Zhang Jianrong, Tang Yiyu, Feng Shaoting, Wong Io Nam, Guo Yue, Zhang Jun, Chen Jiancong, Yang Daya, Zhang Kunsong, Yao Wenbao, Li Rong, Bai Yaying, Ding Shuqin, Kuang Ming, Xiao Haipeng, Xu Dan
Department of Medical Education, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.
General Practice Research, Faculty of Medicine, Macau University of Science & Technology, Taipa, 999078, Macau.
Adv Med Educ Pract. 2024 Oct 29;15:1027-1037. doi: 10.2147/AMEP.S471782. eCollection 2024.
The rising demand for knowledge updates and technological innovations in China has made clinical placement teaching challenging. Reforms for innovative teaching models through pilot classes have shown to improve students' academic performance. This novel integration led to the announcement of healthcare collaboration in the Guangdong-Hong-Kong-Macao Greater Bay Area for projects within China's "Global-Innovation-Hub" zones. First Affiliated Hospital (FAH) of Sun Yat-sen University (SYSU) in Guangzhou and the Faculty of Medicine (FMD) of Macau University of Science & Technology (MUST) in Macau have developed an inaugural project for FMD/MUST medical students to perform pre-internships at FAH-SYSU. This study aimed to reflect on students' experiences with collaborative teaching and learning through medical curricular integration in the "Global-Innovation-Hub" zones designed by both institutions for developing integrated curriculum.
FMD/MUST students attended medical clerkships at FAH-SYSU using a system-integrated curriculum in China's "Global-Innovation-Hub" zones, allowing different education systems at different locations. Post-clerkship surveys ranked teaching models in conjunction with written reflections in response to post-clerkship questionnaires for all participating students. The teaching models were defined by the way supervisors' interaction with students, and written reflections in response to the post-clerkship questionnaire were descriptively and semantically analysed.
The top-ranked teaching models include first "Student-led consultation under supervision in observers' chair with discussion", second "Observe consultation and discuss with the teacher in-between patients in observers' chair" and third "Student-led consultation under supervision in consultants' chair with discussion". The post-clerkship questionnaires showed positive outcomes.
This study demonstrates the successful delivery of collaborative teaching and learning through medical curricular integration in China's "Global-Innovation-Hub" zones. This integration enables the development of a consistent and student-preferred teaching model being introduced into clinical placement curriculum. The unique location of China's "Global-Innovation-Hub" zones in the Guangdong-Hong-Kong-Macao Greater Bay Area allows this integration to significantly improve students' clinical reasoning learning.
中国对知识更新和技术创新的需求不断增加，这使得临床实习教学面临挑战。通过试点课程进行创新教学模式改革已被证明可以提高学生的学业成绩。这种新颖的整合促成了粤港澳大湾区在“全球创新枢纽”区域内开展医疗合作项目的宣布。广州中山大学附属第一医院（FAH）和澳门科技大学医学院（FMD）开展了一个开创性项目，让FMD/MUST医学生在FAH-SYSU进行预实习。本研究旨在通过两所机构为开发整合课程而设计的“全球创新枢纽”区域内的医学课程整合，反思学生在合作教学与学习中的体验。
FMD/MUST学生在中国“全球创新枢纽”区域使用系统整合课程在FAH-SYSU参加医学实习，该区域允许不同地点的不同教育系统。实习后调查结合所有参与学生对实习后问卷的书面反思对教学模式进行排名。教学模式由督导与学生的互动方式定义，并对实习后问卷的书面反思进行描述性和语义分析。
排名靠前的教学模式包括，第一名是“在观察员席监督下由学生主导会诊并讨论”，第二名是“在观察员席观察会诊并在患者间隙与教师讨论”，第三名是“在顾问席监督下由学生主导会诊并讨论”。实习后问卷显示出积极的结果。
本研究表明，通过中国“全球创新枢纽”区域内的医学课程整合成功实现了合作教学与学习。这种整合能够将一种一致且受学生青睐的教学模式引入临床实习课程。中国“全球创新枢纽”区域在粤港澳大湾区的独特位置使得这种整合能够显著提高学生的临床推理学习能力。
