Fleming Patrick, Heath Olga, Goodridge Alan, Curran Vernon
Faculty of Medicine, Memorial University of Newfoundland, St. John's, Canada.
Division of Dermatology, University of Toronto, Toronto, Canada.
BMC Med Educ. 2015 Jun 4;15:99. doi: 10.1186/s12909-015-0387-1.
Ongoing course evaluation is a key component of quality improvement in higher education. The complexities associated with delivering high quality medical education programs involving multiple lecturers can make course and instructor evaluation challenging. We describe the implementation and evaluation of an "intensive course review protocol" in an undergraduate medical program
We examined pre-clerkship courses from 2006 to 2011 - prior to and following protocol implementation. Our non-parametric analysis included Mann-Whitney U tests to compare the 2006/07 and 2010/11 academic years.
We included 30 courses in our analysis. In the 2006/07 academic year, 13/30 courses (43.3 %) did not meet the minimum benchmark and were put under intensive review. By 2010/11, only 3/30 courses (10.0 %) were still below the minimum benchmark. Compared to 2006/07, courses ratings in the 2010/11 year were significantly higher (p = 0.004). However, during the study period mean response rates fell from 76.5 % in 2006/07 to 49.7 % in 2010/11.
These results suggest an intensive course review protocol can have a significant impact on pre-clerkship course ratings in an undergraduate medical program. Reductions in survey response rates represent an ongoing challenge in the interpretation of student feedback.
持续的课程评估是高等教育质量提升的关键组成部分。提供涉及多名讲师的高质量医学教育项目所带来的复杂性，可能会使课程和教师评估具有挑战性。我们描述了本科医学项目中“强化课程审查方案”的实施与评估情况。
我们研究了2006年至2011年临床实习前课程——方案实施前后的情况。我们的非参数分析包括使用曼-惠特尼U检验来比较2006/07学年和2010/11学年。
我们的分析纳入了30门课程。在2006/07学年，30门课程中有13门（43.3%）未达到最低基准并被进行强化审查。到2010/11年，只有30门课程中的3门（10.0%）仍低于最低基准。与2006/07年相比，2010/11年课程评分显著更高（p = 0.004）。然而，在研究期间，平均回复率从2006/07年的76.5%降至2010/11年的49.7%。
这些结果表明，强化课程审查方案可对本科医学项目临床实习前课程评分产生重大影响。调查回复率的降低是学生反馈解读中持续存在的挑战。
