Department of Histology and Embryology, College of Basic Medical Science, Army Medical University, Shapingba District, 30# Gaotanyan St, Chongqing, 400038, China.
Experimental Center of Basic Medicine, College of Basic Medical Science, Army Medical University, Chongqing, 400038, China.
BMC Med Educ. 2022 Jul 1;22(1):514. doi: 10.1186/s12909-022-03531-3.
Due to insufficient basic medical knowledge and inappropriate learning strategies, students of 8-year medical programme encountered many obstacles in the initial stage of basic medicine learning. This study was to determine whether a prerequisite course can improve basic medicine learning performance and adjust learning strategies to adapt to basic medicine learning.
A prerequisite course of histology was constructed by a two-round modified Delphi study. Seventy-four students of 8-year medical programme were subjected to two groups: the prerequisite course group (PC group) and non-prerequisite course group (NPC group). The PC group take part in the prerequisite course by student-centred blended learning approach but NPC group not. The PC and NPC group underwent requisite histology teaching activities after prerequisite course. Examination of the prerequisite course and requisite histology course were carried out. Effect of the prerequisite course was evaluated by an empirical method using a questionnaire-based approach.
The results of examinations showed students' scores of the PC group were significantly higher than those of students of NPC group in both prerequisite course and requisite histology examinations (P < 0.05). The results of questionnaires showed that students were satisfied with the prerequisite course, which was beneficial for uptake in medical knowledge, cultivation of clinical thinking and scientific research ability and adaptation in learning strategies (P < 0.01). Furthermore, our prerequisite course is conducive to subsequent courses learning, especially for pathology (P < 0.01).
Our prerequisite course could effectively supplement knowledge of basic medicine, improve clinical thinking and scientific research ability and adapt their learning strategies. These findings suggest that the prerequisite course is useful and should be introduced in medical curriculum reform at the early stages of basic medical training.
由于基础医学知识不足和学习策略不当,8 年制医学生在基础医学学习的初始阶段遇到了许多障碍。本研究旨在确定预科课程是否可以提高基础医学学习成绩并调整学习策略以适应基础医学学习。
通过两轮改良 Delphi 研究构建组织学预科课程。74 名 8 年制医学生分为两组:预科课程组(PC 组)和非预科课程组(NPC 组)。PC 组采用以学生为中心的混合学习方法参加预科课程,而 NPC 组则不参加。预科课程和预科组织学课程结束后,进行预科课程和预科组织学考试。采用问卷调查法对预科课程的效果进行实证评价。
考试结果显示,PC 组学生的预科课程和预科组织学考试成绩均明显高于 NPC 组学生(P<0.05)。问卷调查结果显示,学生对预科课程满意,认为预科课程有助于掌握医学知识、培养临床思维和科研能力以及适应学习策略(P<0.01)。此外,我们的预科课程有利于后续课程的学习,尤其是病理学(P<0.01)。
我们的预科课程可以有效地补充基础医学知识,提高临床思维和科研能力,并调整他们的学习策略。这些发现表明,预科课程是有用的,应该在基础医学培训的早期阶段引入医学课程改革。