The document discusses different levels of decision making in curriculum development. It presents options for centralized, decentralized, or balanced planning at the ministry of health, medical school, department/group, and instructor levels. Centralized planning involves more top-down control over curriculum content, while decentralized planning gives more autonomy to lower levels. Balanced planning involves coordination and input across different levels of oversight. The goal is to develop curriculum that trains healthcare providers with the necessary competencies ordered by the health system.
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