一项比较临床技能培训师资教学质量的对照试验：中国的临床教育家职业道路。

A controlled trial to compare the teaching quality of clinical-skills training faculty: the clinician-educator career path in China.

机构信息

a Department of Internal Medicine, West China School of Medicine , Sichuan University , Chengdu City , China.

出版信息

Teach Learn Med. 2014;26(2):146-52. doi: 10.1080/10401334.2014.892393.

DOI:10.1080/10401334.2014.892393

PMID:24702550

Abstract

BACKGROUND

Full-time clinician educators are becoming more predominant in China, yet their effect is unknown.

PURPOSES

The purpose of this study was to compare the teaching quality of full-time (FT) faculty with that of part-time (PT) faculty in one Chinese medical school.

METHODS

In 3 consecutive years, 881 3rd year medical students were enrolled and randomly distributed into two groups, being taught by either a FT faculty member or a PT faculty member. Their teaching quality was evaluated with student performance on a written exam, the standardized patient exam, and student satisfaction.

RESULTS

The students in the FT group always scored better on the written exam (1st year = 79.82 ± 9.2 vs. 81.26 ± 8.2, p < .188; 2nd year = 73.10 ± 9.8 vs. 76.51 ± 7.9, p = .001; 3rd year = 75.15 ± 9.0 vs. 79.51 ± 8.7, p < .0001). In the standardized patient exam, the students from FT groups always showed better performance in history taking and physical examination. Students continually gave higher evaluations to FT faculty in questionnaires (1st year = 76.8 ± 6.5 vs. 84.3 ± 2.2; 2nd year = 78.6 ± 3.9 vs. 89.7 ± 4.2; 3rd year = 75.8 ± 3.9 vs. 88.5 ± 3.5, all ps < .001).

CONCLUSIONS

The teaching quality of FT faculty in clinical-skills training is better than PT faculty in this study.

摘要

背景

全职临床教师在中国越来越普遍，但他们的效果尚不清楚。

目的

本研究旨在比较中国某医学院的全职（FT）教师和兼职（PT）教师的教学质量。

方法

连续 3 年，共招募了 881 名三年级医学生，将他们随机分为两组，分别由 FT 教员或 PT 教员授课。通过学生在笔试、标准化病人考试和学生满意度方面的表现来评估他们的教学质量。

结果

FT 组的学生在笔试中始终得分更高（第 1 年=79.82±9.2 与 81.26±8.2，p<.188；第 2 年=73.10±9.8 与 76.51±7.9，p=0.001；第 3 年=75.15±9.0 与 79.51±8.7，p<.0001）。在标准化病人考试中，FT 组的学生在病史采集和体格检查方面的表现始终更好。学生在问卷调查中对 FT 教师的评价一直更高（第 1 年=76.8±6.5 与 84.3±2.2；第 2 年=78.6±3.9 与 89.7±4.2；第 3 年=75.8±3.9 与 88.5±3.5，均 p<.001）。