Shah I M, Walters M R, McKillop J H
Wolfson Medical School Building, Faculty of Medicine, University of Glasgow, Glasgow G12 8QQ, UK.
Emerg Med J. 2008 Jun;25(6):354-7. doi: 10.1136/emj.2007.053082.
Acute medical management is an important component of the Modernising Medical Careers (MMC) project which has recently been implemented in the UK. A web-based interactive course in acute medicine has been developed which complements the clinical teaching provided to senior medical students at the University of Glasgow. A study was undertaken to evaluate the teaching and assess the knowledge of acute medicine among final year medical students using an online questionnaire.
The undergraduate medical school Virtual Learning Environment (VLE) was constructed using the Moodle learning management system. The online questionnaire was constructed as part of the interactive acute medicine course hosted on the VLE. Final year students using this course were asked to complete the questionnaire anonymously. A 5-point Likert scale was used to assess different aspects of acute medical management and evaluate the teaching.
From 210 students using the website, 99 (47.1%) completed the online questionnaire. Nephrology and neurology were identified as the most challenging specialties in acute medicine. The areas of acute management in which students felt they lacked most knowledge were drug overdose and acute renal failure. Drug prescribing was also identified as an area of the curriculum requiring further development.
This approach to blended learning is popular with our medical students. Online evaluation has helped with curriculum development and, by identifying important areas of acute medicine teaching that can be improved, is feeding into our curriculum revision.
急性病医疗管理是英国近期实施的“医学职业现代化”(MMC)项目的重要组成部分。现已开发出一门基于网络的急性医学互动课程,作为对格拉斯哥大学高年级医学生临床教学的补充。开展了一项研究,通过在线问卷评估最后一年医学生的急性医学教学情况并评估他们的相关知识。
本科医学院的虚拟学习环境(VLE)使用Moodle学习管理系统构建。在线问卷是VLE上托管的互动急性医学课程的一部分。使用该课程的最后一年学生被要求匿名完成问卷。采用5点李克特量表来评估急性病医疗管理的不同方面并评价教学情况。
在使用该网站的210名学生中,99名(47.1%)完成了在线问卷。肾脏病学和神经病学被认为是急性医学中最具挑战性的专业领域。学生们认为自己在急性病管理方面最缺乏知识的领域是药物过量和急性肾衰竭。药物处方也被确定为课程中需要进一步改进的一个领域。
这种混合式学习方法很受我们医学生的欢迎。在线评估有助于课程开发,通过确定急性医学教学中可以改进的重要领域,为我们的课程修订提供参考。