Nicholson S, Osonnaya C, Carter Y H, Savage W, Hennessy E, Collinson S
St Bartholomew's and the Royal London School of Medicine and Dentistry, London, UK.
Med Educ. 2001 Apr;35(4):398-403. doi: 10.1046/j.1365-2923.2001.00864.x.
This paper describes the design and evaluation of the community-based obstetrics and gynaecology module at St Bartholomew's and the Royal London School of Medicine and Dentistry. This module sets out to comply with the General Medical Council's recommendations of encouraging students to consider the community perspective, and places less emphasis on a disease-orientated approach.
The development of the module, issues of improving student acceptance of the course, staff development and the benefits of community teaching in obstetrics and gynaecology are discussed.
The 2-week module precedes the 8-week hospital obstetrics and gynaecology firms that occur in the fourth undergraduate year. The course is organized into three components: general practice, departmental teaching, and self-directed learning. Students are allocated to general practices for their clinical teaching, for eight sessions. Seven departmental sessions are run by the Academic Department of General Practice and Primary Care. These include a review of the students' self-directed learning.
Evaluation data are reported for the three components of the course. Overall the majority of students rated the module as useful, GP attachments being most favourably received. The majority of students have grasped the basic obstetric and gynaecological history and examination skills and found this useful before starting their hospital firms. Aspects of a specialist subject, such as, obstetrics and gynaecology, can be taught successfully in the community and GP tutors are, as yet, an untapped source of excellent obstetric and gynaecology teaching.
本文介绍了圣巴塞洛缪医院及伦敦大学皇家医学与牙科学院基于社区的妇产科学模块的设计与评估。该模块旨在遵循英国医学总会的建议，鼓励学生考虑社区视角，减少对以疾病为导向方法的强调。
讨论了该模块的开发、提高学生对课程接受度的问题、师资发展以及社区妇产科学教学的益处。
这个为期两周的模块在本科第四年为期八周的医院妇产科学实习之前进行。该课程分为三个部分：全科医疗、部门教学和自主学习。学生被分配到全科医疗机构进行临床教学，共八次课程。七次部门课程由全科医疗与初级保健学术部负责。这些课程包括对学生自主学习的回顾。
报告了该课程三个部分的评估数据。总体而言，大多数学生认为该模块有用，其中全科医疗实习最受欢迎。大多数学生掌握了基本的妇产科学病史和检查技能，并发现在开始医院实习前这很有帮助。妇产科学等专科主题的内容可以在社区成功教授，而且全科医疗导师仍是妇产科学优秀教学的未开发资源。
