Almy T P, Colby K K, Zubkoff M, Gephart D S, Moore-West M, Lundquist L L
Dartmouth Medical School, Hanover, NH.
Ann Intern Med. 1992 Apr 1;116(7):569-74. doi: 10.7326/0003-4819-116-7-569.
We describe a required course for fourth-year medical students focusing on the application of the social sciences and the humanities to critical decisions in the practice of medicine. During 160 hours (70 with faculty contact) in a 7-week period, active, patient-centered, problem-based learning takes place in small collaborating groups, is facilitated by trained tutors, and uses computerized access to library materials plus reference files and resource persons. Major issues identified in the cases are clarified in complementary lectures and symposia. Formative evaluation is ongoing within tutorial groups. Summative evaluation is determined by the individual student's performance in a final complex management problem using a simulated patient. Evaluation of the course, and the basis for its ongoing revision, are provided by participating students and faculty, whose evaluations of the course have been favorable in 80% to 90% of cases.
我们介绍一门面向医学四年级学生的必修课，该课程专注于将社会科学和人文学科应用于医学实践中的关键决策。在为期7周的160小时课程中（其中70小时与教员接触），以患者为中心的主动式问题导向学习在小型协作小组中展开，由训练有素的导师提供指导，并利用计算机获取图书馆资料、参考文件以及咨询资源人士。案例中确定的主要问题在补充讲座和研讨会上得到阐明。形成性评估在辅导小组中持续进行。总结性评估由学生个人在使用模拟患者的最终复杂管理问题中的表现来决定。参与课程的学生和教员对课程进行评估，并为课程的持续修订提供依据，在80%至90%的案例中，他们对该课程的评价是积极的。
