy; 2010. |
| [10] | Defence Services Medical Academy. 3rd Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2013. |
| [11] | Defence Services Medical Academy. 4th Diploma in Medical Education course handbook/supervisors' manual. Yangon, Myanmar: Defence Services Medical Academy; 2014. |
| [12] | Defence Services Medical Academy. 6th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2016. |
| [13] | Defence Services Medical Academy. 7th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2017. |
| [14] | Defence Services Medical Academy. 8th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2018. |
| [15] | Defence Services Medical Academy. 9th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2019. |
| [16] | Defence Services Medical Academy. 10th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2020. |
| [17] | Defence Services Medical Academy. 11th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2021. |
| [18] | Defence Services Medical Academy. 12th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2022. |
| [19] | Defence Services Medical Academy. 13th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2023. |
| [20] | Defence Services Medical Academy. 14th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2024. |
| [21] | Defence Services Medical Academy. 15th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2025. |
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[9-22]
.
2.3. Data Extraction
A structured extraction matrix was developed before chronological comparison. The following domains were examined in each document: programme vision and aims; candidate eligibility; duration; curriculum/module structure; educational psychology; curriculum planning; educational objectives and outcomes; teaching-learning strategies; educational technology and media; learner assessment; educational leadership; communication, ethics and professionalism; educational workshops; medical education research; mode of delivery; assignment requirements; continuous assessment; and programme governance.
2.4. Analytical Approach
Analysis proceeded in three steps. First, each document was reviewed for explicit statements within the predefined domains. Second, adjacent and non-adjacent years were compared to distinguish retained content from newly introduced or materially expanded content. Third, recurrent patterns of continuity and change were synthesized into developmental phases. Repeated wording was interpreted as curricular continuity rather than innovation. A change was considered substantive when a handbook introduced a new educational concept, substantially expanded an existing domain, altered delivery or assessment requirements, or documented a change in programme governance. The analysis was descriptive and interpretive; no formal intercoder reliability testing was undertaken.
2.5. Interpretation of DSMA-MINP Collaboration
The programme entered a combined DSMA-MINP phase in 2024. For the longitudinal analysis, this institutional change was treated as a distinct transition because it broadened programme participation and created a stronger health professions education orientation. Subsequent handbooks were examined for curricular developments occurring within this collaborative phase.
2.6. Ethical Considerations
The study analysed curriculum documents and did not involve patients, learners or staff as research participants. No individual-level data were extracted. Institutional names and programme information were reported as they appeared in the documentary record.
3. Results
3.1. Phase I: Foundation and Formalization, 2010-2013
The 2010-2011 handbook established the programme's core purpose: to provide teachers of health professionals with foundational knowledge, skills and attitudes for effective teaching and mentoring. Its objectives included understanding educational processes, curriculum construction, teaching-learning techniques, valid assessment, educational research and the application of educational science in practice
| [9] | Defence Services Medical Academy. Diploma in Medical Education course handbook, 2010-2011. Yangon, Myanmar: Defence Services Medical Academy; 2010. |
[9]
.
The 2013 handbook formalized this foundation into ten modules: educational psychology and theories; curriculum design and planning; educational objectives and content; learning and teaching strategies; learning-teaching aids and media; assessment and evaluation; educational leadership; communication skills; conducting an educational workshop; and educational research
| [10] | Defence Services Medical Academy. 3rd Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2013. |
[10]
. Delivery combined distance learning, individual assignments and compulsory workshops. Research was explicitly linked to educational problems within participants' own institutions
| [10] | Defence Services Medical Academy. 3rd Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2013. |
[10]
.
3.2. Phase II: Consolidation of the Modular Faculty-development Model, 2014-2019
The 2014 handbook retained the ten-domain architecture and a nine-month course structure, with extension permitted when necessary
| [11] | Defence Services Medical Academy. 4th Diploma in Medical Education course handbook/supervisors' manual. Yangon, Myanmar: Defence Services Medical Academy; 2014. |
[11]
. Major assignments were aligned with the modules and culminated in the preparation of an educational research proposal
| [11] | Defence Services Medical Academy. 4th Diploma in Medical Education course handbook/supervisors' manual. Yangon, Myanmar: Defence Services Medical Academy; 2014. |
[11]
.
