Lyons-Warren Ariel M, Kirby John P, Larsen Douglas P
Washington University in St. Louis School of Medicine, St Louis, Missouri.
Department of Surgery, Washington University in St. Louis School of Medicine, St Louis, Missouri.
J Surg Res. 2016 Dec;206(2):273-279. doi: 10.1016/j.jss.2016.08.022. Epub 2016 Aug 12.
Self-regulated learning, including student-generated learning goals and flexibility in the learning structure are increasingly being used to enhance medical education. The role of these practices in surgical education of medical students has not been studied.
We administered an 18-question electronic survey to all third-year medical students at Washington University in St. Louis School of Medicine. Of the 126 students invited, 64 responded and 56 were included in the analysis.
We found that third-year medical students develop learning goals at the beginning of the surgery clerkship. Although these learning goals theoretically can be a mechanism for enhanced student-faculty engagement, students are not aware of formal mechanisms for sharing these goals with faculty members. Furthermore, students report a lack of flexibility within the surgery clerkship and discomfort with requesting specific learning opportunities. Finally, students report that they believe increased flexibility could improve student engagement, learning, and the overall clerkship experience.
We therefore propose that a mechanism for students to share their learning goals with faculty and an infrastructure in which student learning experiences can be tailored to fit with these individualized goals would enhance student surgical learning.
自我调节学习,包括学生自主设定学习目标以及在学习结构上的灵活性,正越来越多地被用于加强医学教育。这些做法在医学生外科教育中的作用尚未得到研究。
我们对圣路易斯华盛顿大学医学院所有三年级医学生进行了一项包含18个问题的电子调查。在受邀的126名学生中,64人回复,56人纳入分析。
我们发现三年级医学生在外科实习开始时会制定学习目标。虽然从理论上讲,这些学习目标可以成为加强师生互动的一种机制,但学生并不了解与教师分享这些目标的正式机制。此外,学生们表示外科实习缺乏灵活性,且对请求特定学习机会感到不自在。最后,学生们报告称,他们认为增加灵活性可以提高学生的参与度、学习效果以及整体实习体验。
因此,我们建议建立一种机制,让学生能够与教师分享他们的学习目标,并构建一个基础设施,使学生的学习体验能够根据这些个性化目标进行调整,这将提升学生的外科学习效果。