Watmough Simon, Garden Anne, Taylor David
School of Medical Education, University of Liverpool, Liverpool, UK.
Med Educ. 2006 Sep;40(9):893-9. doi: 10.1111/j.1365-2929.2006.02545.x.
In 1996 the University of Liverpool introduced a new curriculum based on the recommendations published in Tomorrow's Doctors. This work examines how graduates of that course view their undergraduate curriculum and whether they consider it prepared them well for the pre-registration year. Five focus groups were arranged with a selection of graduates from the first cohort to graduate from the reformed curriculum in order to ascertain their views on the course and how it had prepared them to work as pre-registration house officers (PRHOs). The focus groups were tape-recorded, transcribed and analysed. The PRHOs felt they had been well prepared for the PRHO year, citing the clinical experience of the final year, communication skills classes and the Clinical Skills Resource Centre as having been particularly beneficial. There were concerns about their basic science knowledge base although this had not affected their ability to work as PRHOs. They had criticisms of the way part of their course had been structured but overall they were happy with the content of the course. A reformed medical curriculum in the UK can prepare graduates well to work as junior doctors and can take away some of the anxiety associated with graduation; therefore, to that extent curriculum reform has worked. However, anxiety about undertaking the role of junior doctor seems to have been replaced by anxiety about knowledge base, despite having adequate knowledge to work as PRHOs. Students undertaking a reformed curriculum are wary about being the first people to use their training in the workplace. This factor may need to be considered when further reforms are introduced.
1996年，利物浦大学依据《明日医生》中发布的建议推出了一门新的课程。这项研究考察了该课程的毕业生如何看待他们的本科课程，以及他们是否认为该课程让他们为注册前一年做好了充分准备。研究安排了五个焦点小组，小组成员是从改革课程后的第一届毕业生中挑选出来的，目的是确定他们对该课程的看法，以及该课程如何使他们为担任注册前住院医师（PRHO）做好准备。焦点小组的讨论进行了录音、转录和分析。PRHO们觉得他们为PRHO这一年做好了充分准备，他们提到最后一年的临床经验、沟通技巧课程以及临床技能资源中心特别有益。尽管他们的基础科学知识储备存在问题，但这并未影响他们担任PRHO的工作能力。他们对课程部分内容的结构安排提出了批评，但总体而言，他们对课程内容感到满意。英国改革后的医学课程能够让毕业生很好地胜任初级医生的工作，并能消除一些与毕业相关的焦虑；因此，在这方面课程改革取得了成效。然而，尽管有足够的知识担任PRHO，但对基础知识储备的焦虑似乎取代了对担任初级医生角色的焦虑。参加改革课程的学生对于成为职场中首个运用所学知识的人感到担忧。在推行进一步改革时，可能需要考虑这一因素。
