Brown R L, Byrne K
Department of Family Medicine, Jefferson Medical College, Philadelphia.
Fam Med. 1990 Jul-Aug;22(4):288-92.
A computer-assisted curriculum on early diagnosis of substance abuse was developed for third-year medical students on their required family medicine rotation. Three computer-assisted instruction modules on early diagnosis, attitudes, and screening questionnaires were followed by two conferences: 1) a discussion and review session, and 2) a tutorial and role playing on engaging patients with substance abuse in treatment. Finally, students identified an ambulatory patient at risk for substance abuse and performed an evaluation. All 33 unselected students gave high ratings to all of the learning activities and the entire curriculum. Almost all were satisfied with the emphasis on substance abuse in their clerkship and expressed motivation to learn more. Student acceptance of teaching on substance abuse can be attained by a curriculum in which goals, objectives, and expectations are delineated clearly; in which the content is clinically relevant; which uses computer-assisted instruction, role playing, and a clinical exercise to stimulate problem-solving and skill development; in which conferences are discussion oriented; and for which pretests are used to promote learner receptivity.
为三年级医学生在必修的家庭医学轮转课程中开发了一个关于药物滥用早期诊断的计算机辅助课程。在关于早期诊断、态度和筛查问卷的三个计算机辅助教学模块之后，紧接着是两次会议：1）一次讨论和复习会议，以及2）一次关于促使药物滥用患者接受治疗的辅导和角色扮演会议。最后，学生们确定了一名有药物滥用风险的门诊患者并进行了评估。所有33名未经挑选的学生对所有学习活动和整个课程都给予了高度评价。几乎所有人都对他们实习期间对药物滥用的重视感到满意，并表示有动力学习更多相关知识。通过这样一个课程可以实现学生对药物滥用教学的接受，该课程明确界定了目标、目的和期望；内容与临床相关；使用计算机辅助教学、角色扮演和临床练习来激发问题解决和技能发展；会议以讨论为导向；并且使用预测试来提高学习者的接受度。
