Lam Alfred King Yin, Veitch Jan, Hays Richard
School of Medicine, Griffith University, PMB 50 Gold Coast Mail Centre, Queensland, Australia.
Pathology. 2005 Oct;37(5):360-3. doi: 10.1080/00313020500253331.
Medical education has undergone substantial change in recent years, resulting in shorter, more compact courses that often contain much less pathology than previously. There has also been a concurrent decrease in the academic pathologist workforce in Australia, such that medical schools struggle to deliver even this reduced pathology curriculum. This paper reports the development and evaluation of an innovative approach in an undergraduate medical school to supporting pathology lectures, through integrating pathology with clinical medicine.
A series of 32 clinical pathological cases (CPCs) was developed to replicate clinicopathological conferences in a small group format. The CPCs were based on the pathology lectures, developed by a multidisciplinary clinical team and delivered to the students by clinical tutors. Students had access to learning support resources on the School's Intranet in both the main campus and rural teaching sites. Digitised pathology images, Web-based delivery and semi-guided learning issues are the main characteristics of the pathology module. The module was evaluated by a ranking system by the medical students for two consecutive years.
In both years, the CPC module achieved a high score when compared with other components of the pathology curriculum. Positive feedback and frequent inquiries were also received about the module.
The Web-based CPC modules provide an important resource that can facilitate teaching of pathology to medical students in the main campus and rural teaching sites. The module provides an opportunity to improve the profile of pathology in the medical school, in a manner that is sustainable with only one academic pathologist. It has the potential to be used nationally and internationally because of its multidisciplinary nature and the flexibility in its mode of delivery.
近年来医学教育发生了重大变革,课程变得更短、更紧凑,病理学内容往往比以前少得多。澳大利亚学术病理学家的数量也同时减少,以至于医学院校甚至难以教授这一精简后的病理学课程。本文报告了一所本科医学院校通过将病理学与临床医学相结合,开发并评估一种支持病理学讲座的创新方法。
开发了一系列32个临床病理病例(CPC),以小组形式模拟临床病理讨论会。这些CPC基于病理学讲座,由多学科临床团队编写,由临床导师授课给学生。学生可以在主校区和农村教学点的学校内联网上获取学习支持资源。数字化病理图像、基于网络的授课方式和半引导式学习问题是病理学模块的主要特点。该模块连续两年由医学生通过排名系统进行评估。
与病理学课程的其他部分相比,这两年CPC模块均获得高分。还收到了关于该模块的积极反馈和频繁咨询。
基于网络的CPC模块提供了一项重要资源,可促进在主校区和农村教学点向医学生教授病理学。该模块提供了一个机会,以一种仅由一名学术病理学家就能持续开展的方式,提升病理学在医学院校的形象。由于其多学科性质和授课方式的灵活性,它有在国内和国际上得到应用的潜力。