Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Penn State College of Medicine, Penn State Milton S. Hershey Medical Center, 500 University Drive C5860 H041, Hershey, PA, 17033, USA,
Lung. 2014 Dec;192(6):829-32. doi: 10.1007/s00408-014-9652-z. Epub 2014 Oct 22.
Medical teaching methods are changing with students now encouraged to be self-learners, accruing more knowledge themselves, receiving less didactic instruction, utilizing more peer group interactions, and using more portable self-accessible technology to get medical information. Medical school curriculums are adapting with more simulated instruction, group analysis of clinical problems (problem-based learning), earlier exposure to patients and their evaluation, volunteer medical missions, and participation in relevant clinical research. But will these changes, especially the use of portable technology for retrieving medical information, enhance learning, and improve devising clinical strategy? To build clinical skills and confidence, it still seems relevant for the students and clinicians to evaluate patients in multiple locations under various circumstances. This is perhaps necessary during all phases of medical study, post-graduate training, research investigation, and in a medical career, including later phases when senior and elder faculty participate in medical teaching and/or provide health care. The emphasis of this perspective is to assess some of these clinical "settings" that reinforce learning skills and flexible clinical approaches.
医学教学方法正在随着学生的变化而变化,现在鼓励学生成为自主学习者,自己积累更多的知识,接受较少的讲授式教学,更多地利用同伴小组互动,使用更多便携式的自助技术来获取医学信息。医学院校的课程也在不断调整,增加了更多的模拟教学、临床问题的小组分析(以问题为基础的学习)、更早地接触患者及其评估、志愿者医疗任务以及参与相关的临床研究。但是,这些变化,尤其是使用便携式技术来检索医学信息,是否会增强学习效果,改善临床策略的制定?为了培养临床技能和信心,学生和临床医生似乎仍然需要在多种情况下在多个地点评估患者。这在医学学习的所有阶段、研究生培训、研究调查以及医疗职业生涯中都是必要的,包括高级和资深教员参与医学教学和/或提供医疗保健的后期阶段。本观点的重点是评估一些强化学习技能和灵活临床方法的临床“环境”。