Department of Physical Medicine and Rehabilitation, Medical Student Research, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
Acad Med. 2010 Mar;85(3):429-37. doi: 10.1097/ACM.0b013e3181ccc96f.
An increasing number of medical schools have implemented or are considering implementing scholarly activity programs as part of their undergraduate medical curricula. The goal of these programs is to foster students' analytical skills, enhance their self-directed learning and their oral and written communication skills, and ultimately to train better physicians. In this article, the authors describe the approach to implementing scholarly activities at a school that requires this activity and at a school where it is elective. Both programs have dealt with significant challenges including orienting students to a complex activity that is fundamentally different than traditional medical school courses and clerkships, helping both students and their mentors understand how to "stay on track" and complete work, especially during the third and fourth years, and educating students and mentors about the responsible conduct of research, especially involving human participants. Both schools have found the implementation process to be evolutionary, requiring experience before faculty could significantly improve processes. A required scholarly activity has highlighted the need for information technology (IT) support, including Web-based document storage and student updates, as well as automatic e-mails alerting supervisory individuals to student activity. Directors of the elective program have found difficulty with both ensuring uniform outcomes across different areas of study and leadership changes in a process that has been largely student-driven. Both programs have found that teamwork, regular meetings, and close communication have helped with implementation. Schools considering the establishment of a scholarly activity should consider these factors when designing programs.
越来越多的医学院校将学术活动作为本科生医学课程的一部分来实施或正在考虑实施。这些项目的目的是培养学生的分析能力，提高他们的自主学习能力以及口头和书面沟通能力，最终培养出更好的医生。在本文中，作者描述了在一所要求开展此类活动的学校和一所允许选修此类活动的学校中实施学术活动的方法。这两个项目都面临着重大挑战，包括让学生适应与传统医学课程和实习完全不同的复杂活动，帮助学生及其导师了解如何“保持正轨”并完成工作，尤其是在第三和第四年，以及教育学生和导师负责任地进行研究，特别是涉及人类参与者的研究。两个学校都发现实施过程是渐进式的，需要经验才能使教师显著改进流程。必修的学术活动突出了对信息技术 (IT) 支持的需求，包括基于 Web 的文档存储和学生更新，以及自动电子邮件提醒监督人员学生的活动。选修项目的负责人发现，在一个主要由学生驱动的过程中，确保不同学习领域的结果一致以及领导层的变化都存在困难。两个项目都发现团队合作、定期会议和密切沟通有助于实施。正在考虑建立学术活动的学校在设计项目时应考虑这些因素。
