Kallail K James, Shaw Pam, Hughes Tyler, Berardo Benito
School of Medicine-Wichita, University of Kansas, Wichita, KS, USA.
School of Medicine, University of Kansas, Kansas City, KS, USA.
J Med Educ Curric Dev. 2020 Jan 23;7:2382120520902160. doi: 10.1177/2382120520902160. eCollection 2020 Jan-Dec.
Medical students should develop skills in assessing their own learning needs and developing strategies to meet those needs. Medical curricula should be designed to provide active and enriching ways to explore medicine beyond the classroom. The program should enrich the elements of motivation, discovery, innovation, social services, cultural exploration, and personal development. The University of Kansas School of Medicine instituted a new curriculum in 2017 called ACE (ctive, ompetency-based, and xcellence-driven). Eight 1-week courses of enrichment experiences are embedded within the first 2 years of the curriculum.
After each of 8 medical content blocks, students are required to participate in a 1-week, nongraded enrichment experience according to their own learning needs and interests. Students choose the type of enrichment activities including clinical experiences, professional development, leadership development, research and scholarly activity, and community engagement. Students select their top enrichment choices and a computer lottery makes the assignments from their designations. Students engaged in research and scholarly activity are guided to appropriate research mentors.
A total of 196 enrichment activities at 3 campuses were developed for 211 students during the first 2 years of medical school. Most students selected clinical experiences with enrichments available in most medical specialties and subspecialties. Students also use enrichment weeks to conduct research/scholarly activity, particularly those students pursuing the Honors Track. A total of 2071 enrichment experiences were completed in the first 2 years.
Most enrichments involved clinical experiences, although research/scholarly activity and professional development enrichments also were popular. Evaluations from students and antidotal data suggested enrichments are popular among students and a good change of pace from the usual rigorous activities of the curriculum. Because of the large number of experiences required to conduct the enrichment weeks, a continuous process of evaluation is required to maintain the program. Therefore, flexibility is required to administer the program.
医学生应培养评估自身学习需求并制定满足这些需求的策略的技能。医学课程应设计成提供积极且丰富的方式,让学生在课堂之外探索医学。该项目应丰富动机、发现、创新、社会服务、文化探索和个人发展等要素。堪萨斯大学医学院于2017年设立了一门名为ACE(主动、基于能力和卓越驱动)的新课程。八门为期1周的强化体验课程嵌入在课程的前两年。
在8个医学内容模块中的每一个之后,学生需根据自身学习需求和兴趣参加为期1周的非评分强化体验。学生选择强化活动的类型,包括临床体验、职业发展、领导力发展、研究与学术活动以及社区参与。学生选出他们最心仪的强化选择,然后通过电脑抽签根据他们的指定进行分配。参与研究与学术活动的学生被引导至合适的研究导师处。
在医学院的前两年,为211名学生在3个校区开展了总共196项强化活动。大多数学生选择了临床体验,其中涵盖了大多数医学专科和亚专科的强化内容。学生们也利用强化周来开展研究/学术活动,尤其是那些参加荣誉课程的学生。在前两年共完成了2071次强化体验。
大多数强化活动涉及临床体验,不过研究/学术活动和职业发展强化活动也很受欢迎。学生的评价和轶事数据表明,强化活动在学生中很受欢迎,并且与课程中通常严格的活动相比是一种很好的节奏变化。由于开展强化周需要大量的体验活动,因此需要一个持续的评估过程来维持该项目。所以,实施该项目需要灵活性。