Olesinski R L, Coulson L R, Nelson J H
College of Education, University of Illinois, Chicago UIC.
Acad Med. 1991 Mar;66(3):174-6. doi: 10.1097/00001888-199103000-00013.
This 1988 retrospective study examined the medical school curricula followed by students from two classes using two curricular styles at one medical school. By consulting school records, the authors ascertained the courses actually taken, the number of weeks that students actually devoted to them, and the sequence of courses, both for those students following an independent-study curriculum and for those following a traditional one. These data were compared with the corresponding data concerning the traditional curriculum requirements to determine whether the curricula the students actually followed, in either style, showed any marked difference from the required curriculum. The findings showed that the curricula followed by the independent-study students deviated considerably from both the requirements of the traditional curriculum and also the actual curricula followed by the students using the traditional curriculum, who almost never chose to deviate from the requirements. The independent-study students showed considerable intragroup variation in the ways they organized their curricula, most commonly in eliminating selected formal clerkship or specialty medicine courses, or altering the duration of clerkships. Elective coursework was substituted for formal clerkship experiences in the majority of cases where clerkship courses were eliminated.
这项1988年的回顾性研究考察了一所医学院中两个班级采用两种课程模式的学生所遵循的医学院课程。通过查阅学校记录，作者确定了采用自主学习课程模式的学生和采用传统课程模式的学生实际修读的课程、学生实际投入这些课程的周数以及课程顺序。将这些数据与传统课程要求的相应数据进行比较，以确定这两种模式下学生实际遵循的课程与规定课程是否存在显著差异。研究结果表明，自主学习的学生所遵循的课程与传统课程要求以及采用传统课程模式的学生实际遵循的课程都有很大偏差，而采用传统课程模式的学生几乎从不偏离要求。自主学习的学生在课程安排方式上表现出相当大的组内差异，最常见的是取消某些正式的临床实习或专科医学课程，或改变临床实习的时长。在大多数取消临床实习课程的情况下，选修课程替代了正式的临床实习经历。
