Insight of medical students for achieving competencies

A. Khan, F. Kaliyadan, Fahad Wadaany, Seba Greiz
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Abstract

Background & Purpose It is assumed that after adopting competencies based curriculum the medical education has changed tremendously, however it needs more researches to assess the impact of this curriculum. Nevertheless, An important part of the success of a competency-based curriculum is that all stakeholders are aware of the competencies and rationale behind them. As of now there are only a few studies, which have addressed understanding of competencies among medical students especially in non-western medical schools. Therefore, we designed this survey to assess the understanding in Kingdom of Saudi Arabia. Methods A cross sectional survey was designed based on questionnaire developed by Delphi technique. The questionnaire focussed to assess the perception about understanding of competencies (mainly the CanMEDS competencies) based on a five-point Likert rating scale. The college of medicine has adopted a problem-based learning curriculum from Groningen University, Netherlands in 2012. At present the college has two parallel curriculums, with the old curriculum being followed by previous students ( 4th and 5th years having traditional subject-based learning curriculum)and the newer students following the new PBL curriculum with effect from year 2012. Results The results showed that selected competencies were similar for both males and females groups as well as PBL and SBL and didn’t find statistical significant difference (>0.05). However less number has strongly agreed that they are competent enough to portray all competencies from both gender and curricula. The reasons raised as to why there was no adequate understanding about competencies by PBL students included: no clear understandings of objectives, lack of training of staff, first year of study, high school does not produce competent students and language (English) problems. Conclusion The results showed no significant difference in students following PBL or SBL with regard to understanding of competencies. However in PBL, students are in their earlier years and understand competencies that are required from them superior from SBL students.
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医学生实现能力的洞察力
背景与目的假设在实施能力本位课程后,医学教育发生了巨大的变化,但需要更多的研究来评估这一课程的影响。然而,以能力为基础的课程成功的一个重要部分是所有利益相关者都意识到能力及其背后的基本原理。到目前为止,只有少数研究涉及医学生特别是非西方医学院学生对能力的理解。因此,我们设计了这项调查来评估沙特阿拉伯王国的理解。方法采用德尔菲法编制问卷,进行横断面调查。问卷的重点是评估对能力的理解感知(主要是CanMEDS能力)基于五点李克特量表。医学院于2012年采用了荷兰格罗宁根大学的基于问题的学习课程。目前学院有两个平行的课程,旧的课程是由以前的学生(四、五年级的传统的以学科为基础的学习课程)和新学生遵循新的PBL课程,从2012年起生效。结果结果显示,男女两组、PBL组和SBL组所选择的胜任力基本相同,didnÂ组差异无统计学意义(>0.05)。然而,很少有人强烈认为他们有足够的能力来描绘性别和课程的所有能力。关于PBL学生对能力缺乏充分理解的原因包括:对目标没有明确的理解,缺乏对员工的培训,第一年的学习,高中没有培养出有能力的学生以及语言(英语)问题。结论PBL学生与SBL学生对胜任力的理解无显著差异。然而,在PBL中,学生处于他们的早期阶段,并且理解他们比SBL学生更需要的能力。
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