Jones R O, Donnelly M B, Nash P P, Young B, Schwartz R W
Department of Surgery, University of Kentucky College of Medicine, Lexington.
Med Teach. 1993;15(2-3):207-15. doi: 10.3109/01421599309006715.
The third-year clerkship at one college of medicine was modified to reflect an emphasis on adult learning principles and life-long learning habits. Problem-based learning was selected as the educational method, and the development of a cognitive knowledge base, clinical problem-solving skills, and appropriate clinical skills was stressed. At a yearly faculty education retreat, strengths and weaknesses of the clerkship were discussed. As a result of this meeting, several changes were made in the clerkship, including additional stress on students' usage of the medical library and computerized databases, a tutor development program, the addition of expert resource sessions, and more emphasis on students' development of clinical skills through a preceptor program. A comprehensive evaluation program designed to support the educational goals of the clerkship is in place. The major challenge of the program remains the proper synchronization of curricular, clinical, and student self-study activities essential for an ideal learning experience.
一所医学院的三年级临床实习课程进行了修改，以体现对成人学习原则和终身学习习惯的重视。基于问题的学习被选为教育方法，并强调了认知知识库、临床问题解决技能和适当临床技能的培养。在每年一次的教师教育务虚会上，讨论了临床实习课程的优缺点。这次会议的结果是，对临床实习课程进行了几项改革，包括进一步强调学生对医学图书馆和计算机化数据库的使用、一个导师培养计划、增加专家资源课程，以及通过导师计划更加强调学生临床技能的培养。一个旨在支持临床实习课程教育目标的综合评估计划已经到位。该计划的主要挑战仍然是如何恰当地同步课程、临床和学生自学活动，这对理想的学习体验至关重要。
