Lewis A P, Bolden K J
J R Coll Gen Pract. 1989 May;39(322):187-9.
Continuing medical education sessions are often poorly attended by general practitioners. One reason may be that these traditionally consist of lectures by hospital consultants with a strong theoretical bias which may have little relevance to the learning needs of general practitioners. To compare the learning styles of teachers and learners in general practice, learning style questionnaires were administered to 50 hospital clinical tutors, 78 general practitioner trainers, 63 trainees and 47 non-trainer principals. The questionnaire covered four different learning preferences: activist, reflector, theorist and pragmatist. The findings showed that the learning styles of hospital tutors and general practitioner trainers were statistically significantly different to those of non-trainer principals and trainees. The tutors and trainers scored much higher on theorist styles and to a lesser extent on reflector and pragmatist styles. There were no significant differences on activist scores. Since teachers tend to teach in their preferred learning style, which may not match the style of the recipients, these findings have implications for continuing medical education in general practice. These implications are discussed.
全科医生往往很少参加继续医学教育课程。一个原因可能是,这些课程传统上由医院顾问进行授课,理论性过强,可能与全科医生的学习需求几乎毫无关联。为了比较全科医疗中教师和学习者的学习风格,研究人员向50名医院临床导师、78名全科医生培训师、63名学员和47名非培训负责人发放了学习风格问卷。该问卷涵盖了四种不同的学习偏好:行动型、反思型、理论型和实用型。研究结果表明,医院导师和全科医生培训师的学习风格与非培训负责人和学员的学习风格在统计学上存在显著差异。导师和培训师在理论型风格上得分高得多,在反思型和实用型风格上得分相对较低。在行动型得分上没有显著差异。由于教师倾向于以自己偏好的学习风格进行教学,而这种风格可能与接受者的风格不匹配,因此这些研究结果对全科医疗中的继续医学教育具有启示意义。本文对此进行了讨论。