Centre for Excellence in Developing Professionalism, School of Medical Education University of Liverpool, Cedar House, Ashton Street, Liverpool, L69 3GE, UK.
BMC Med Educ. 2010 Sep 29;10:65. doi: 10.1186/1472-6920-10-65.
In 1996 Liverpool reformed its medical curriculum from a traditional lecture based course to a curriculum based on the recommendations in Tomorrow's Doctors. A project has been underway since 2000 to evaluate this change. This paper focuses on the views of graduates from that reformed curriculum 6 years after they had graduated.
Between 2007 and 2009 45 interviews took place with doctors from the first two cohorts to graduate from the reformed curriculum.
The interviewees felt like they had been clinically well prepared to work as doctors and in particular had graduated with good clinical and communication skills and had a good knowledge of what the role of doctor entailed. They also felt they had good self directed learning and research skills. They did feel their basic science knowledge level was weaker than traditional graduates and perceived they had to work harder to pass postgraduate exams. Whilst many had enjoyed the curriculum and in particular the clinical skills resource centre and the clinical exposure of the final year including the "shadowing" and A & E attachment they would have liked more "structure" alongside the PBL when learning the basic sciences.
According to the graduates themselves many of the aims of curriculum reform have been met by the reformed curriculum and they were well prepared clinically to work as doctors. However, further reforms may be needed to give confidence to science knowledge acquisition.
1996 年,利物浦对其医学课程进行了改革,从传统的基于讲座的课程转变为基于《明日医生》建议的课程。自 2000 年以来,一直在进行一个项目来评估这一变化。本文重点关注的是那些从改革课程毕业 6 年后的毕业生的观点。
在 2007 年至 2009 年期间,对前两批从改革课程毕业的医生进行了 45 次访谈。
受访者认为他们在临床方面已经做好了充分的准备,可以胜任医生的工作,特别是他们毕业时已经具备了良好的临床和沟通技能,并且对医生的角色有很好的了解。他们还认为自己具有良好的自主学习和研究能力。他们确实觉得自己的基础科学知识水平比传统毕业生薄弱,并且认为自己必须更加努力才能通过研究生考试。虽然许多人喜欢该课程,特别是临床技能资源中心和最后一年的临床实习,包括“影子医生”和急诊实习,但他们希望在学习基础科学时,能够在 PBL 之外获得更多的“结构”。
根据毕业生自己的说法,改革课程在很大程度上实现了课程改革的目标,他们在临床方面已经做好了充分的准备,可以胜任医生的工作。然而,可能需要进一步改革,以增强他们对获取科学知识的信心。