This resource is a guide to developing learner outcomes for a healthcare education program. The Instructor Guide describes the process of developing program outcomes; it includes three exhibits to supplement the process described in the guide. The documents showing student physician activities (SPAs), which are the outcomes developed using this process, are two versions of the same list: (1) a parsimonious list of the SPAs with reference to a national framework and (2) an explanatory list of SPAs with annotations and cross-references to other SPAs.