Clack G B
Research and Development Unit, Faculty of Clinical Medicine, King's College School of Medicine and Dentistry, London, UK.
Med Educ. 1994 Sep;28(5):418-31. doi: 10.1111/j.1365-2923.1994.tb02553.x.
In response to the General Medical Council's 1991 Consultative Document proposing changes to medical curricula, the King's College School of Medicine and Dentistry, London, established a steering group to plan a new curriculum. As part of this process a postal survey was undertaken of five cohorts of King's graduates to ascertain how well the medical course they had undertaken had equipped them for practice. The questionnaire explored the level of factual content, the adequacy of their skills training, and the development of personal attributes during the course. A total of 371 graduates replied, a response rate of 78%. Over 70% indicated that their education had satisfactorily equipped them for their medical practice. Significant differences were found, however, between those now practising in primary care and those in hospital medicine regarding the importance attached to different subjects within the curriculum, and also with respect to the personal attributes the graduates felt they had acquired. Both groups identified deficiencies in virtually all aspects of their skills training: clinical, analytical, communication, management and technical. This feedback from some of the 'consumers' of medical education is now being used to assist the planning of the new King's curriculum.
针对英国医学总会1991年提出的关于医学课程改革的咨询文件,伦敦国王学院医学院及牙科学院成立了一个指导小组来规划新的课程。作为这一进程的一部分,对五届国王学院的毕业生进行了一次邮寄问卷调查,以确定他们所接受的医学课程在多大程度上使他们具备了从业能力。问卷探讨了事实性内容的水平、技能培训的充分性以及课程期间个人素质的培养情况。共有371名毕业生回复,回复率为78%。超过70%的人表示他们所接受的教育使他们足以胜任医疗工作。然而,在课程中不同科目所受重视程度方面,以及毕业生认为自己所获得的个人素质方面,目前从事初级保健工作的毕业生与从事医院医学工作的毕业生之间存在显著差异。两组毕业生都指出他们在技能培训的几乎所有方面都存在不足:临床、分析、沟通、管理和技术方面。医学教育部分“消费者”的这些反馈意见目前正被用于协助国王学院新课程的规划。