Zier Karen, Coplit Lisa D
Department of Medical Education, Mount Sinai School of Medicine, New York, NY, USA.
Mt Sinai J Med. 2009 Aug;76(4):387-91. doi: 10.1002/msj.20121.
Individualized learning is a fundamental tenet of the Carnegie Foundation's new recommendations for physician training. A primary goal of Mount Sinai School of Medicine's new curriculum is to train self-directed physicians who have mastered lifelong learning skills. The Individual Scholarly Project and Independent Research Experience (INSPIRE) was created to enable fourth-year students to conduct mentored, independent scholarly projects to develop critical thinking skills and intellectual independence. Four students were accepted into the 2008 12-week pilot. Two did clinical research, 1 conducted medical education research, and 1 continued a basic science project. INSPIRE featured weekly sessions in which students shared their progress, heard about the careers of physician-scientists, and participated in presentation skills workshops. Mentors gave feedback using a form based on the program goals. Anonymous evaluations showed that all participants believed their goals were successfully fulfilled, that the likelihood of including research in their careers increased, and that they felt more skilled at writing abstracts and presenting their work orally. Students agreed that INSPIRE was a valuable opportunity for acquiring in-depth knowledge on a topic and building research and presentation skills. Helping students shape an individualized scholarly experience may help to produce doctors who are self-directed, are personally fulfilled, are able to serve society with diverse expertise, and have the tools to become leaders in their fields.
个性化学习是卡内基基金会对医师培训新建议的一项基本原则。西奈山医学院新课程的一个主要目标是培养掌握终身学习技能的自主型医师。设立个人学术项目与独立研究体验(INSPIRE)是为了让四年级学生能够开展有导师指导的独立学术项目,以培养批判性思维能力和学术独立性。2008年有四名学生被选入为期12周的试点项目。两名学生进行临床研究,一名开展医学教育研究,一名继续基础科学项目。INSPIRE的特色是每周都有课程,学生们在课程中分享进展、了解医学科学家的职业情况并参加演讲技巧研讨会。导师根据项目目标使用一份表格提供反馈。匿名评估显示,所有参与者都认为他们的目标得以成功实现,将研究纳入其职业生涯的可能性增加了,而且他们觉得自己撰写摘要和口头展示作品的技能有所提高。学生们一致认为,INSPIRE是获取某一主题深入知识以及培养研究和展示技能的宝贵机会。帮助学生塑造个性化的学术体验可能有助于培养出自主型、个人成就感强、能够凭借多样的专业知识服务社会且具备成为所在领域领导者所需工具的医生。