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将基于尸检案例的学习纳入博士生教育:弥合“实验室到临床”差距的新方法。

Incorporation of autopsy case-based learning into PhD graduate education: a novel approach to bridging the "bench-to-bedside" gap.

作者信息

Brooks Erin G, Thornton Joanne M, Ranheim Erik A, Fabry Zsuzsanna

机构信息

Department of Pathology and Laboratory Medicine, University of Wisconsin Hospital and Clinics, Madison, WI, 53792.

Department of Pathology and Laboratory Medicine, University of Wisconsin Hospital and Clinics, Madison, WI, 53792.

出版信息

Hum Pathol. 2017 Oct;68:1-6. doi: 10.1016/j.humpath.2017.03.006. Epub 2017 Mar 16.

Abstract

Given the current rapid expansion of biological knowledge and the challenges of translating that knowledge into clinical practice, finding effective methods of teaching graduate students clinical medicine concepts has become even more critical. The utility of autopsy in medical student and resident education has been well established. Multiple studies have reported it to be a helpful means of teaching anatomy, pathophysiology, clinical problem-solving skills, and medical diagnostic techniques. Although various models of training PhD candidates in clinical medicine have been reported, an autopsy-based curriculum has not been previously described. For over 4 years, our pathology department has offered a novel semester-long autopsy-based course to educate future Cellular and Molecular Pathology scientists about clinical medicine. Our results indicate that this "hands-on" approach is a popular as well as effective means of teaching the pathogenesis of disease at the level of the cell, organ, and patient. The course reputation has recently led to requests to open registration to graduate students from other university programs as well as undergraduate students. Additionally, it has played an important role in our Cellular and Molecular Pathology program's recent receipt of a 5-year renewal National Institutes of Health-funded T32 award. Overall, this course model has been successful at our own institution and could provide a useful template for other institutions seeking to provide graduate investigators with in-depth exposure to clinical medicine.

摘要

鉴于当前生物学知识的迅速扩展以及将这些知识转化为临床实践所面临的挑战,找到有效的方法来教授研究生临床医学概念变得愈发关键。尸检在医学生和住院医师教育中的效用已得到充分证实。多项研究报告称,尸检是教授解剖学、病理生理学、临床问题解决技能和医学诊断技术的一种有益手段。尽管已有报道介绍了多种培养临床医学博士生的模式,但此前尚未描述过基于尸检的课程。四年多来,我们病理科开设了一门为期一学期的新颖的基于尸检的课程,以培养未来的细胞与分子病理学科学家的临床医学知识。我们的结果表明,这种“实践操作”方法是在细胞、器官和患者层面教授疾病发病机制的一种既受欢迎又有效的手段。该课程的声誉近来引发了其他大学项目的研究生以及本科生要求开放注册的请求。此外,它在我们细胞与分子病理学项目最近获得美国国立卫生研究院资助的为期五年的T32更新奖中发挥了重要作用。总体而言,这种课程模式在我们自己的机构取得了成功,并且可以为其他寻求让研究生研究人员深入接触临床医学的机构提供一个有用的模板。

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