The 2016-2019 handbooks largely preserved this model
| [12] | Defence Services Medical Academy. 6th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2016. |
| [13] | Defence Services Medical Academy. 7th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2017. |
| [14] | Defence Services Medical Academy. 8th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2018. |
| [15] | Defence Services Medical Academy. 9th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2019. |
[12-15]
. Distance learning, assignments, workshops and supervision remained the central delivery mechanisms. Across these years, the principal curricular domains remained stable, indicating consolidation and operational refinement rather than wholesale redesign.
3.3. Phase III: Outcomes, Constructive Alignment and Digitally Supported Delivery, 2020-2023
From 2020, curriculum language became more explicitly outcome oriented. Candidates were expected to evaluate and systematically redesign curriculum units, construct learning objectives or outcomes, select relevant content and teaching strategies, and develop valid assessment procedures
| [16] | Defence Services Medical Academy. 10th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2020. |
[16]
.
By 2021, constructive alignment among intended learning outcomes, teaching-learning strategies and assessment was explicit
| [17] | Defence Services Medical Academy. 11th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2021. |
[17]
. In 2022, course duration had expanded to 12 months with a maximum completion period of 24 months, and online workshops were explicitly incorporated within a mainly distance-learning model
| [18] | Defence Services Medical Academy. 12th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2022. |
[18]
. The 2023 handbook retained this expanded structure
| [19] | Defence Services Medical Academy. 13th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2023. |
[19]
.
3.4. Phase IV: DSMA-MINP Collaborative Delivery and Curricular Expansion, 2024-2025
From 2024, the programme entered a combined DSMA-MINP phase. The 2024 handbook documents faculty participation from both DSMA and MINP across educational psychology, curriculum, educational objectives, teaching-learning strategies, media, assessment and other modules
| [20] | Defence Services Medical Academy. 14th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2024. |
[20]
, reflecting the broadened institutional and professional base of the programme.
The 2024-2025 materials also documented expansion toward outcome-based curriculum planning, integration, simulation and technology-enhanced learning, together with more structured continuous assessment. The 15th-course handbook continued these developments and included artificial intelligence within the educational technology domain
| [21] | Defence Services Medical Academy. 15th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy; 2025. |
[21]
.
3.5. Phase V: Further Curriculum Modernization, 2026
Within the combined DSMA-MINP programme, the 2026 curriculum represents a further stage of curricular modernisation. The course remains 12 months, extendable to a maximum of 24 months, and uses mainly distance learning, individual assignments and hands-on workshops
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
Educational psychology now includes connectivism, experiential learning, motivational theories and structured reflective practice in addition to established learning theories
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
The curriculum module includes outcome-based education (OBE), competency-based medical education (CBME), curriculum mapping, SPICES, horizontal and vertical integration, quality assurance, accreditation, curriculum monitoring and evaluation, and credit/GPA systems
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
Teaching-learning strategies explicitly include interprofessional education and interprofessional collaborative practice, problem-based learning, case-based learning, reflective application of educational principles and concept mapping
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
The Educational Technology and E-Learning module includes digital tools, e-learning modalities, simulation-based education, artificial intelligence, ethical issues in digital technology and AI, and design of technology-enhanced learning activities aligned with learning outcomes
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
Learner assessment is explicitly connected to outcome-based medical education and constructive alignment, with attention to assessment of knowledge, clinical skills and clinical practice and to the qualities of a good test
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
Educational leadership includes governance, leadership and management roles, emotional intelligence, adversity quotient and resilience, team building, interprofessional leadership, change agency and structured change management
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
Communication Skills is expanded to Communication Skills, Ethics and Professionalism, incorporating ethical decision-making, conflict resolution, medical professionalism and professionalism in AI-augmented healthcare and medical education
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
Medical education research is broadened to include research ethics, plagiarism, literature review, needs assessment, quantitative and qualitative methodology, sampling, data management and analysis, critical appraisal, continuous renewal and quality assurance. The expected output remains a feasible research proposal relevant to the participant's home institution
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
3.6. Assessment and Programme Governance
Across the documentary series, assessment progressed from completion of assignments and workshop participation toward a more explicit continuous-assessment system. In 2026, written assignments were assessed by two supervisors, 60% was the minimum satisfactory mark, plagiarism and unauthorised late submission restricted resubmission, workshop attendance was compulsory, and attendance, participation, group work and successful completion of assignments informed the final course decision
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
. The 2026 handbook also documents a joint DSMA and MINP end-course board and award by the Academic Board of DSMA and MINP
| [22] | Defence Services Medical Academy, Military Institute of Nursing and Paramedical Sciences. 16th Diploma in Medical Education course handbook. Yangon, Myanmar: Defence Services Medical Academy and Military Institute of Nursing and Paramedical Sciences; 2026. |
[22]
.
