Hays Emily, Levine Jake, Rethi Shruthi, Smith Emily K, Upadhya Sharmila, Sobering Andrew K, Weiler Tracey
Department of Human and Molecular Genetics, Herbert Wertheim College of Medicine, Florida International University, 11200 SW 8th Street, Miami, FL 33199 USA.
Department of Biochemistry, St. George's University, St. George's, Grenada.
Med Sci Educ. 2018 Nov 20;29(1):189-197. doi: 10.1007/s40670-018-00652-7. eCollection 2019 Mar.
Biochemistry is a core component of medical education as it contributes to the fundamental basis and understanding of molecular mechanisms in pathophysiological processes. The convergence of nutritional factors also gives insight to many chronic diseases. Topics of nutrition are often incorporated into biochemistry coursework and must be integrated in a way that makes sense within the overall curriculum. An important issue raised by this structure is determining which topics are most important to a student's understanding and what topics are most relevant to future clinical practice. Previous surveys show medical undergraduates feel that much of current medical biochemistry coursework lacks clinical relevance and pays too much attention to small details. Here we report the results of a survey that aims to determine the biochemical and nutritional topics that physicians and educators feel are most important to teach in medical school. This information is important for medical schools to better prepare their students for what they will see and apply in their future clinical practice. Physicians and medical educators were surveyed, asked demographic questions, and then requested to provide a prioritized list of the top 10 biochemistry and nutrition topics that they believed should be focused on in undergraduate medical education. Topics suggested by participants were normalized for spelling, acronyms, and abbreviations and given a weight from 10 to 1. A prioritized list was then created based on the suggested topics. This list provides insight into the topics that medical educators and physicians consider important to cover in undergraduate medical education.
生物化学是医学教育的核心组成部分,因为它为病理生理过程中分子机制的基本基础和理解做出了贡献。营养因素的融合也为许多慢性疾病提供了见解。营养主题通常被纳入生物化学课程中,并且必须以一种在整个课程体系中合理的方式进行整合。这种结构引发的一个重要问题是确定哪些主题对学生的理解最为重要,以及哪些主题与未来的临床实践最为相关。先前的调查显示,医学本科生认为当前许多医学生物化学课程缺乏临床相关性,且过于关注细枝末节。在此,我们报告一项调查的结果,该调查旨在确定医生和教育工作者认为在医学院教学中最重要的生物化学和营养主题。这些信息对于医学院更好地让学生为他们在未来临床实践中将会遇到和应用的内容做好准备非常重要。我们对医生和医学教育工作者进行了调查,询问了他们的人口统计学问题,然后要求他们提供一份他们认为在本科医学教育中应重点关注的前10个生物化学和营养主题的优先列表。参与者提出的主题在拼写、首字母缩略词和缩写方面进行了规范,并赋予10到1的权重。然后根据建议的主题创建了一份优先列表。这份列表深入了解了医学教育工作者和医生认为在本科医学教育中需要涵盖的重要主题。