Atkins K M, Roberts A E, Cochran N
Dartmouth Medical School, Hanover, NH 03756, USA.
Acad Med. 1998 Nov;73(11):1173-6. doi: 10.1097/00001888-199811000-00014.
Traditionally, medical school committees have been charged with curricular improvement and modification, while medical students have had little or no involvement in reform efforts. However, medical students can sometimes be ahead of faculty in recognizing new topics that need to be covered, and their energy, commitment, and vision can be a very important impetus for curricular change. In 1995-96, as part of a general curricular restructuring effort, faculty at Dartmouth Medical School began to design and offer new electives in innovative topics, with the idea that electives might become part of the required curriculum if the material presented in them were deemed to be "core." Students were invited to organize their own electives if a topic in which they were interested was not being covered. The authors (two were second-year medical students and the third was their faculty sponsor) developed an elective in women's health. This paper describes the development and implementation of this elective, and the process by which the course was later made part of the required curriculum at Dartmouth. The success of the authors' efforts highlights the crucial role students can play in reforming medical curricula.
传统上，医学院委员会负责课程的改进和修订，而医学生很少或根本没有参与到改革工作中。然而，医学生有时在认识到需要涵盖的新主题方面可能比教师更超前，他们的精力、投入和远见可以成为课程变革的重要推动力。1995 - 1996年，作为总体课程重组工作的一部分，达特茅斯医学院的教师开始设计并提供有关创新主题的新选修课，其想法是，如果选修课中呈现的内容被视为“核心”内容，那么这些选修课可能会成为必修课程的一部分。如果学生感兴趣的主题未被涵盖，他们会被邀请自行组织选修课。作者（两人是二年级医学生，第三人是他们的教师导师）开设了一门女性健康选修课。本文描述了这门选修课的开发与实施，以及该课程后来成为达特茅斯医学院必修课程一部分的过程。作者努力的成功凸显了学生在改革医学课程中可以发挥的关键作用。
