Gonçalves Guilherme
Serviço da Carreira Médica de Saúde Pública, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Portugal.
Acta Med Port. 2011 Dec;24 Suppl 2:467-78. Epub 2011 Dec 31.
The need to teach evidence-based public health to undergraduate medical students is clearly established. Following the Bologna reforms under way in many European universities and their medical schools, there is a recognised need to monitor teaching methods and their results (learning objectives). Within this framework, a new Public Health study unit was introduced in the fifth year of the Master in Medicine in a Portuguese Medical School (Instituto de Ciências Biomédicas Abel Salazar), in 2007.
At the end of the final written exam, a specifically developed questionnaire was given to all students to be completed anonymously. The questionnaire covered the areas of learning objectives and teaching methods and formats.
After an account of the contents and teaching methods used in the course unit, this paper will focus on the description and discussion of the results of a questionnaire, used in the academic years of 2008/2009 and 2009/2010. All students attending the final exams (n = 268) in these two years, succeeded in the study unit. From the 213 valid questionnaires it can be concluded that initially proposed learning objectives were successfully achieved. Moreover, final reported levels of competency were high for most objectives. The students preferred active teaching methods, such as group presentation and discussion, compared with passive approaches (eg classical lecture).
This study has methodological limitations, most of which derive from the use of a self-completed questionnaire that has not been previously validated. Nevertheless, results seem to show the success of the study unit, pointing to needed studies in the future. Teaching evidence-based public health to undergraduate medical students can be further assessed in the future.
向本科医学生教授循证公共卫生的必要性已明确确立。随着欧洲许多大学及其医学院正在进行的博洛尼亚改革,人们认识到有必要监测教学方法及其效果(学习目标)。在此框架内,2007年葡萄牙一所医学院(阿贝尔·萨拉查生物医学科学研究所)在医学硕士课程的第五年引入了一个新的公共卫生学习单元。
在期末考试结束时,向所有学生发放一份专门编制的问卷,要求他们匿名填写。问卷涵盖学习目标、教学方法和形式等方面。
在介绍了课程单元的内容和教学方法后,本文将重点描述和讨论2008/2009学年和2009/2010学年使用的一份问卷的结果。这两年参加期末考试的所有学生(n = 268)都通过了该学习单元。从213份有效问卷可以得出结论,最初提出的学习目标已成功实现。此外,大多数目标最终报告的能力水平都很高。与被动教学方法(如传统讲座)相比,学生更喜欢主动教学方法,如小组展示和讨论。
本研究存在方法学上的局限性,其中大部分源于使用了一份未经事先验证的自填式问卷。尽管如此,结果似乎表明该学习单元取得了成功,为未来的研究指明了方向。未来可以进一步评估向本科医学生教授循证公共卫生的情况。