3.7. Summary of Developmental Phases
These five phases summarise the principal curricular and institutional changes identified in the available course handbooks (
Table 1).
Table 1. Developmental phases of the Diploma in Medical Education curriculum, 2010-2026.
Phase | Period | Institutional pattern | Principal documentary changes | Interpretive label |
I | 2010-2013 | DSMA | Foundational competencies; ten-module structure formalised | Foundation and formalisation |
II | 2014-2019 | DSMA | Stable modular architecture; assignments, workshops and research proposal consolidated | Consolidation |
III | 2020-2023 | DSMA | Outcome language, constructive alignment, 12-month duration and online workshops | Outcome-oriented modernisation |
IV | 2024-2025 | DSMA-MINP combined programme | Cross-institutional faculty; OBE/integration; simulation; technology-enhanced learning; AI emerging | Collaborative expansion |
V | 2026 | DSMA-MINP combined programme | OBE, CBME, mapping, QA/accreditation, IPE/IPCP, PBL/CBL, AI ethics, e-learning, governance, professionalism and strengthened research | Contemporary integrated HPE |
4. Discussion
The 16-year documentary record shows a programme that changed incrementally rather than through repeated replacement. Its central educational domains remained recognisable, but their scope widened as expectations of medical educators changed. This pattern is consistent with the broader literature on faculty development, which has progressively moved from short-term teaching-skills training toward sustained development in educational leadership, scholarship and organisational roles
| [1] | Steinert Y, Mann K, Centeno A, Dolmans D, Spencer J, Gelula M, et al. A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach. 2006; 28(6): 497-526.
https://doi.org/10.1080/01421590600902976 |
| [2] | Steinert Y, Mann K, Anderson B, Barnett BM, Centeno A, Naismith L, et al. A systematic review of faculty development initiatives designed to enhance teaching effectiveness: a 10-year update: BEME Guide No. 40. Med Teach. 2016; 38(8): 769-786. https://doi.org/10.1080/0142159X.2016.1181851 |
[1, 2]
.
The first major shift was from broad faculty-development aims to a formalised modular curriculum. The ten-module architecture documented in 2013 provided a durable framework within which later changes could be incorporated. This continuity is important: curricular modernisation occurred largely by deepening established domains rather than abandoning them.
The second shift was toward explicit outcomes and alignment. The stronger emphasis on learning outcomes, curriculum redesign and constructive alignment from 2020-2021 parallels international developments in outcome-based education and constructive alignment
| [3] | Harden RM, Crosby JR, Davis MH, Friedman M. AMEE Guide No. 14: Outcome-based education: Part 5 - From competency to meta-competency: a model for the specification of learning outcomes. Med Teach. 1999; 21(6): 546-552.
https://doi.org/10.1080/01421599978951 |
| [5] | Biggs J. Enhancing teaching through constructive alignment. High Educ. 1996; 32: 347-364.
https://doi.org/10.1007/BF00138871 |
[3, 5]
. By 2026, the inclusion of CBME further extended this trajectory toward curricula organised around demonstrable competence and learner outcomes
.
