Wilson T, Mires G J
Department of Obstetrics and Gynaecology, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland.
Med Educ. 2000 Sep;34(9):744-6. doi: 10.1046/j.1365-2923.2000.00619.x.
At Dundee University, midwifery and medical students are taught obstetrics together in a 2-week intensive course. We set out to test the hypothesis that staff time and effort could be saved by using shared resources in teaching a multidisciplinary group of students to an acceptable level.
In order to measure the knowledge gain by two different groups of students, we tested the students before and after a timetabled computer-assisted learning (CAL) session focusing on how to interpret a cardiotocograph (CTG). Also, half of each student group was given extra CTG teaching before the CAL session.
The medical students (n=38) increased their median score from 9 to 17 after the CAL (P<0.001) but the midwifery students (n=13) only increased their median score from 12 to 14 after the CAL (n.s.). However, when given a tutorial and CAL, the post-test scores for both medical and midwifery students were similar and significantly higher than pre-test scores (median score increase from 8.5 to 18 for medical students, P<0.001, n=34, and from 9 to 16 for midwifery students, P<0.01 n=11). There was no significant knowledge gain by the medical students who undertook the additional tutorial.
We conclude that shared resources could be used by medical and midwifery students to reach equivalent levels of skill in CTG interpretation. However, in order to achieve equivalence, staff time and effort was wasted as medical students were given unnecessary tuition.
在邓迪大学,助产专业和医学专业的学生一起参加为期两周的强化产科课程学习。我们试图验证这样一个假设,即通过使用共享资源将多学科学生群体的教学提升到可接受水平,可以节省教职员工的时间和精力。
为了衡量两组不同学生的知识收获情况,我们在安排好的计算机辅助学习(CAL)课程前后对学生进行了测试,该课程重点是如何解读胎心监护图(CTG)。此外,每个学生小组中有一半在CAL课程之前接受了额外的CTG教学。
医学专业学生(n = 38)在CAL课程后,中位数分数从9分提高到17分(P < 0.001),但助产专业学生(n = 13)在CAL课程后中位数分数仅从12分提高到14分(无统计学意义)。然而,当接受辅导和CAL课程时,医学专业和助产专业学生的测试后分数相似,且显著高于测试前分数(医学专业学生中位数分数从8.5分提高到18分,P < 0.001,n = 34;助产专业学生从9分提高到16分,P < 0.01,n = 11)。参加额外辅导的医学专业学生没有显著的知识收获。
我们得出结论,医学专业和助产专业学生可以使用共享资源在CTG解读方面达到同等技能水平。然而,为了达到同等水平,由于给医学专业学生提供了不必要的教学,浪费了教职员工的时间和精力。