Windish Donna M, Gozu Aysegul, Bass Eric B, Thomas Patricia A, Sisson Stephen D, Howard Donna M, Kern David E
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
J Gen Intern Med. 2007 May;22(5):655-61. doi: 10.1007/s11606-007-0103-x. Epub 2007 Feb 23.
Despite increased demand for new curricula in medical education, most academic medical centers have few faculty with training in curriculum development.
To describe and evaluate a longitudinal mentored faculty development program in curriculum development.
A 10-month curriculum development program operating one half-day per week of each academic year from 1987 through 2003. The program was designed to provide participants with the knowledge, attitudes, skills, and experience to design, implement, evaluate, and disseminate curricula in medical education using a 6-step model.
One-hundred thirty-eight faculty and fellows from Johns Hopkins and other institutions and 63 matched nonparticipants.
Pre- and post-surveys from participants and nonparticipants assessed skills in curriculum development, implementation, and evaluation, as well as enjoyment in curriculum development and evaluation. Participants rated program quality, educational methods, and facilitation in a post-program survey.
Sixty-four curricula were produced addressing gaps in undergraduate, graduate, or postgraduate medical education. At least 54 curricula (84%) were implemented. Participant self-reported skills in curricular development, implementation, and evaluation improved from baseline (p < .0001), whereas no improvement occurred in the comparison group. In multivariable analyses, participants rated their skills and enjoyment at the end of the program significantly higher than nonparticipants (all p < .05). Eighty percent of participants felt that they would use the 6-step model again, and 80% would recommend the program highly to others.
This model for training in curriculum development has long-term sustainability and is associated with participant satisfaction, improvement in self-rated skills, and implementation of curricula on important topics.
尽管医学教育对新课程的需求不断增加,但大多数学术医学中心很少有接受过课程开发培训的教员。
描述和评估一项关于课程开发的纵向指导教员发展计划。
一项为期10个月的课程开发计划,从1987年至2003年,每年每个学年每周运行半天。该计划旨在通过一个6步模型,为参与者提供设计、实施、评估和传播医学教育课程所需的知识、态度、技能和经验。
来自约翰霍普金斯大学和其他机构的138名教员和研究员以及63名匹配的非参与者。
参与者和非参与者的前后调查评估了课程开发、实施和评估方面的技能,以及课程开发和评估中的乐趣。参与者在项目后的调查中对项目质量、教育方法和促进情况进行了评分。
制定了64项课程,以解决本科、研究生或毕业后医学教育中的差距。至少实施了54项课程(84%)。参与者自我报告的课程开发、实施和评估技能从基线水平有所提高(p < .0001),而对照组没有改善。在多变量分析中,参与者在项目结束时对自己技能和乐趣的评分显著高于非参与者(所有p < .05)。80%的参与者表示他们会再次使用6步模型,80%的人会向他人高度推荐该计划。
这种课程开发培训模式具有长期可持续性,与参与者满意度、自评技能的提高以及重要主题课程的实施相关。