Sachdeva A K
Department of Surgery, Medical College of Pennsylvania, Philadelphia 19129.
J Cancer Educ. 1994 Fall;9(3):148-51. doi: 10.1080/08858199409528297.
The fourth year of the medical student curriculum remains of questionable educational value at most medical schools. The training needs of generalists include the acquisition of knowledge and skills in broad areas of general surgery and the surgical subspecialties. By appropriately tailoring the educational objectives to the learning needs of individual students and implementing teaching models based on principles of adult education, a special surgical experience may be provided to each fourth-year medical student, building on the previously acquired knowledge and skills. Rotations may be offered in a number of surgical disciplines, with heavy emphasis on teaching in the ambulatory setting. One such model was recently implemented at The Medical College of Pennsylvania. Advantages of this type of program include support of the training of generalists using contemporary teaching strategies and provision of a meaningful educational experience to medical students during the fourth year.
在大多数医学院校，医学生课程的第四年其教育价值仍值得怀疑。通科医生的培训需求包括在普通外科和外科亚专业的广泛领域获取知识和技能。通过根据个别学生的学习需求适当调整教育目标，并实施基于成人教育原则的教学模式，可以在四年级医学生先前获得的知识和技能基础上，为每位学生提供特殊的外科体验。可以提供多个外科专业的轮转实习，重点是门诊环境中的教学。宾夕法尼亚医学院最近就实施了这样一种模式。这类项目的优点包括采用当代教学策略支持通科医生的培训，并在第四年为医学生提供有意义的教育体验。
