Swinford A E, McKeag D B
College of Human Medicine, Michigan State University, East Lansing.
Am J Hum Genet. 1990 Oct;47(4):753-8.
There has been recent interest in the development of problem-based human genetics curricula in U.S. medical schools. The College of Human Medicine at Michigan State University has had a problem-based curriculum since 1974. The vertical integration of genetics within the problem-based curriculum, called "Track II," has recently been revised. On first inspection, the curriculum appeared to lack a significant genetics component; however, on further analysis it was found that many genetics concepts were covered in the biochemistry, microbiology, pathology, and clinical science components. Both basic science concepts and clinical applications of genetics are covered in the curriculum by providing appropriate references for basic concepts and including inherited conditions within the differential diagnosis in the cases studied. Evaluations consist of a multiple-choice content exam and a modified essay exam based on a clinical case, allowing evaluation of both basic concepts and problem-solving ability. This curriculum prepares students to use genetics in a clinical context in their future careers.
最近,美国医学院对基于问题的人类遗传学课程的开发产生了兴趣。密歇根州立大学人类医学院自1974年起就采用了基于问题的课程。基于问题的课程中遗传学的纵向整合,即“第二轨道”,最近进行了修订。乍一看,该课程似乎缺乏重要的遗传学内容;然而,进一步分析发现,许多遗传学概念在生物化学、微生物学、病理学和临床科学部分都有涉及。通过为基本概念提供适当的参考文献,并在研究的病例鉴别诊断中纳入遗传疾病,该课程涵盖了遗传学的基础科学概念和临床应用。评估包括多项选择题内容考试和基于临床病例的改良短文考试,从而能够对基本概念和解决问题的能力进行评估。该课程使学生为在未来职业生涯中将遗传学应用于临床环境做好准备。