Layne Kerry, Nabeebaccus Adam, Fok Henry, Lams Boris, Thomas Stephen, Kinirons Mark
Guy's and St Thomas' NHS Foundation Trust, London, UK.
Clin Teach. 2010 Jun;7(2):77-82. doi: 10.1111/j.1743-498X.2010.00357.x.
Over recent years there has been a shift in undergraduate medical education, from predominantly passive, didactic teaching methods to facilitating learning by focusing on the management of common scenarios, through the means of problem- and case-based learning.
Case-based learning and peer-led teaching are often overlooked at postgraduate level, despite the continuing demonstrated success of these methods in fostering independent reasoning and problem-solving skills that are vital for newly qualified doctors to develop. When trying to strike a balance between educational needs and service provision, it is essential to identify and implement efficient, effective approaches to optimise learning opportunities.
We have adapted the pre-existing framework of the American 'Morning Report' to suit the needs of today's junior doctors, creating a system of providing case-based learning paired with peer-led teaching.
We evaluated the educational model through a focus group session, and found that our Morning Report was a unique environment where junior doctors feel comfortable engaging with group case-based teaching, with the support and encouragement of senior consultants, reinforced with online case summaries and blog resources.
近年来,本科医学教育发生了转变,从主要采用被动的、说教式的教学方法,转向通过基于问题和案例的学习方式,专注于常见场景的管理来促进学习。
尽管基于案例的学习和同伴主导的教学在培养独立推理和解决问题的技能方面持续取得成功,而这些技能对新获得资格的医生的发展至关重要,但在研究生阶段,它们常常被忽视。在努力平衡教育需求和服务提供时,识别并实施高效、有效的方法以优化学习机会至关重要。
我们调整了美国“晨间汇报”的现有框架,以适应当今初级医生的需求,创建了一个将基于案例的学习与同伴主导的教学相结合的系统。
我们通过焦点小组会议对该教育模式进行了评估,发现我们的晨间汇报是一个独特的环境,在高级顾问的支持和鼓励下,初级医生在基于小组案例的教学中感到自在,在线案例总结和博客资源进一步强化了这种效果。