Durak Halil Ibrahim, Vatansever Kevser, van Dalen Jan, van der Vleuten Cees
Ege Universitesi Tip Fakültesi, Tip Eğitimi AD, Bornova, Izmir, Turkey.
Adv Health Sci Educ Theory Pract. 2008 Nov;13(4):495-502. doi: 10.1007/s10459-007-9061-7. Epub 2007 Mar 27.
Clerkships would benefit from teachers' improved understanding of the didactic aspects of their task. The purpose of this study is to identify factors that determine the teaching quality of clerkships and to examine the predictive value of these factors for students' global satisfaction. Thus, results would be further reflected to clinical teachers' tasks. These factors could then be taken into account in future clinical teaching. In this paper, a medical faculty's 2 year data set of student feedback from a systematic programme evaluation project was used. A factor analysis was performed on 11,780 student questionnaires. Factor loads, and the Cronbach's alpha coefficients of the questionnaire and factors were calculated. In order to examine the contributions of the factors to the students' global satisfaction, the study included a multivariate stepwise regression analysis. The analysis revealed four factors, which together explained 60.24% of the variance: Structure & Process (44.66%); Time (5.8 %); Outcome (5.35%) and Input (4.39%). The Structure & Process factor was found to be the best predictor of students' global satisfaction (R2 =( ).537). Our conclusion is that "efforts to improve clerkship quality should focus on students' learning processes and clerkship structure".
临床实习若能受益于教师对其教学任务中教学法方面的更好理解,将会有所改进。本研究的目的是确定决定临床实习教学质量的因素,并检验这些因素对学生总体满意度的预测价值。因此,研究结果将进一步反馈到临床教师的任务中。这些因素随后可在未来的临床教学中加以考虑。在本文中,使用了一所医学院校从一个系统项目评估项目中获取的为期两年的学生反馈数据集。对11780份学生问卷进行了因子分析。计算了因子载荷以及问卷和各因子的克朗巴哈系数。为了检验这些因素对学生总体满意度的贡献,该研究纳入了多元逐步回归分析。分析揭示了四个因素,它们共同解释了60.24%的方差变异:结构与过程(44.66%);时间(5.8%);结果(5.35%)和投入(4.39%)。发现结构与过程因素是学生总体满意度的最佳预测指标(R2 = 0.537)。我们的结论是,“提高临床实习质量的努力应聚焦于学生的学习过程和临床实习结构”。