Di Genova Tanya, Valentino Pamela L, Gosselin Richard, Bhanji Farhan
Department of Pediatrics, McGill University, Montreal Children's Hospital, Montreal, Quebec;
Department of Pediatrics, University of Toronto, The Hospital for Sick Children, Toronto, Ontario;
Paediatr Child Health. 2015 Jan-Feb;20(1):30-4. doi: 10.1093/pch/20.1.30.
The Montreal Children's Hospital Pediatric Residency Program redesigned its Academic Half-Day based on program concerns consistent with the published literature. These concerns included inadequate preparation for general paediatric practice, gaps in CanMEDS education and exclusive use of didactic lectures. Novel instructional methods included monthly simulation sessions to learn CanMEDS competencies, increased use of general paediatricians as instructors, implementation of a 'systems-based' curriculum and development of self-directed learning skills through activities such as 'Residents as Teachers'.
A postimplementation online survey was sent to all 18 residents who had been exposed to both curricula. The survey was designed to determine the impact of the new curriculum on their perceived ability to retain information and acquire the competencies of a general paediatrician, and to assess the effect on their self-directed learning. Responses were recorded on a five-point Likert scale ranging from 'strongly disagree' to 'strongly agree'.
Fourteen of 18 (78%) residents completed the survey. All residents preferred the 'systems-based' educational program. Seventy-nine percent of all residents agreed that the simulation sessions were an effective method of learning the CanMEDS competencies. Importantly, 64% of residents voluntarily read more about the topics presented and 71% agreed that they retained the content better. Moreover, 79% believed that changes made to the teaching curriculum better prepared them for a general paediatric practice and 64% of residents believed that it better 'supplements' learning in the clinical setting.
The authors propose that the new curriculum is comprehensive, while developing the skills required for life-long learning as a general paediatrician.
蒙特利尔儿童医院儿科住院医师培训项目根据与已发表文献一致的项目关注点，重新设计了其学术半天课程。这些关注点包括对普通儿科实践准备不足、加拿大医学教育方向（CanMEDS）教育存在差距以及教学讲座的单一使用。新的教学方法包括每月进行模拟课程以学习CanMEDS能力、增加普通儿科医生作为指导教师的使用、实施“基于系统”的课程以及通过“住院医师即教师”等活动培养自主学习技能。
向所有18名接触过两种课程的住院医师发送了实施后的在线调查问卷。该调查旨在确定新课程对他们认为保留信息和获得普通儿科医生能力的影响，并评估对他们自主学习的效果。回答记录在从“强烈不同意”到“强烈同意”的五点李克特量表上。
18名住院医师中有14名（78%）完成了调查。所有住院医师都更喜欢“基于系统”的教育项目。79%的住院医师认为模拟课程是学习CanMEDS能力的有效方法。重要的是，64%的住院医师自愿更多地阅读所呈现的主题，71%的住院医师认为他们对内容的保留更好。此外，79%的人认为教学课程的改变使他们为普通儿科实践做好了更好的准备，64%的住院医师认为它更好地“补充”了临床环境中的学习。
作者提出新课程是全面的，同时培养了作为普通儿科医生终身学习所需的技能。