The third shift concerned delivery and educational technology. The move to a 12-month programme, explicit online workshops, simulation and eventually AI represents more than a change of instructional media. E-learning can increase flexibility and access when appropriately designed
, while simulation supports deliberate and safe practice of clinical and educational skills
| [24] | McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011; 86(6): 706-711.
https://doi.org/10.1097/ACM.0b013e318217e119 |
[24]
. The explicit inclusion of AI and AI ethics in 2026 is particularly notable because medical educators increasingly require both functional understanding of AI and awareness of its educational and professional implications
.
The fourth shift was institutional. Combined DSMA-MINP delivery from 2024 broadened the programme from a predominantly medical-school faculty-development model toward a more explicitly health-professions orientation. The 2026 inclusion of interprofessional education and collaborative practice is congruent with international recognition that learning across professional boundaries can support collaborative healthcare practice
| [6] | World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010. |
[6]
. The documentary evidence therefore suggests that institutional collaboration and curricular interprofessionalism developed in parallel.
Assessment and research also matured. The increasing emphasis on constructive alignment, assessment quality and structured continuous assessment reflects the broader principle that competence is best supported by coherent assessment systems rather than isolated tests
. Educational research remained present from the programme's early years but became more methodologically explicit in 2026 through research ethics, critical appraisal, quantitative and qualitative approaches, data analysis and quality assurance.
The present findings also complement the earlier DSMA evaluation of medical educator training. That study found favourable self-reported effects on knowledge, attitudes and workplace application but identified continuing needs in research collaboration, networking, institutional support and ICT
. The curricular changes documented after that evaluation - particularly the expansion of educational research, e-learning, AI, collaboration and quality assurance - appear responsive to several of those previously identified challenges. This documentary study cannot determine whether those curricular responses produced measurable behavioural or organisational improvement, but it provides a clear basis for such evaluation.
From an international perspective, the case is relevant because it illustrates how a resource-conscious, predominantly distance-learning faculty-development programme can progressively absorb contemporary HPE priorities while preserving a stable core curriculum. The distinctive feature is not any single innovation, but the cumulative integration of curriculum design, assessment, scholarship, leadership, interprofessional learning, digital technology and governance over a prolonged period.
4.1. Strengths and Limitations
A major strength is the longitudinal use of primary institutional documents spanning 2010-2026, which allowed changes in the intended curriculum to be traced across successive programme iterations. The documentary series also captures the important institutional transition to combined DSMA-MINP delivery from 2024 and the curricular developments that followed.
Several limitations should be recognised. A separate 2015 handbook was unavailable, creating a gap in the documentary sequence. Some handbooks retain wording from earlier versions, making the precise year of first introduction difficult to determine for selected concepts. The analysis was undertaken descriptively without independent duplicate coding or formal intercoder reliability testing. Most importantly, course handbooks represent the intended curriculum; they do not demonstrate implementation fidelity, learner achievement, changes in teaching behaviour, research productivity or organisational outcomes.
4.2. Implications for Programme Evaluation
The next stage should move beyond documentary evidence. A longitudinal programme-evaluation framework could examine graduate reaction and learning, transfer of educational practices to the workplace, educational scholarship, leadership roles, curriculum and assessment changes initiated by graduates, and wider institutional effects. Particular attention should be paid to whether the post-2024 collaborative model strengthens interprofessional practice and whether the 2026 additions in AI, simulation, quality assurance and research methods are implemented consistently.
5. Conclusion
From 2010 to 2026, the DSMA Diploma in Medical Education progressed from foundational preparation of medical teachers toward a broader, outcome-oriented and increasingly integrated health professions education programme. Its development was characterized by continuity of core domains alongside progressive incorporation of constructive alignment, competency-based thinking, digital and simulation-based learning, interprofessional education, quality assurance, professionalism, educational governance and stronger research methodology. The combination of DSMA and MINP from 2024 marked an important institutional transition, and the 2026 curriculum represents the clearest documented expression of contemporary HPE priorities. The documentary record demonstrates curricular transformation; future outcome studies are required to determine its effects on educators, institutions and educational practice.
