Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
CJEM. 2010 May;12(3):212-9. doi: 10.1017/s1481803500012264.
Emergency medicine is an evolving discipline in Canadian medical schools. Little has been published regarding student preferences for emergency medicine training during the clerkship phase of MD programs. We assessed medical students' perceptions of a newly developed emergency medicine clerkship rotation involving multiple learning modalities. The evaluation process included assessment of the rotation's instructional elements and overall educational value.
The first cohort of medical students to complete this new emergency medicine clerkship was invited to answer a questionnaire just before graduation. Students rated their preferences for components of the rotation using paired comparisons. Open ended questions explored students' satisfaction with the emergency medicine clerkship as well as perceptions of the rotation's impact on career development.
Of the 94 students in the first clerkship cohort, 81 (86%) responded to the survey. Students found the emergency medicine clerkship highly valuable, citing the broad range of cases seen, close supervision, and opportunities to develop clinical assessment, decision making and procedural skills. Students' curricular preferences were for advanced cardiac life support (ACLS) (26.4%), clinical shifts (20.6%), supervised clinical shifts (17.8%), procedural skills laboratories (14.8%), tutorials (10.8%) and preceptor assisted learning sessions (9.8%).
This new emergency medicine clerkship program incorporated multiple learning methods within a 4-week rotation and was highly rated by students. Although clinical shifts and ACLS were generally preferred activities, students had varying individual preferences for specific learning activities. Multiple learning methods allowed all students to benefit from the rotation. This study makes a compelling case for including an emergency medicine rotation with multiple learning modalities as a core element of clerkship at every medical school.
急诊医学是加拿大医学院中一门不断发展的学科。关于医学生在医学博士课程实习阶段对急诊医学培训的偏好，相关文献鲜有报道。我们评估了医学生对新开发的涉及多种学习方式的急诊医学实习轮转的看法。评估过程包括对轮转的教学要素和整体教育价值的评估。
第一批完成这个新的急诊医学实习的医学生在毕业前被邀请回答一份问卷。学生们使用配对比较来评估对轮转各组成部分的偏好。开放性问题探讨了学生对急诊医学实习的满意度以及对轮转对职业发展影响的看法。
在第一批实习的 94 名学生中，有 81 名（86%）回答了调查。学生们认为急诊医学实习非常有价值，他们提到了所见到的广泛病例、密切监督以及发展临床评估、决策和程序技能的机会。学生对课程的偏好是高级心脏生命支持（ACLS）（26.4%）、临床轮班（20.6%）、监督临床轮班（17.8%）、程序技能实验室（14.8%）、教程（10.8%）和导师辅助学习课程（9.8%）。
这个新的急诊医学实习项目在四周的轮转中结合了多种学习方法，受到学生的高度评价。尽管临床轮班和 ACLS 通常是首选的活动，但学生对特定学习活动的个人偏好存在差异。多种学习方法使所有学生都能从轮转中受益。这项研究有力地证明，在每所医学院的实习阶段，将包含多种学习模式的急诊医学轮转作为核心内容是合理的。
