McLean Michelle
School of Medical Sciences, University of KwaZulu-Natal, South Africa.
Med Teach. 2006 Feb;28(1):64-9. doi: 10.1080/01421590500441711.
Following a comprehensive study of the role models identified by the first five years of students in a traditional medical programme, it was hypothesized that with curriculum reform clinical role models would assume greater importance earlier in the undergraduate medical programme. Indeed, when compared with their first- and second-year traditional curriculum colleagues, more problem-based learning students identified role models. Almost four times as many identified faculty role models (largely medically qualified) in comparison with their traditional curriculum counterparts. Concomitant with this increase was a decline in the selection by the PBL students of family members, friends and other students as role models. For all cohorts, however, the mother was the most important role model. Since students in integrated curricula have earlier clinical experience and patient contact, they interact with clinicians in hospitals and clinics as well as in the academic environment of the small-group tutorial and lecture theatres. Academic faculty members, particularly clinicians, need to be aware that students take note of their attitudes and behaviour as members of the medical profession, a profession that students had chosen as a career. Retraining of senior doctors from the traditional curriculum might be necessary to ensure that all clinicians have an equivalent understanding of patient care.
在对传统医学课程中前五年学生所认定的榜样角色进行全面研究之后，研究人员提出假设，即随着课程改革，临床榜样角色在本科医学课程早期将变得更加重要。事实上，与一年级和二年级传统课程的同学相比，采用基于问题学习法的学生认定的榜样更多。与传统课程的同学相比，认定教师榜样（大多具有医学资质）的人数几乎是其四倍。与此同时，采用基于问题学习法的学生选择家庭成员、朋友和其他同学作为榜样的比例有所下降。然而，对于所有学生群体来说，母亲是最重要的榜样。由于综合课程的学生有更早的临床经验和患者接触机会，他们在医院和诊所以及小组辅导和讲堂的学术环境中与临床医生互动。学术教员，尤其是临床医生，需要意识到学生们会留意他们作为医学专业人员的态度和行为，而医学是学生们选择的职业。可能有必要对传统课程的资深医生进行再培训，以确保所有临床医生对患者护理有同等的理解。