Abbreviations
AI | Artificial Intelligence |
AMEE | Association for Medical Education in Europe |
BEME | Best Evidence Medical Education |
CBME | Competency-based Medical Education |
CBL | Case-based Learning |
Dip. Med. Ed. | Diploma in Medical Education |
DSMA | Defence Services Medical Academy |
GPA | Grade Point Average |
HPE | Health Professions Education |
ICT | Information and Communication Technology |
IPCP | Interprofessional Collaborative Practice |
IPE | Interprofessional Education |
MINP | Military Institute of Nursing and Paramedical Sciences |
OBE | Outcome-based Education |
PBL | Problem-based Learning |
QA | Quality Assurance |
SPICES | Educational Curriculum Model (Student-centred, Problem-based, Integrated, Community-based, Electives, Systematic) |
Author Contributions
Ye Phyo Aung: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Methodology, Project administration, Supervision, Validation, Writing – original draft, Writing – review & editing
Tun Tun Naing: Conceptualization, Methodology, Project administration, Resources, Visualization
Tayzar Hein: Data curation, Formal Analysis, Investigation, Software, Writing – original draft
Zaw Phyo: Data curation, Formal Analysis, Methodology, Software, Visualization, Writing – review & editing
Soe Thu Ya: Data curation, Formal Analysis, Investigation, Software, Writing – original draft
Pyi Hein Kyaw: Data curation, Formal Analysis, Investigation, Software, Writing – original draft
Myint Thein Naing: Data curation, Investigation, Writing – original draft
Marlar Than: Conceptualization, Methodology, Supervision, Validation
Data Availability Statement
The data are available from the corresponding author upon reasonable request.
Conflicts of Interest
The authors declare no conflicts of interest.
References
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Steinert Y, Mann K, Centeno A, Dolmans D, Spencer J, Gelula M, et al. A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach. 2006; 28(6): 497-526.
https://doi.org/10.1080/01421590600902976
|
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https://doi.org/10.1080/0142159X.2016.1181851
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APA Style
Aung, Y. P., Naing, T. T., Hein, T., Phyo, Z., Ya, S. T., et al. (2026). From Faculty Development to Health Professions Education: A 16-year Documentary Analysis in Myanmar Military Medical Education. American Journal of Medical Education, 2(2), 33-40. https://doi.org/10.11648/j.mededu.20260202.12
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Aung, Y. P.; Naing, T. T.; Hein, T.; Phyo, Z.; Ya, S. T., et al. From Faculty Development to Health Professions Education: A 16-year Documentary Analysis in Myanmar Military Medical Education. Am. J. Med. Educ. 2026, 2(2), 33-40. doi: 10.11648/j.mededu.20260202.12
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Aung YP, Naing TT, Hein T, Phyo Z, Ya ST, et al. From Faculty Development to Health Professions Education: A 16-year Documentary Analysis in Myanmar Military Medical Education. Am J Med Educ. 2026;2(2):33-40. doi: 10.11648/j.mededu.20260202.12
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@article{10.11648/j.mededu.20260202.12,
author = {Ye Phyo Aung and Tun Tun Naing and Tayzar Hein and Zaw Phyo and Soe Thu Ya and Pyi Hein Kyaw and Myint Thein Naing and Marlar Than},
title = {From Faculty Development to Health Professions Education: A 16-year Documentary Analysis in Myanmar Military Medical Education},
journal = {American Journal of Medical Education},
volume = {2},
number = {2},
pages = {33-40},
doi = {10.11648/j.mededu.20260202.12},
url = {https://doi.org/10.11648/j.mededu.20260202.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.mededu.20260202.12},
abstract = {Faculty development programmes must adapt to changing expectations in curriculum design, assessment, educational scholarship, technology, leadership and interprofessional practice. The Diploma in Medical Education (Dip. Med. Ed.) at the Defence Services Medical Academy (DSMA), Myanmar, provides a longitudinal example of such adaptation. In 2024, DSMA and the Military Institute of Nursing and Paramedical Sciences (MINP) combined their contributions to the programme, marking a new collaborative phase in its development. This study examined how the DSMA Dip. Med. Ed. programme changed between 2010 and 2026 and to identify the principal curricular and institutional transitions that moved it from foundational faculty development toward contemporary health professions education, including the development of DSMA-MINP collaboration from 2024. We conducted a retrospective documentary analysis using course handbooks from the first course in 2010-2011 through the 16th course handbook in 2026. A structured extraction framework examined programme