医科本科生对能力本位课程的看法。

Sonam Sharma, Jugesh Chhatwal
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摘要

背景 基于能力的医学本科课程有许多新内容。很少有学者尝试了解学生对课程的看法。在课程实施两年后,我们评估了本科生对各种内容的看法和评价。方法 我们纳入了 240 名学生(2019 年和 2020 年入学)。我们通过电子邮件向所有学生发送了邀请函和信息表,告知他们本研究的相关信息,并对他们的身份保密和默示同意。研究人员设计了一份经过验证的调查问卷,该问卷采用 5 分李克特量表,包括 35 个封闭式问题,以了解学生对新课程各要素的看法,并采用 1 至 5 分的评分标准。数据收集使用谷歌表格。结果 在 240 名受访者中,192 人(80%)对基础课程、态度、道德和沟通技巧、早期临床接触和社区健康访问持积极看法。综合教学、小组教学和评估的正面评价较低(62.9%-75%),自主学习的正面评价最低(57%-58%)。在医生培训方面,学生认为最有价值的内容是早期临床接触(70.4%)和社区健康访问(70.4%),而最没有价值的内容是日志(35.5%)和反思(34.2%)。结论 学生认为早期临床接触和社区健康考察最有价值,而自主学习、日志和反思则被评为最无用。
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Perspectives of undergraduate medical students regarding competency-based curriculum.

Background The competency-based undergraduate medical curriculum has a number of new elements. Few authors have attempted to understand the students' viewpoints on the curriculum. We assessed undergraduate students perspectives and ratings about various elements after 2 years of implementation of the curriculum. Methods We included 240 students (2019 and 2020 admission). An invitation letter-cum-information sheet was sent to all the students by email informing them about the study, keeping their identity confidential and the implied consent. A validated questionnaire based on a 5-point Likert scale including 35 closed-ended questions eliciting the students' perception on various elements of the new curriculum and a rating scale from 1 to 5 was designed. Data collection was done using Google forms. Results Of the 240 respondents, 192 (80%) had positive perceptions for the Foundation Course, Attitude, Ethics and Communication skills, Early Clinical Exposure and Community Health Visits. Integrated Teaching, Small Group Teaching and Assessments were viewed less positively (62.9%-75%) and Self-directed Learning received the lowest positive responses (57%-58%). For training as a doctor, the elements considered most valuable were Early Clinical Exposure (70.4%) and Community Health Visits (70.4%) while the least were Logbooks (35.5%) and Reflections (34.2%). Conclusions Students found Early Clinical Exposure and Community Health Visits the most valuable elements whereas Self-directed Learning, Logbooks and Reflections were rated as the least useful.

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