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为医学生制定包容性奖学金课程。

Developing an Inclusive Scholarship Curriculum for Medical Students.

出版信息

Acad Med. 2023 Dec 1;98(12):1396-1401. doi: 10.1097/ACM.0000000000005333. Epub 2023 Jul 21.

Abstract

PROBLEM

As part of a curriculum renewal, in 2020, Washington University School of Medicine in St. Louis sought to create an integrated curriculum that allows students to explore 4 academic career pathways (advocacy/global health, education, innovation, and research) and engage in scholarship activities-the Inquiry Curriculum. The curriculum needed to focus on foundational scholarship skills that would be applicable to all pathways. This article describes the process used to develop the curriculum learning objectives and lessons learned from initial implementation.

APPROACH

The authors used a modified Delphi process to survey faculty experts from the 4 pathways to determine the objectives (March-May 2020). Twenty-four faculty were surveyed about 48 initial objectives created using Glassick's scholarship criteria. After 2 rounds, 28 objectives met consensus. Further oversight committee review and revisions by session leads resulted in 77 unique objectives for 23 sessions in the curriculum that launched in spring 2021.

OUTCOMES

Four themes were identified from student feedback: (1) the Inquiry Curriculum framework creates opportunities for students to gain exposure to various approaches to understanding and addressing health care problems, (2) the curriculum targeted higher-level objectives for traditional research content and lower-level objectives for nontraditional content, (3) Glassick's criteria provided a useful structure for students to understand the rationale for and ordering of content, and (4) the curriculum had natural overlap with content often taught elsewhere in the curriculum, including evidence-based medicine, health equity, public and population health, and quality improvement and patient safety.

NEXT STEPS

The authors plan to consolidate sessions where there is redundancy, expand other sessions that require more time, and more purposefully discuss prior content when redundancy is intentional. Exploring other potential measures of curricular success, such as student learning outcomes, scholarly productivity, and impact on future scholarship engagement and career paths, is part of ongoing work.

摘要

问题

作为课程更新的一部分,2020 年,圣路易斯华盛顿大学医学院试图创建一个综合课程,让学生探索 4 种学术职业途径(倡导/全球健康、教育、创新和研究)并参与学术活动——探究课程。该课程需要侧重于适用于所有途径的基础学术技能。本文介绍了制定课程学习目标的过程以及从初步实施中获得的经验教训。

方法

作者使用改良的 Delphi 流程调查来自 4 种途径的教师专家,以确定目标(2020 年 3 月至 5 月)。对 24 名教师就使用 Glassick 的学术标准创建的 48 个初始目标进行了调查。经过两轮调查,28 个目标达成共识。课程负责人的进一步监督委员会审查和修订导致课程中 23 个课程的 77 个独特目标,该课程于 2021 年春季推出。

结果

从学生反馈中确定了 4 个主题:(1)探究课程框架为学生提供了机会,让他们接触到理解和解决医疗保健问题的各种方法;(2)课程针对传统研究内容的高级目标和非传统内容的低级目标;(3)Glassick 的标准为学生提供了一个有用的结构,帮助他们理解内容的原理和顺序;(4)课程与课程中其他经常教授的内容(包括循证医学、健康公平、公共和人口健康以及质量改进和患者安全)有自然的重叠。

下一步

作者计划整合存在冗余的课程,扩展需要更多时间的其他课程,并在有意冗余时更有针对性地讨论先前的内容。探索其他潜在的课程成功衡量标准,如学生学习成果、学术成果以及对未来学术参与和职业道路的影响,是正在进行的工作的一部分。

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