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整合的障碍;教师对从传统医学课程向整合医学课程过渡的看法。

Roadblocks to Integration; Faculty's perspective on transition from Traditional to Integrated Medical Curriculum.

作者信息

Hafeez Asma, Jamil Brekhna, Khan Aaiz Feroze

机构信息

Dr. Asma Hafeez, FCPS, MHPE. Anatomy Department, HITEC-Institute of Medical Sciences, Taxila, Pakistan.

Dr. Brekhna Jamil, MHPE. Institute of Health Professions Education & Research, Khyber Medical University, Peshawar.

出版信息

Pak J Med Sci. 2021 May-Jun;37(3):788-793. doi: 10.12669/pjms.37.3.3217.

Abstract

OBJECTIVE

This study was conducted to explore the faculty's opinion regarding factors impeding practical transition from traditional to integrated medical curriculum at the outset and a few years after the process.

METHODS

This qualitative exploratory study was conducted from April 2018 to October 2018 at two undergraduate medical colleges; one where integrated curriculum was at the outset and the second running it successfully. A total of 12 semi-structured interviews (six from each college) were recorded and transcribed. Thematic content analysis was carried out and faculty's perceptions about factors impeding practical transition to integrated curriculum were explored at two stages, i.e., at the outset and after its implementation.

RESULTS

Four impediments identified at the outset were deemed genuine by faculty who had gone through the experience including, faculty's resistance, lack of training, lack of incentives, and insufficient resources. Four more impediments were identified after the experience including lack of leadership, lack of attention to faculty's concerns, lack of communication and difficulties in setting appropriate assessment.

CONCLUSIONS

Several factors if ignored can result in failure of integration of curriculum in undergraduate medical colleges. Relevantly appropriate policies should be outlined by the regulatory body to ensure the control on the impediments.

摘要

目的

本研究旨在探讨教师对于在传统医学课程向整合医学课程实际转变过程开始时以及过程开始几年后的阻碍因素的看法。

方法

这项定性探索性研究于2018年4月至2018年10月在两所本科医学院校进行;一所刚开始实施整合课程,另一所已成功运行该课程。共记录并转录了12次半结构化访谈(每所学院6次)。进行了主题内容分析,并在两个阶段探讨了教师对阻碍向整合课程实际转变的因素的看法,即刚开始时和实施之后。

结果

经历过该过程的教师认为,刚开始时确定的四个阻碍因素是真实存在的,包括教师的抵触、缺乏培训、缺乏激励措施以及资源不足。经历之后又确定了另外四个阻碍因素,包括缺乏领导力、对教师关切问题缺乏关注、缺乏沟通以及难以进行适当评估。

结论

若干因素若被忽视,可能导致本科医学院校课程整合失败。监管机构应制定相关适当政策,以确保控制这些阻碍因素。

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本文引用的文献

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The integrated curriculum in medical education: AMEE Guide No. 96.医学教育中的整合课程:AMEE指南第96号。
Med Teach. 2015 Apr;37(4):312-22. doi: 10.3109/0142159X.2014.970998. Epub 2014 Oct 16.

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