Bannister Susan L, Forbes Karen L, Moddemann Diane M, Lewis Melanie A
Department of Paediatrics, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Paediatr Child Health. 2021 Sep 13;27(2):99-104. doi: 10.1093/pch/pxab066. eCollection 2022 May.
There are many challenges in ensuring medical students learn paediatrics. Medical educators must develop and maintain curricula that meet learners' needs and accreditation requirements. Paediatricians and family physicians, practicing and teaching in busy clinical environments, require Canadian-relevant curricular guidance and resources to teach and assess learners. Students struggle with curricular cohesion, clear expectations, and resources. Recognizing these challenges and acknowledging the need to address them, the Paediatric Undergraduate Program Directors of Canada (PUPDOC) created , a comprehensive competency-based undergraduate curriculum that teachers and students would actually use.
Curriculum development included the following: utilization of best practices in curriculum development, an environmental scan, development of guiding principles, Delphi surveys, in-person meetings, and quality improvement. All Canadian paediatric undergraduate educator leaders and other stakeholders were invited to participate.
The curriculum, based on the RCPSC CanMEDS Framework, includes 29 clinical presentations, each with key conditions, foundational knowledge objectives, and learning resources. Essential paediatric-specific physical examination and procedural skills that graduating medical students are expected to perform are identified. Objectives specific to Intrinsic Roles of and that can be assessed in the field of paediatrics at the undergraduate level are articulated. The national curriculum has been implemented widely at Canadian medical schools. Online, open-access clinical resources have been developed and are being used world-wide.
This curriculum provides overarching Canadian-specific curricular guidance and resources for students and for the paediatricians and family physicians who are responsible for teaching and assessing undergraduate learners.
确保医学生学习儿科学存在诸多挑战。医学教育工作者必须制定并维持符合学习者需求和认证要求的课程。在繁忙临床环境中执业和教学的儿科医生及家庭医生，需要与加拿大相关的课程指导和资源来教授和评估学习者。学生们在课程衔接、明确期望和资源方面存在困难。认识到这些挑战并承认有必要加以解决，加拿大儿科学本科项目主任（PUPDOC）创建了一个全面的基于能力的本科课程，供教师和学生实际使用。
课程开发包括以下内容：利用课程开发的最佳实践、环境扫描、制定指导原则、德尔菲调查、面对面会议以及质量改进。邀请了所有加拿大儿科学本科教育领导者和其他利益相关者参与。
该课程基于加拿大皇家内科医师和外科医师学会（RCPSC）的CanMEDS框架，包括29种临床病例展示，每种病例展示都有关键病症、基础知识目标和学习资源。确定了即将毕业的医学生应掌握的基本儿科体格检查和操作技能。明确了在本科阶段儿科学领域可评估的特定于[具体角色1]和[具体角色2]内在角色的目标。该国家课程已在加拿大医学院广泛实施。已开发出在线开放获取的临床资源并在全球范围内使用。
本课程为学生以及负责教授和评估本科学习者的儿科医生和家庭医生提供了总体的、特定于加拿大的课程指导和资源。
