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改进德国医学院药理学课程:基于学生主导的大规模研究的结构化计划。

Improving the Pharmacology Curriculum at a German Medical School: A Structured Plan Based on a Student-Guided Large-Scale Study.

机构信息

Medizinische Klinik und Poliklinik I, Klinikum der Universität München, Ludwig-Maximilians-Universität (LMU), Munich, Germany.

Neurochirurgische Klinik und Poliklinik, Klinikum der Universität München, Ludwig-Maximilians-Universität (LMU), Munich, Germany.

出版信息

J Clin Pharmacol. 2019 Aug;59(8):1151-1157. doi: 10.1002/jcph.1410. Epub 2019 Mar 15.

DOI:10.1002/jcph.1410
PMID:30875103
Abstract

With rapid progress in medicine, a thorough understanding of pharmacology remains crucial. Currently, lecturers are implementing competency-based learning objectives in medical curricula around the world. Advancing teaching modalities need to be integrated into pharmacology courses in a reasonable way. At Ludwig-Maximilians-Universität (LMU) Munich Medical Faculty, a systematic evidence-based approach was used to modernize pharmacology classes. The needs assessment was conducted by final-year students. It included focus groups and a large-scale online survey, which was distributed among all medical students at LMU, with 1018 students participating (response rate 20%). Survey results showed that most of the students (92%) aimed to become pharmacology-adept doctors. Also, a majority (88%) stated that their goal was to understand the material most critical to application of pharmacology concepts as well as prescribing practice. Only 38% of the students reported satisfaction with the current curriculum, and 93% supported modernization. Thus far, pharmacology teaching at LMU Munich had mainly consisted of lectures attended by 200 students. Now, students advocated for a stronger integration of clinical pharmacology teaching into clinical subjects in the last 2 years of medical school. Specifically, they called for classes with smaller groups of students including problem-based learning as well as video podcasts. These results provided the foundation for change in curriculum at the LMU medical school. In conclusion, a structured approach for curriculum development that considers students' views is feasible and can reveal their actual goals and demands. The approach has proven successful at LMU Munich and is transferrable to other universities.

摘要

随着医学的快速发展,对药理学的透彻理解仍然至关重要。目前,讲师们正在全球的医学课程中实施基于能力的学习目标。需要以合理的方式将先进的教学模式融入药理学课程中。在慕尼黑大学 (LMU) 医学系,采用了系统的循证方法来实现药理学课程的现代化。需求评估由应届学生进行。它包括焦点小组和一项大规模的在线调查,该调查在 LMU 的所有医学生中进行,共有 1018 名学生参与(回应率 20%)。调查结果表明,大多数学生(92%)希望成为精通药理学的医生。此外,大多数(88%)表示他们的目标是理解对药理学概念应用和处方实践最重要的材料。只有 38%的学生对当前课程表示满意,93%的学生支持现代化。迄今为止,慕尼黑大学的药理学教学主要由 200 名学生参加的讲座组成。现在,学生们提倡在医学院最后两年的临床科目中更加强调临床药理学教学。具体来说,他们呼吁开设小班制课程,包括基于问题的学习和视频播客。这些结果为 LMU 医学院的课程改革提供了基础。总之,考虑到学生的观点,采用结构化方法进行课程开发是可行的,并且可以揭示他们的实际目标和需求。这种方法在慕尼黑大学已被证明是成功的,并可推广到其他大学。

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