Tack C J, Plasschaert A J M
Division of General Internal Medicine, Department of Medicine, College of Dental Science, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Eur J Dent Educ. 2006 May;10(2):96-102. doi: 10.1111/j.1600-0579.2006.00403.x.
As part of a revised dental curriculum, a 3(rd) year module on medical subjects was developed based on a mixture of self-study and problem-oriented approach using cases. Pairs of students had to select a specific medical problem and solve a paper patient case using a problem-solving cycle. Results were presented in working groups and by writing an essay. The quality of the presentations was assessed by colleague students and by the teacher supervisor; the expert teacher in the field graded the essay. The results contributed for 40% to the overall grade of the module. A questionnaire filled out by 94% of the participating students showed that 85% of the students agreed in preferring this way of handling medical problems as compared with conventional, lecture-based education. Almost all of them enjoyed the provided opportunity to give a case presentation. The problem-oriented model was assessed as useful by 73% of the students. Knowledge concerning the topic chosen turned out to be higher than knowledge of other topics. Although this study cannot prove that this mode of education actually results in a better ability to cope with medical problems, it may contribute in several ways to the final competences in the area of general medicine in the undergraduate dental curriculum.
作为修订后的牙科课程的一部分,基于自学和以问题为导向的案例教学法,开发了一个面向三年级学生的医学课程模块。学生两人一组,必须选择一个特定的医学问题,并通过问题解决循环来解决一个模拟患者案例。结果在工作组中展示,并通过撰写论文呈现。展示的质量由同学和教师监督员评估;该领域的专家教师对论文进行评分。这些结果占该模块总成绩的40%。94%的参与学生填写的一份问卷显示,与传统的基于讲座的教育相比,85%的学生同意更喜欢这种处理医学问题的方式。几乎所有学生都喜欢所提供的进行案例展示的机会。73%的学生认为以问题为导向的模式很有用。结果表明,学生对所选主题的知识掌握程度高于对其他主题的了解。尽管这项研究不能证明这种教育模式实际上能带来更好的应对医学问题的能力,但它可能在几个方面有助于本科牙科课程中普通医学领域的最终能力培养。