aims, duration, curriculum architecture, teaching-learning strategies, educational technology, assessment, leadership, communication and professionalism, educational research, workshops and governance. The authors compared documents chronologically and synthesized recurring patterns and material changes into developmental phases. Five phases were identified: foundation and formalisation (2010-2013); consolidation of the modular faculty-development model (2014-2019); outcomes, constructive alignment and digitally supported delivery (2020-2023); DSMA-MINP collaboration and curricular expansion (2024-2025); and further curriculum modernisation (2026). The 2026 curriculum incorporated outcome-based and competency-based medical education, curriculum mapping, quality assurance and accreditation, interprofessional education, problem- and case-based learning, e-learning, simulation, artificial intelligence and AI ethics, educational governance, professionalism, research ethics and critical appraisal. The Dip. Med. Ed. retained a stable core mission while progressively broadening from teacher preparation to a more integrated health professions education programme. The combination of DSMA and MINP from 2024 and the subsequent curricular developments through 2026 represent important milestones in this transformation. Future evaluation should determine whether these intended curriculum changes translate into sustained changes in educational practice, scholarship and institutional outcomes.},
year = {2026}
}
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TY - JOUR
T1 - From Faculty Development to Health Professions Education: A 16-year Documentary Analysis in Myanmar Military Medical Education
AU - Ye Phyo Aung
AU - Tun Tun Naing
AU - Tayzar Hein
AU - Zaw Phyo
AU - Soe Thu Ya
AU - Pyi Hein Kyaw
AU - Myint Thein Naing
AU - Marlar Than
Y1 - 2026/10/26
PY - 2026
N1 - https://doi.org/10.11648/j.mededu.20260202.12
DO - 10.11648/j.mededu.20260202.12
T2 - American Journal of Medical Education
JF - American Journal of Medical Education
JO - American Journal of Medical Education
SP - 33
EP - 40
PB - Science Publishing Group
SN - 3070-1570
UR - https://doi.org/10.11648/j.mededu.20260202.12
AB - Faculty development programmes must adapt to changing expectations in curriculum design, assessment, educational scholarship, technology, leadership and interprofessional practice. The Diploma in Medical Education (Dip. Med. Ed.) at the Defence Services Medical Academy (DSMA), Myanmar, provides a longitudinal example of such adaptation. In 2024, DSMA and the Military Institute of Nursing and Paramedical Sciences (MINP) combined their contributions to the programme, marking a new collaborative phase in its development. This study examined how the DSMA Dip. Med. Ed. programme changed between 2010 and 2026 and to identify the principal curricular and institutional transitions that moved it from foundational faculty development toward contemporary health professions education, including the development of DSMA-MINP collaboration from 2024. We conducted a retrospective documentary analysis using course handbooks from the first course in 2010-2011 through the 16th course handbook in 2026. A structured extraction framework examined programme aims, duration, curriculum architecture, teaching-learning strategies, educational technology, assessment, leadership, communication and professionalism, educational research, workshops and governance. The authors compared documents chronologically and synthesized recurring patterns and material changes into developmental phases. Five phases were identified: foundation and formalisation (2010-2013); consolidation of the modular faculty-development model (2014-2019); outcomes, constructive alignment and digitally supported delivery (2020-2023); DSMA-MINP collaboration and curricular expansion (2024-2025); and further curriculum modernisation (2026). The 2026 curriculum incorporated outcome-based and competency-based medical education, curriculum mapping, quality assurance and accreditation, interprofessional education, problem- and case-based learning, e-learning, simulation, artificial intelligence and AI ethics, educational governance, professionalism, research ethics and critical appraisal. The Dip. Med. Ed. retained a stable core mission while progressively broadening from teacher preparation to a more integrated health professions education programme. The combination of DSMA and MINP from 2024 and the subsequent curricular developments through 2026 represent important milestones in this transformation. Future evaluation should determine whether these intended curriculum changes translate into sustained changes in educational practice, scholarship and institutional outcomes.
VL - 2
IS - 2
ER -
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