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日本医学院校的医学生团队教学。

Interprofessional education in medical schools in Japan.

机构信息

Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

出版信息

PLoS One. 2019 Jan 17;14(1):e0210912. doi: 10.1371/journal.pone.0210912. eCollection 2019.

Abstract

Interprofessional education (IPE) for medical students is becoming increasingly important, as reflected in the increasing number of medical schools adopting IPE. However, the current status of and barriers to pre-registration IPE implementation in Japanese medical schools remain unknown. The purpose of this study was to clarify the status and barriers of IPE implementation in medical schools in Japan. We conducted a curriculum survey from September to December 2016 of all 81 medical schools in Japan. We mailed the questionnaire and asked the schools' undergraduate education staff to respond. The survey items were the IPE implementation status and barriers to program implementation. Sixty-four of the 81 schools responded (response rate 79.0%), of which 46 (71.9%) had implemented IPE, 42 (89.1%) as compulsory programs. Half of IPE programs were implemented in the first 2 years, while less than 10% were implemented in the latter years of medical programs. As part of the IPE programs, medical students collaborated with a wide range of professional student groups. The most common learning strategy was lectures. However, one-third of IPE programs used didactic lectures without interaction between multi-professional students. The most common perceived major barrier to implementing IPE was adjustment of the academic calendar and schedule (82.8%), followed by insufficient staff numbers (73.4%). Our findings indicate that IPE is being promoted in undergraduate education at medical schools in Japan. IPE programs differed according to the circumstances of each school. Barriers to IPE may be resolved by improving learning methods, introducing group discussions between multi-professional students in lectures or introducing IPE programs using team-based learning. In summary, we demonstrated the current status and barriers of IPE implementation in Japanese medical schools. Our findings will likely lead to the promotion of IPE programs in Japan.

摘要

医学生的跨专业教育(IPE)变得越来越重要,越来越多的医学院校采用 IPE 就反映了这一点。然而,日本医学院校在注册前实施 IPE 的现状和障碍仍不清楚。本研究的目的是阐明日本医学院校 IPE 实施的现状和障碍。我们于 2016 年 9 月至 12 月对日本所有 81 所医学院校进行了课程调查。我们邮寄了问卷,并要求学校的本科生教育工作人员回答。调查项目是 IPE 的实施现状和实施计划的障碍。81 所学校中有 64 所(回应率为 79.0%)做出了回应,其中 46 所(71.9%)实施了 IPE,42 所(89.1%)为必修课程。一半的 IPE 课程在医学课程的前 2 年实施,而不到 10%的课程在医学课程的后期实施。作为 IPE 课程的一部分,医学生与广泛的专业学生群体合作。最常见的学习策略是讲座。然而,三分之一的 IPE 课程使用了没有多专业学生互动的教学讲座。实施 IPE 最常见的主要障碍是调整校历和课程表(82.8%),其次是教职员工人数不足(73.4%)。我们的发现表明,日本医学院校的本科教育正在推广 IPE。IPE 课程因学校的具体情况而异。通过改进学习方法、在讲座中引入多专业学生之间的小组讨论或引入基于团队的学习的 IPE 课程,可以解决 IPE 的障碍。总之,我们展示了日本医学院校实施 IPE 的现状和障碍。我们的研究结果可能会促进日本 IPE 课程的推广。

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