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医学本科生实践生理学课程变革的必要性。

Need for Changes in the Practical Physiology Curriculum of Medical Undergraduates.

作者信息

Goyal Rajni, Garg Rajveer, Goyal Puneet Raj

机构信息

Associate Professor, Department of Physiology, Gian Sagar Medical College and Hospital, Ramnagar, Patiala, Punjab, India.

Consultant, Department of Neurosurgery, Ivy Hospital, Panchkula, Haryana, India.

出版信息

J Clin Diagn Res. 2017 Jun;11(6):CC06-CC08. doi: 10.7860/JCDR/2017/24341.9977. Epub 2017 Jun 1.

DOI:10.7860/JCDR/2017/24341.9977
PMID:28764149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5535342/
Abstract

INTRODUCTION

Physiology is one of the foundation sciences for the medical curriculum. It forms the basis of all life sciences. Physiology practical classes in India are divided into three sections: exercises in haematology, exercises on humans and experiments on amphibians. Faculty and students of medical schools in India are of the opinion that animal experiments should be discontinued, that the curriculum in experimental physiology and pharmacology needs to be updated, that the same understanding of topics could be obtained by using alternative methods and that there is an urgent need to introduce alternatives of animal experiments.

AIM

To assess the need for changes in the practical physiology curriculum of medical undergraduates.

MATERIALS AND METHODS

The study was conducted among 300 MBBS, second and third professional students using a semi-structured questionnaire. The questionnaire consisted of two sections: the first section was based on the current experimental physiology curriculum regarding the relevance of topics taught in haematology, amphibian and human practical classes. In the second section, the opinion was also sought regarding introduction of new topics related to recent advances in clinical physiology and basic clinical skills.

RESULTS

More than 60% of the students marked most of the haematology experiments useful. All the amphibian practicals were considered irrelevant/not useful by more than 75% of the students. Regarding the human experiments, more than 70% of the students marked useful. More than 65% students were of the opinion that basic clinical skills should be introduced at undergraduate level. More than 50% students favoured introduction of topics from recent advances in physiology.

CONCLUSION

The present study concludes that there is an imperative need to implement radical changes in the experimental physiology curriculum which should be in consonance with patient care for the doctors of tomorrow to render better health service.

摘要

引言

生理学是医学课程的基础科学之一。它构成了所有生命科学的基础。印度的生理学实践课程分为三个部分:血液学练习、人体练习和两栖动物实验。印度医学院校的教师和学生认为,动物实验应该停止,实验生理学和药理学课程需要更新,通过使用替代方法可以获得对主题的相同理解,并且迫切需要引入动物实验的替代方法。

目的

评估医学本科生实践生理学课程变革的必要性。

材料与方法

本研究采用半结构化问卷对300名医学学士二年级和三年级学生进行调查。问卷由两部分组成:第一部分基于当前的实验生理学课程,涉及血液学、两栖动物和人体实践课程中所教主题的相关性。在第二部分中,还征求了关于引入与临床生理学最新进展和基本临床技能相关的新主题的意见。

结果

超过60%的学生认为大多数血液学实验有用。超过75%的学生认为所有两栖动物实践不相关/无用。关于人体实验,超过70%的学生认为有用。超过65%的学生认为本科阶段应引入基本临床技能。超过50%的学生赞成引入生理学最新进展中的主题。

结论

本研究得出结论,迫切需要对实验生理学课程进行彻底变革,这应与为未来医生提供更好医疗服务的患者护理相一致。

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本文引用的文献

1
Faculty perceptions of the strengths, weaknesses and future prospects of the current medical undergraduate experimental physiology curriculum in Gujarat, India.
Indian J Physiol Pharmacol. 2015 Jan-Mar;59(1):109-16.
2
A survey validation and analysis of undergraduate medical biochemistry practical curriculum in maharashtra, India.印度马哈拉施特拉邦本科医学生物化学实践课程的调查验证与分析
Indian J Clin Biochem. 2012 Jan;27(1):52-60. doi: 10.1007/s12291-011-0174-7. Epub 2011 Nov 8.
3
Do faculty in Southern Indian medical colleges support animal use in postgraduate education more than in undergraduate education?印度南部医学院的教师是否更支持将动物用于研究生教育而非本科生教育?
Altern Lab Anim. 2012 Jul;40(3):165-74. doi: 10.1177/026119291204000309.
4
An imperative need to change pharmacology curriculum: A pilot survey.变革药理学课程的迫切需求:一项初步调查。
Indian J Pharmacol. 2010 Dec;42(6):420. doi: 10.4103/0253-7613.71901.
5
Graduates from a traditional medical curriculum evaluate the effectiveness of their medical curriculum through interviews.传统医学课程的毕业生通过访谈来评估他们的医学课程的有效性。
BMC Med Educ. 2009 Oct 26;9:64. doi: 10.1186/1472-6920-9-64.
6
Students' perceptions of effective learning experiences in dental school: a qualitative study using a critical incident technique.牙科学生对牙科学院有效学习经历的认知:一项运用关键事件技术的定性研究
J Dent Educ. 2006 Feb;70(2):124-32.