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探讨以能力为基础的教育时代妇产科临床与实践教学的现状:一项针对德国教学协调员的全国性调查。

Exploring the current state of clinical and practical teaching in obstetrics and gynecology in the era of competency-based education: a nationwide survey among German teaching coordinators.

机构信息

Department of Gynecology and Obstetrics, Klinikum Rechts Der Isar, Technical University Munich, Munich, Germany.

Department of Gynecology and Obstetrics, Heidelberg University Hospital, Heidelberg, Germany.

出版信息

BMC Med Educ. 2024 Feb 21;24(1):165. doi: 10.1186/s12909-024-05138-2.

Abstract

BACKGROUND

Obstetrics and gynecology (OB/GYN) is an essential medical field that focuses on women's health. Universities aim to provide high-quality healthcare services to women through comprehensive education of medical students. In Germany, medical education is undergoing a phase of restructuring towards the implementation of competency-based learning. The objective of the current survey was to gain insights into the teaching methods, resources, and challenges at German medical universities in the field OB/GYN. This aims to document the current state of medical education and derive potential suggestions for improvements in the era of competency-based learning. The survey was conducted with teaching coordinators from the majority of OB/GYN departments at German universities.

METHODS

A questionnaire was sent to the teaching coordinators in all 41 OB/GYN departments at German university hospitals. The survey was delivered via email with a link to an online survey platform.

RESULTS

The study received 30 responses from 41 universities. Differences were observed in the work environment of teaching coordinators concerning release from clinical duties for teaching purposes and specialized academic training. Overall, medical education and student motivation were perceived positively, with noticeable gaps, particularly in practical gynecological training. Deficiencies in supervision and feedback mechanisms were also evident. Subfields such as urogynecology and reproductive medicine appear to be underrepresented in the curriculum, correlating with poorer student performance. E-learning was widely utilized and considered advantageous.

CONCLUSION

The present study provides valuable insights into the current state of medical education in OB/GYN at German universities from the perspective of teaching experts. We highlight current deficits, discuss approaches to overcome present obstacles, and provide suggestions for improvement.

摘要

背景

妇产科是一个专注于女性健康的重要医学领域。大学的目标是通过对医学生的全面教育,为女性提供高质量的医疗服务。在德国,医学教育正在经历向基于能力的学习实施的转型阶段。本次调查的目的是深入了解德国医科大学妇产科领域的教学方法、资源和挑战。这旨在记录医学教育的现状,并在基于能力的学习时代得出潜在的改进建议。该调查是与德国大学附属医院妇产科的大多数教学协调员进行的。

方法

向德国大学附属医院妇产科的 41 个部门的教学协调员发送了一份问卷。该调查通过电子邮件发送,并附有在线调查平台的链接。

结果

该研究收到了 41 所大学的 30 份回复。在教学协调员的工作环境方面存在差异,包括为教学目的从临床工作中解脱出来以及接受专门的学术培训。总体而言,医学教育和学生的积极性得到了认可,但也存在明显的差距,特别是在实践妇科培训方面。监督和反馈机制也存在不足。一些子领域,如泌尿妇科和生殖医学,在课程中似乎代表性不足,这与学生表现较差有关。电子学习得到了广泛应用,并被认为具有优势。

结论

本研究从教学专家的角度提供了德国大学妇产科医学教育现状的宝贵见解。我们强调了当前的不足,讨论了克服当前障碍的方法,并提出了改进建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7156/10880315/be2221a0e4a9/12909_2024_5138_Fig1_HTML.jpg

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