Grigsby Donna G, McClanahan Karen G, Garr David R
Department of Pediatrics, University of Kentucky, KY 40536-0284, USA.
Fam Med. 2004 Jan;36 Suppl:S74-82.
The importance of wellness and prevention in medical education is well documented. This report discusses the educational innovations in wellness and prevention that were implemented as part of the Undergraduate Medical Education for the 21st Century (UME-21) project.
Eight partner schools and four of the 10 associate partner schools provided specific information about learning objectives, content, and methods used in incorporating wellness and prevention into the curriculum. Based on these reports, common learning objectives and core content were identified.
Many schools emphasized that integration of content across courses and throughout the preclinical and clinical years was important in incorporating wellness and prevention content into existing curricula. A variety of instructional methods were used, including didactic lectures, workshops, smallgroup sessions, case studies, computer-based instructional modules, patient simulators, and standardized patient encounters. Based on partner reports, after completing the UME-21 project, students demonstrated gains in knowledge, clinical skills, and positive attitudes toward preventive care and wellness. The project outcome data indicated that student instruction in and exposure to preventive care was increased during the project. However, these increases were not significant when compared to their peers from non-UME-21 schools.
Although partner schools used different methods to incorporate wellness and prevention, the UME-21 project was an effective project in improving the educational experience in this content area for students from institutions that included this area in their educational innovations.
健康与预防在医学教育中的重要性已有充分记载。本报告讨论了作为21世纪本科医学教育(UME - 21)项目一部分而实施的健康与预防方面的教育创新。
八所合作学校以及十所准合作学校中的四所提供了关于将健康与预防纳入课程所使用的学习目标、内容和方法的具体信息。基于这些报告,确定了共同的学习目标和核心内容。
许多学校强调,将课程内容整合到整个课程体系以及临床前和临床阶段,对于将健康与预防内容纳入现有课程很重要。使用了多种教学方法,包括讲授式讲座、工作坊、小组讨论、案例研究、基于计算机的教学模块、患者模拟器以及标准化患者问诊。根据合作学校的报告,完成UME - 21项目后,学生在知识、临床技能以及对预防保健和健康的积极态度方面都有收获。项目成果数据表明,在项目期间,学生接受预防保健方面的教学和接触预防保健的机会有所增加。然而,与非UME - 21学校的同龄人相比,这些增加并不显著。
尽管合作学校采用了不同方法来纳入健康与预防内容,但UME - 21项目对于那些在教育创新中包含该领域的机构的学生来说,是一个有效提升该领域教育体验的项目。