Scott Karen M, Charles Antony Robert, Holland Andrew J A
Discipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, New South Wales, Australia.
ANZ J Surg. 2013 Oct;83(10):709-12. doi: 10.1111/ans.12213. Epub 2013 May 17.
Embryology finds itself jostling for precious space in the crowded medical curriculum, yet remains important for helping students understand birth defects. It has been suggested that teaching embryology through clinical scenarios can increase its relevance and interest. The aim of this research was to determine the attitudes of final-year medical students to learning embryology and whether clinical scenarios aid understanding.
Final-year medical students undertaking their paediatric rotation in 2009 and 2010 were invited to attend an optional lecture on clinical embryology and participate in the research. In the lecture, three clinical scenarios were presented, in which the lecturer traced the normal development of a foetus and the abnormal development that resulted in a birth defect. Outcomes were assessed quantitatively using a paper-based survey.
The vast majority of students who valued embryology teaching in their medical programme thought it would assist them with clinical management, and believed learning through case scenarios helped their understanding. Students were divided in their beliefs about when embryology should be taught in the medical programme and whether it would increase their workload.
Embryology teaching appears to be a valuable part of the medical curriculum. Embryology teaching was valued when taught in the clinical environment in later years of the medical programme. Students, clinicians and medical educators should be proactive in finding clinical learning opportunities for embryology teaching.
胚胎学在拥挤的医学课程中争夺着宝贵的空间，但对于帮助学生理解出生缺陷仍然很重要。有人提出通过临床案例来教授胚胎学可以提高其相关性和趣味性。本研究的目的是确定医学专业最后一年学生对学习胚胎学的态度，以及临床案例是否有助于理解。
邀请2009年和2010年进行儿科轮转的医学专业最后一年学生参加一场关于临床胚胎学的选修讲座并参与研究。在讲座中，展示了三个临床案例，讲师在其中追溯了胎儿的正常发育以及导致出生缺陷的异常发育过程。通过纸质调查问卷对结果进行定量评估。
绝大多数在医学课程中重视胚胎学教学的学生认为这将有助于他们的临床管理，并相信通过案例学习有助于理解。学生们在关于胚胎学应在医学课程的何时教授以及这是否会增加他们的工作量的看法上存在分歧。
胚胎学教学似乎是医学课程的一个有价值的部分。在医学课程后期的临床环境中进行胚胎学教学时受到重视。学生、临床医生和医学教育工作者应积极寻找胚胎学教学的临床学习机会。
