Bondevik Gunnar Tschudi, Valestrand Eivind Alexander, Kvernenes Monika
Department of Global Public Health and Primary Care, University of Bergen & NORCE Norwegian Research Centre, Bergen, Norway.
Center for Medical Education, Faculty of Medicine, University of Bergen, Bergen, Norway.
J Med Educ Curric Dev. 2025 May 4;12:23821205251332816. doi: 10.1177/23821205251332816. eCollection 2025 Jan-Dec.
In medical education, student evaluations of teaching (SETs) are commonly used as part of the quality assurance system. There are, however, concerns about the usefulness of traditional questionnaire-based SETs, as they have been found to correlate with factors unrelated to teaching quality. This article explores potential benefits of using an alternative method, shifting the students' focus from evaluating the teaching to examining perceived learning outcomes.
In 2023, we invited third and sixth year medical students at the University of Bergen, Norway, to write a reflection on their learning outcomes after completing a four days communication course and a two days consultation course, respectively. The 179 narratives were analysed qualitatively with a focus on what students chose to highlight, and how their reflections shed light on the quality of teaching. We also invited four teachers to read the students' texts and report back on the usefulness of this approach to SETs.
Based on systematic text condensation we found that student narratives provided insights into learning activities, learning environment, learning outcomes and learning to be a doctor. The teachers advocated that producing the narratives might be beneficial for the students' learning. They also valued the change in focus from teaching to learning, and the comprehensive information this approach to SET provided.
Our findings suggest that, although the narrative approach to SETs is time-consuming, it provides the teachers with insight into the effectiveness of their teaching. Moreover, asking students to reflect on their learning outcomes may also benefit students.
在医学教育中,学生教学评价(SETs)通常被用作质量保证体系的一部分。然而,人们对传统的基于问卷的SETs的实用性存在担忧,因为已发现它们与教学质量无关的因素相关。本文探讨了使用另一种方法的潜在益处,即将学生的关注点从评价教学转移到审视感知到的学习成果。
2023年,我们邀请了挪威卑尔根大学的三年级和六年级医学生,分别在完成为期四天的沟通课程和为期两天的咨询课程后,撰写关于他们学习成果的反思。对179篇叙述进行了定性分析,重点关注学生选择突出的内容,以及他们的反思如何揭示教学质量。我们还邀请了四位教师阅读学生的文本,并汇报这种SETs方法的实用性。
基于系统的文本浓缩,我们发现学生的叙述提供了有关学习活动、学习环境、学习成果以及成为一名医生的学习过程的见解。教师们主张撰写这些叙述可能对学生的学习有益。他们还重视从教学到学习的关注点转变,以及这种SETs方法所提供的全面信息。
我们的研究结果表明,尽管基于叙述的SETs方法耗时,但它能让教师深入了解其教学的有效性。此外,要求学生反思他们的学习成果也可能使学生受益。