O'Brien Kevin, Crespo Lynn, Wallach Paul, Elnicki Michael
Department of Internal Medicine, University of South Florida College of Medicine, Tampa, 33612, USA.
Teach Learn Med. 2006 Spring;18(2):105-9. doi: 10.1207/s15328015tlm1802_3.
Input from both basic science and clinical faculty members is needed to promote further integration of medical curricula.
To assess current views of clerkship directors about the role and relationship of the basic sciences to clinical years in medical education.
As part of the 2002 Annual CDIM Survey, questions regarding basic science curriculum were included; 89 of 123 CDIM members responded (72%).
Overall, respondents felt participation from both basic science and clinical faculty members is necessary to define basic science course content. Nearly 89% of clerkship directors indicated curricular review should be collaborative and interdepartmental; 93% felt that this review effort should occur frequently. Supporting the growing philosophy that the structure of the preclinical years should involve increased clinically relevant integration, 58% favored an integrated organ system approach rather than the traditional departmental structure (18%). In addition, in order of ranking, respondents felt that small group (M = 2.0 +/- 0.9) and problem-based learning (M = 2.1 +/- 1.1) are better approaches than the standard lecture format (M = 2.8 +/- 1.2). Although clerkship directors recognized the need for increased clinical input in the preclinical years, many reported a lack of knowledge regarding the amount of clinical exposure students received in the basic science years (33%), frequency of peer review of the basic science courses (20%), and who performed peer review of the basic science courses at their institution (36%).
Medical clerkship directors believe that basic science education should be developed collaboratively, organized by organ system, and presented in small groups.
需要基础科学和临床教员的投入，以促进医学课程的进一步整合。
评估临床实习主任目前对于基础科学在医学教育中与临床阶段的作用及关系的看法。
作为2002年临床实习主任协会年度调查的一部分，纳入了有关基础科学课程的问题；123名临床实习主任协会成员中有89人回复（72%）。
总体而言，受访者认为基础科学和临床教员的参与对于确定基础科学课程内容是必要的。近89%的临床实习主任表示课程审查应该是协作性的且跨部门的；93%的人认为这种审查工作应该经常进行。支持临床前阶段结构应增加临床相关性整合这一不断发展的理念，58%的人赞成采用综合器官系统方法而非传统的部门结构（18%）。此外，按排名顺序，受访者认为小组学习（M = 2.0 ± 0.9）和基于问题的学习（M = 2.1 ± 1.1）比标准讲座形式（M = 2.8 ± 1.2）更好。尽管临床实习主任认识到在临床前阶段需要增加临床投入，但许多人报告称，他们对学生在基础科学阶段接受的临床接触量（33%）、基础科学课程同行评审的频率（20%）以及在其机构中谁对基础科学课程进行同行评审（36%）缺乏了解。
医学临床实习主任认为基础科学教育应该通过协作来开展，按器官系统进行组织，并以小组形式呈现。
