Pike Andrew, Bunch Matt, DeGennaro Christine M, Parker Michael J
Harvard Medical School, HMX, 4 Blackfan Circle, Boston, MA USA.
Med Sci Educ. 2022 Nov 2;32(6):1425-1432. doi: 10.1007/s40670-022-01660-4. eCollection 2022 Dec.
The early stages of medical school involve education in a number of foundational biomedical sciences including genetics, immunology, and physiology. However, students entering medical school may have widely varying levels of background in these areas due to differences in the availability and quality of prior education on these topics. Even students who have recently taken formal courses in these subjects may not feel confident in their level of preparation, leading to anxiety for early-stage medical students. These differences can make it difficult for instructors to create meaningful learning experiences that are appropriate for all students. Additionally, actual or perceived differences in preparation may lead fewer students from diverse backgrounds to apply to medical school. Therefore, creating an efficient and scalable way to increase students' knowledge and confidence in these topics addresses an important need for many medical schools. We recorded pre- and post-course quiz scores for 9790 individuals who completed HMX online courses, developed in accordance with evidence-based learning practices and covering the fundamentals of biochemistry, genetics, immunology, pharmacology, and physiology. Each question was accompanied by a Likert scale question to assess the learner's confidence in their answer. Learners' median post-course quiz performance and self-assessed confidence significantly increased relative to pre-course quiz performance for each course. Improvements were consistent across US-based medical schools, non-US medical schools, and course runs open to the public. This indicates that online courses created using evidence-based learning practices can lead to significant increases in knowledge and confidence for many learners, helping prepare them for further medical education.
The online version contains supplementary material available at 10.1007/s40670-022-01660-4.
医学院校的早期阶段涉及多门基础生物医学科学的教育,包括遗传学、免疫学和生理学。然而,由于这些主题的先前教育的可获得性和质量存在差异,进入医学院校的学生在这些领域的背景水平可能差异很大。即使是最近修过这些科目的正式课程的学生,也可能对自己的准备水平缺乏信心,这导致早期医学生产生焦虑。这些差异可能使教师难以创造适合所有学生的有意义的学习体验。此外,实际的或感知到的准备差异可能导致来自不同背景的学生申请医学院校的人数减少。因此,创造一种有效且可扩展的方法来增加学生在这些主题上的知识和信心,满足了许多医学院校的一项重要需求。我们记录了9790名完成HMX在线课程的学员的课前和课后测验成绩,这些课程是根据循证学习实践开发的,涵盖生物化学、遗传学、免疫学、药理学和生理学的基础知识。每个问题都附有一个李克特量表问题,以评估学习者对自己答案的信心。相对于每门课程的课前测验成绩,学习者的课后测验成绩中位数和自我评估的信心显著提高。在美国的医学院校、非美国的医学院校以及对公众开放的课程中,改进情况都是一致的。这表明,使用循证学习实践创建的在线课程可以使许多学习者的知识和信心显著提高,帮助他们为进一步的医学教育做好准备。
在线版本包含可在10.1007/s40670-022-01660-4获取的补充材料。