插读明智吗？一项探索插读学位价值及英国近期学费上涨可能带来影响的双中心横剖研究。
Is it intelligent to intercalate? A two centre cross-sectional study exploring the value of intercalated degrees, and the possible effects of the recent tuition fee rise in England.
机构信息
University of Bristol, Bristol, UK.
出版信息
BMJ Open. 2013 Jan 24;3(1):e002193. doi: 10.1136/bmjopen-2012-002193.
AIMS AND OBJECTIVES
To explore the value of intercalated degrees, including student perceptions and academic sequelae. To gauge the likely effect of the recent tuition fee rise and to identify any differences in intercalated degrees between Bristol and Sheffield universities.
DESIGN
Cross-sectional study using questionnaires.
SETTING
Bristol and Sheffield Medical Schools, UK.
PARTICIPANTS
1484 medical students in their clinical years were e-mailed the questionnaire. 578 students responded: 291 from Bristol and 287 from Sheffield (n=578; mean age=22.41; SD 1.944; 38.9% male; 61.1% female). The response rate from previous intercalators was 52.5% from Bristol and 58.7% from Sheffield, while for non-intercalators it was 27.7% and 34.6%, respectively.
MAIN OUTCOME MEASURES
(1) Student preconceptions, opinions, results and academic sequelae from intercalated degrees at both centres. (2) Students' attitudes concerning the effect of the increase in tuition fees.
RESULTS
Those with clinical academic supervisors gained significantly more posters (p=0.0002) and publications (p<0.0001), and also showed a trend to gain more first class honours (p=0.055). Students at Sheffield had a significantly greater proportion of clinical academic supervisors than students at Bristol (p<0.0001). 89.2% said that an intercalated degree was the right decision for them; however, only 27.4% stated they would have intercalated if fees had been £9000 per annum.
CONCLUSIONS
Students clearly value intercalated degrees, feel they gained a substantial advantage over their peers as well as skills helpful for their future careers. The rise in tuition fees is likely to reduce the number of medical students opting to undertake an intercalated degree, and could result in a further reduction in numbers following an academic path. Sheffield University have more intercalating students supervised by clinical academics. Clinical academics appear more effective as supervisors for medical students undertaking an intercalated degree in terms of results and additional academic sequelae.
目的和目标
探索插班学位的价值，包括学生的看法和学术后果。评估最近学费上涨的可能影响，并确定布里斯托和谢菲尔德大学之间插班学位的差异。
设计
使用问卷的横断面研究。
地点
英国布里斯托和谢菲尔德医学院。
参与者
1484 名临床年级医学生通过电子邮件发送了问卷。578 名学生做出了回应：291 名来自布里斯托，287 名来自谢菲尔德（n=578；平均年龄=22.41；SD 1.944；38.9%男性；61.1%女性）。来自布里斯托的前插班生的回应率为 52.5%，来自谢菲尔德的回应率为 58.7%，而非插班生的回应率分别为 27.7%和 34.6%。
主要观察指标
（1）两所中心的学生对插班学位的先入为主的看法、意见、结果和学术后果。（2）学生对学费上涨影响的态度。
结果
那些有临床学术导师的学生获得了显著更多的海报（p=0.0002）和出版物（p<0.0001），并且也表现出获得更多一等荣誉的趋势（p=0.055）。谢菲尔德的学生比布里斯托的学生有更多的临床学术导师（p<0.0001）。89.2%的学生表示插班学位是他们的正确决定；然而，只有 27.4%的学生表示如果学费为每年 9000 英镑，他们会插班。
结论
学生显然重视插班学位，认为他们比同龄人获得了实质性的优势，同时也获得了对未来职业生涯有帮助的技能。学费上涨可能会减少选择攻读插班学位的医学生人数，如果学费上涨到每年 9000 英镑，那么选择插班的人数可能会进一步减少。谢菲尔德大学有更多的临床学术导师指导插班生。临床学术导师在插班生的成绩和额外的学术后果方面似乎更有效地作为导师。
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