Vanichnatee Thanapat, Sitticharoon Chantacha, Maprapho Punyapat, Keadkraichaiwat Issarawan, Charoenngam Nipith, Praditsuwan Rungnirand
Department of Physiology, Faculty of Medicine, Siriraj Hospital, Mahidol University , Bangkok , Thailand.
Adv Physiol Educ. 2018 Dec 1;42(4):619-625. doi: 10.1152/advan.00122.2018.
An early clinical exposure project conducted by clinical students aimed to promote direct clinical experience to preclinical students. The aim of this study was to determine the effects of the project on academic achievement and study attitudes and habits between participating and nonparticipating students before ( test 1) and after the project ( test 2) in the second preclinical year and at the end of the first semester of the first clinical year ( test 3), with a subgroup analysis of the first (lowest) to third (highest) tertile of the score. Questionnaires were sent to the first clinical year students at test 3 and asked the information retrospectively at test 1 and test 2 in second year preclinical and currently at test 3, with 83.86% (265/316) being returned. Mean percentile of scores was higher at test 2 compared with test 1 in the first tertile group of participating students. Motivation to study medicine (motivation), realization of application of preclinical knowledge to clinical study (application), understanding of clinical environment (environment), and lesson review after class (review) were higher for participating than nonparticipating students at test 2 and/or test 3. Searching additional study information was higher at test 2 compared with test 1 only for participating students. This project could effectively promote application, motivation, environment, and review for participating vs. nonparticipating students at test 2 and/or test 3. Effortless, intimate, and effective communication between clinical and preclinical students and a direct experience in early clinical exposure might be key success factors.
一项由临床专业学生开展的早期临床接触项目旨在为基础医学专业学生提供直接临床经验。本研究的目的是确定该项目对参与项目和未参与项目的学生在基础医学第二年项目开展前(测试1)、项目开展后(测试2)以及临床第一年第一学期末(测试3)的学业成绩、学习态度和习惯的影响,并对得分从第一(最低)到第三(最高)三分位数的学生进行亚组分析。在测试3时向临床第一年的学生发放问卷,让他们回顾基础医学第二年测试1和测试2时以及当前测试3时的信息,问卷回收率为83.86%(265/316)。在参与项目的学生的第一三分位数组中,测试2时的平均得分百分位数高于测试1。在测试2和/或测试3时,参与项目的学生在学习医学的动力(动机)、基础医学知识应用于临床学习的认识(应用)、对临床环境的理解(环境)以及课后复习(复习)方面均高于未参与项目的学生。仅在测试2时,参与项目的学生搜索额外学习信息的情况比测试1时有所增加。该项目在测试2和/或测试3时能有效促进参与项目与未参与项目学生的应用、动机、环境和复习。临床与基础医学专业学生之间轻松、密切且有效的沟通以及早期临床接触中的直接体验可能是关键成功因素。