Quinlivan Julie A, Black Kirsten I, Petersen Rodney W, Kornman Louise H
University Department of Obstetrics and Gynaecology, University of Melbourne, Royal Women's Hospital, Carlton, Victoria, Australia.
Med Educ. 2003 Oct;37(10):913-20. doi: 10.1046/j.1365-2923.2003.01632.x.
Midwives have been actively involved in the clinical teaching of medical students for many years. However, this role has received little attention and limited research has been conducted into either its efficacy or the development of strategies to maximise the potential of such teaching opportunities. We examined medical student and midwifery preceptor attitudes towards students' learning objectives during the labour ward placement.
A descriptive cross-sectional survey of midwifery preceptors and medical students was undertaken. The setting was an Australian teaching and tertiary referral hospital. The questionnaire contained questions about strategies to improve medical student involvement on the labour ward and opinions towards core competencies of the student curriculum.
Of 94 questionnaires issued to midwifery preceptors, 63 were returned (response rate 67%). Of 130 questionnaires issued to medical students, 93 were returned (response rate 72%). Major differences in the expectations of students and midwifery preceptors were identified. Only 17% of midwives felt medical students should be involved in helping mothers with breastfeeding, and some no longer saw a role for students in delivering babies or performing well baby checks. These differences in opinions led to student dissatisfaction with their obstetric learning experience.
Educators need to ensure that students and midwifery preceptors identify common learning objectives. Failure to address these differences may lead to poor interdisciplinary relationships.
多年来，助产士一直积极参与医学生的临床教学。然而，这一角色很少受到关注，针对其教学效果或如何制定策略以充分利用此类教学机会的研究也很有限。我们调查了医学生和助产士带教老师在产房实习期间对学生学习目标的态度。
对助产士带教老师和医学生进行了描述性横断面调查。调查地点为澳大利亚一家教学及三级转诊医院。问卷包含有关提高医学生在产房参与度的策略以及对学生课程核心能力的看法等问题。
向助产士带教老师发放了94份问卷，收回63份（回复率67%）。向医学生发放了130份问卷，收回93份（回复率72%）。研究发现学生和助产士带教老师的期望存在重大差异。只有17%的助产士认为医学生应参与帮助母亲进行母乳喂养，而且一些人不再认为学生在接生或进行新生儿健康检查方面能发挥作用。这些意见分歧导致学生对其产科学习经历不满意。
教育工作者需要确保学生和助产士带教老师明确共同的学习目标。未能解决这些差异可能会导致跨学科关系不佳。
