Edafe Ovie, Brooks William S, Laskar Simone N, Benjamin Miles W, Chan Philip
Sheffield Teaching Hospitals Foundation Trust, United Kingdom.
Kings Mill Hospital, United Kingdom.
Int J Med Educ. 2016 Mar 20;7:87-92. doi: 10.5116/ijme.56e3.e7ab.
This study examines the perceived impact of a novel clinical teaching method based on FAIR principles (feedback, activity, individuality and relevance) on students' learning on clinical placement.
This was a qualitative research study. Participants were third year and final year medical students attached to one UK vascular firm over a four-year period (N=108). Students were asked to write a reflective essay on how FAIRness approach differs from previous clinical placement, and its advantages and disadvantages. Essays were thematically analysed and globally rated (positive, negative or neutral) by two independent researchers.
Over 90% of essays reported positive experiences of feedback, activity, individuality and relevance model. The model provided multifaceted feedback; active participation; longitudinal improvement; relevance to stage of learning and future goals; structured teaching; professional development; safe learning environment; consultant involvement in teaching. Students perceived preparation for tutorials to be time intensive for tutors/students; a lack of teaching on medical sciences and direct observation of performance; more than once weekly sessions would be beneficial; some issues with peer and public feedback, relevance to upcoming exam and large group sizes. Students described negative experiences of "standard" clinical teaching.
Progressive teaching programmes based on the FAIRness principles, feedback, activity, individuality and relevance, could be used as a model to improve current undergraduate clinical teaching.
本研究探讨基于FAIR原则(反馈、活动、个性和相关性)的新型临床教学方法对学生临床实习学习的感知影响。
这是一项定性研究。参与者为在四年期间隶属于一家英国血管科的三年级和四年级医学生(N = 108)。要求学生撰写一篇反思性文章,阐述FAIRness方法与以往临床实习的不同之处及其优缺点。两名独立研究人员对文章进行了主题分析并进行了整体评分(积极、消极或中性)。
超过90%的文章报告了对反馈、活动、个性和相关性模型的积极体验。该模型提供了多方面的反馈;积极参与;纵向进步;与学习阶段和未来目标的相关性;结构化教学;专业发展;安全的学习环境;顾问参与教学。学生们认为,对导师/学生而言,准备辅导课耗时较长;缺乏医学科学教学和对表现的直接观察;每周进行一次以上的课程会有益处;同伴和公众反馈、与即将到来的考试的相关性以及大组规模存在一些问题。学生们描述了“标准”临床教学的负面经历。
基于FAIRness原则(反馈、活动、个性和相关性)的渐进式教学计划可作为改进当前本科临床教学的模式。