Lee Shuh Shing, Hooi Shing Chuan, Pan Terry, Fong Chong Hui Ann, Samarasekera Dujeepa D
Centre for Medical Education, Yong Loo Lin School of Medicine, National University of Singapore.
Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore.
Korean J Med Educ. 2018 Dec;30(4):295-308. doi: 10.3946/kjme.2018.104. Epub 2018 Dec 1.
Although medical curricula are now better structured for integration of biomedical sciences and clinical training, most teaching and learning activities still follow the older teacher-centric discipline-specific formats. A newer pedagogical approach, known as Collaborative Learning Cases (CLCs), was adopted in the medical school to facilitate integration and collaborative learning. Before incorporating CLCs into the curriculum of year 1 students, two pilot runs using the action research method was carried out to improve the design of CLCs.
We employed the four-phase Kemmis and McTaggart's action research spiral in two cycles to improve the design of CLCs. A class of 300 first-year medical students (for both cycles), 11 tutors (first cycle), and 16 tutors (second cycle) were involved in this research. Data was collected using the 5-points Likert scale survey, open-ended questionnaire, and observation.
From the data collected, we learned that more effort was required to train the tutors to understand the principles of CLCs and their role in the CLCs sessions. Although action research enables the faculty to improve the design of CLCs, finding the right technology tools to support collaboration and enhance learning during the CLCs remains a challenge.
The two cycles of action research was effective in helping us design a better learning environment during the CLCs by clarifying tutors' roles, improving group and time management, and meaningful use of technology.
尽管现在医学课程在生物医学科学与临床培训的整合方面结构更佳,但大多数教学活动仍遵循以教师为中心的、特定学科的旧有模式。医学院采用了一种名为协作学习案例(CLCs)的新教学方法,以促进整合与协作学习。在将CLCs纳入一年级学生课程之前,采用行动研究方法进行了两次试点运行,以改进CLCs的设计。
我们在两个周期中采用了四阶段的凯米斯和麦克塔格特行动研究螺旋,以改进CLCs的设计。本研究涉及一个由300名一年级医学生组成的班级(两个周期均参与)、11名导师(第一个周期)和16名导师(第二个周期)。使用5点李克特量表调查、开放式问卷和观察收集数据。
从收集到的数据中,我们了解到需要付出更多努力来培训导师,使其理解CLCs的原则及其在CLCs课程中的角色。尽管行动研究使教师能够改进CLCs的设计,但找到合适的技术工具来支持协作并提高CLCs期间的学习效果仍然是一个挑战。
这两个周期的行动研究有效地帮助我们在CLCs期间设计了一个更好的学习环境,方法是明确导师的角色、改善小组和时间管理以及有意义地使用技术。