Kraj Barbara, Pretlow Lester, Russell Barbara
Georgia Health Sciences University, Department of Medical Laboratory, Imaging, and Radiologic Sciences, Augusta, 30912-0800, USA.
Clin Lab Sci. 2011 Fall;24(4 Suppl):4-31-6.
As new molecular assays are developed in research laboratories and approved by the Food and Drug Administration (FDA) for clinical use, molecular diagnostics becomes an integral discipline of clinical laboratory science. Since 2001, guidelines of the National Accreditation Agency for Clinical Laboratory Science (NAACLS) have required that CLS Educational Programs incorporate molecular diagnostics into the curriculum.
In fall of 2005, CLS faculty/researchers, affiliated with a baccalaureate program in an academic medical university, incorporated molecular diagnostic lecture content with online virtual laboratories into the Clinical Chemistry course. Then beginning in fall of 2006, manual performance of molecular laboratory exercises was introduced.
The aim of this study was to assess whether inclusion of hands-on molecular laboratories improved student outcomes on molecular questions during the final course examination.
CLS faculty evaluated student learning by written examination of lecture and laboratory content. Researchers performed two-sample t-tests to establish if significant differences existed in molecular questions scores achieved by students exposed to virtual and hands-on exercises.
The researchers found a statistically significant difference in examination performance between the students that had a hands-on experience and students with virtual laboratory experience only. Further data analysis suggested that hands-on experiential laboratories had the greatest effect on students who performed in the middle percentiles.
The researchers proposed that in order to improve examination scores of the weakly performing students other interventions may be necessary such as more lecture or laboratory time. This prompted development of a full time clinical molecular methods course, separate from Clinical Chemistry.
随着研究实验室开发出新的分子检测方法并获得美国食品药品监督管理局(FDA)批准用于临床,分子诊断学成为临床检验科学不可或缺的一门学科。自2001年以来,美国临床检验科学国家认证机构(NAACLS)的指南要求临床检验科学(CLS)教育项目将分子诊断学纳入课程。
2005年秋季,一所学术性医科大学中与一个本科学位项目相关的临床检验科学(CLS)教师/研究人员,将分子诊断学讲座内容与在线虚拟实验室融入临床化学课程。然后从2006年秋季开始,引入了分子实验室练习的实际操作。
本研究的目的是评估在课程期末考试中,纳入实际操作的分子实验室是否能提高学生在分子问题上的成绩。
临床检验科学(CLS)教师通过对讲座和实验室内容的笔试来评估学生的学习情况。研究人员进行双样本t检验,以确定接触虚拟练习和实际操作练习的学生在分子问题得分上是否存在显著差异。
研究人员发现,有实际操作经验的学生和仅有虚拟实验室经验的学生在考试成绩上存在统计学上的显著差异。进一步的数据分析表明,实际操作体验实验室对成绩处于中等百分位数的学生影响最大。
研究人员提出,为了提高成绩较差学生的考试分数,可能需要采取其他干预措施,如增加讲座或实验室时间。这促使开设了一门独立于临床化学的全日制临床分子方法课程。