Mayes Jonathan, Davies Simon, Harris Andrew, Wray Emma, Dark Graham G
Newcastle University, Newcastle upon Tyne, UK.
Medical Oncology and Cancer Education, Northern Centre for Cancer Care, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, UK.
J Cancer Educ. 2018 Feb;33(1):174-179. doi: 10.1007/s13187-016-1101-7.
Statistics show that more than one in two people born after 1960 in the UK will develop cancer during their lifetime. However, a 2013 study found that only 36 % of UK medical schools offer dedicated clinical teaching in oncology. The aim of this study was to assess the views of medical students on five domains of oncology before and after their first clinical placement, to assess the impact, and to obtain students' views on the oncology curriculum. A 28-item questionnaire was developed to compare responses before and after the students' first 2-week clinical placement, and impact was measured as a positive or negative deviation from a baseline response. Students were asked about their career intentions and to evaluate their received teaching. Thirty-six (80 %) students responded to the questionnaire. The largest areas of change were identified in students' confidence in breaking bad news, recognising red flag symptoms, and awareness of the complications of cancer management. Following their placement, 19 students said they would consider a career in oncology, 14 said they would not, and 2 were undecided. Students stated that Maggie's Centre, a patient support facility, was the most useful learning experience. The evidence demonstrates that all students should experience oncology in a variety of settings to aid their learning. Student feedback and perception can help to guide and shape medical teaching.
统计数据显示，英国1960年以后出生的人中有超过二分之一在其一生中会患上癌症。然而，2013年的一项研究发现，英国只有36%的医学院提供专门的肿瘤学临床教学。本研究的目的是评估医学生在首次临床实习前后对肿瘤学五个领域的看法，评估其影响，并了解学生对肿瘤学课程的看法。设计了一份包含28个条目的问卷，用于比较学生在首次为期两周的临床实习前后的回答，并将影响衡量为相对于基线回答的正向或负向偏差。询问了学生的职业意向并让他们对所接受的教学进行评估。三十六名（80%）学生回复了问卷。变化最大的方面体现在学生在告知坏消息、识别警示症状以及对癌症治疗并发症的认识方面的信心。实习结束后，19名学生表示他们会考虑从事肿瘤学职业，14名学生表示不会，2名学生尚未决定。学生们表示，患者支持机构玛吉中心是最有用的学习体验。证据表明，所有学生都应在各种环境中体验肿瘤学以促进学习。学生的反馈和看法有助于指导和塑造医学教学。
