Darragh Lynn, Baker Robin, Kirk Stephen
Speciality Trainee Year 7, Department of General Surgery The Ulster Hospital, Upper Newtownards Road, Belfast, BT16 1RH.
Consultant Vascular Surgeon, School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast Mulhouse Building, Royal Victoria Hospital, Belfast BT16 1RH.
Ulster Med J. 2015 Jan;84(1):37-41.
The approach to and delivery of medical student education has undergone significant change within the last decade. There has been a shift away from didactic lectures to small group tutorials, facilitated by clinicians. Anecdotally there is an impression that enthusiasm for teaching is waning. The aim of this qualitative study is to assess the current attitudes of consultants, across all specialities, to teaching medical students in small group settings.
A Likert scale questionnaire, relating to teaching medical students in small group tutorials, was distributed via email to all consultants working in one region. Questions considered the categories: attitudes to teaching, financial considerations, time constraints and attitudes to students.
367 responses were received. 72% of responders were actively involved in teaching. 72% of respondents indicated that medical students should be taught by consultants and 80% felt that teaching medical students was enjoyable. 60% felt they were not financially remunerated for teaching and 50% indicated teaching was not included in job plans; despite this a significant proportion of these respondents remain involved in teaching (68%). Non-teachers were more likely to indicate that teaching was not paid for (p=0.003). 78% indicated consultants do not have adequate time to teach medical students. 82% felt that medical students appreciate consultant led teaching but only 55% felt students had an appropriate level of enthusiasm for learning.
Consultants in this Deanery are actively involved in medical student teaching and enjoy it. Consultants perceive that they are not adequately financially rewarded but for the most part this is not a deterrent. Time constraints are an issue and there is a desire to have teaching included in job plans to counteract this. Most consultants are complimentary about student attitudes but there is a perception that medical students need to contribute more to their own learning.
在过去十年中，医学生教育的方式和授课情况发生了重大变化。已从传统的讲授式讲座转向由临床医生指导的小组辅导教学。据传闻，人们感觉对教学的热情正在消退。这项定性研究的目的是评估所有专业的顾问医生目前对在小组环境中教授医学生的态度。
通过电子邮件向一个地区工作的所有顾问医生发放了一份与小组辅导教学医学生相关的李克特量表问卷。问题涉及以下类别：教学态度、财务考量、时间限制和对学生的态度。
共收到367份回复。72%的回复者积极参与教学。72%的受访者表示医学生应由顾问医生授课，80%的人认为教授医学生很有趣。60%的人觉得他们的教学没有经济报酬，50%的人表示教学未纳入工作计划；尽管如此，这些受访者中仍有很大比例（68%）继续参与教学。非教师更有可能表示教学没有报酬（p=0.003）。78%的人表示顾问医生没有足够时间教授医学生。82%的人认为医学生欣赏由顾问医生主导的教学，但只有55%的人觉得学生有适当的学习热情。
该地区的顾问医生积极参与医学生教学并从中获得乐趣。顾问医生认为他们没有得到足够的经济回报，但在很大程度上这并不是阻碍。时间限制是一个问题，人们希望将教学纳入工作计划以解决这一问题。大多数顾问医生对学生的态度表示赞赏，但有人认为医学生需要在自己的学习中付出更多努力。
