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针对医学生的基于社区的多机构课程的开发与评估:描述性调查

Development and evaluation of a community based, multiagency course for medical students: descriptive survey.

作者信息

Lennox A, Petersen S

机构信息

Division of Medical Education, Faculty of Medicine, University of Leicester.

出版信息

BMJ. 1998 Feb 21;316(7131):596-9. doi: 10.1136/bmj.316.7131.596.

Abstract

OBJECTIVE

To develop and evaluate an effective, community based, multiagency course (involving doctors, nurses, non-health statutory workers, and voluntary organisations) for all Leicester medical students, in response to the General Medical Council's recommendation of preparing the doctors of tomorrow to handle society's medical problems.

DESIGN

Survey evaluating a task oriented, problem solving course, designed by medical students in partnership with the University of Leicester and the local community. The students, staff, and participating agencies and patients all helped in the evaluation of the first course. The students' performance on the course was also individually assessed.

SETTING

Inner city housing estate with Jarman index 64.1 in Leicester.

SUBJECTS

All third year medical students at Leicester University.

MAIN OUTCOME MEASURES

Results of the student assignments and students' responses to a questionnaire. Results of feedback questionnaires distributed to the patients and agency representatives.

RESULTS

In a two month period, 168 students completed the first course. 163 students passed the criterion referenced assignment, 50 of whom achieved an "excellent" grade. 166 completed the questionnaire, with 159 wishing to see the course continue in the present format and 149 saying that the course linked theoretical teaching with the practical experiences gained in the community.

CONCLUSIONS

The University of Leicester has a viable mechanism for providing a community based, multiagency course for all its medical students. Many of the principles applied in the development and implementation of the course could be transferred to other medical schools.

摘要

目的

根据英国医学总会关于培养未来医生解决社会医疗问题的建议,为莱斯特所有医学生开发并评估一门有效的、基于社区的多机构课程(涉及医生、护士、非健康领域法定工作人员和志愿组织)。

设计

对一门由医学生与莱斯特大学及当地社区合作设计的、以任务为导向的问题解决课程进行调查评估。学生、教职员工、参与机构和患者都参与了对第一期课程的评估。还对学生在课程中的表现进行了个人评估。

地点

莱斯特一个贾曼指数为64.1的市中心内城区住宅区。

对象

莱斯特大学所有三年级医学生。

主要观察指标

学生作业结果以及学生对问卷的回答。分发给患者和机构代表的反馈问卷结果。

结果

在两个月的时间里,168名学生完成了第一期课程。163名学生通过了标准参照作业,其中50人取得了“优秀”成绩。166名学生完成了问卷,159人希望该课程以目前的形式继续开展,149人表示该课程将理论教学与在社区获得的实践经验联系了起来。

结论

莱斯特大学拥有一个可行的机制,可为其所有医学生提供一门基于社区的多机构课程。该课程开发和实施过程中应用的许多原则可推广到其他医学院校。

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