基于ACGME能力模型的八年一贯制学生教学效果评价

Assessment of teaching quality of medical students from consistent 8-year programme based on ACGME model

目的对上海交通大学医学院八年一贯制学生的教学效果进行评价。方法基于美国医学研究生教育认证委员会(ACGME)能力模型的6个方面制定量表,对上海交通大学医学院2005—2012级145名八年一贯制学生、86名临床医学专业的本科生和研究生及拥有八年制教学经验的10名教师进行调研。结果八年制男生在总分和"问题解决和临床技能"方面评分高于女生,差异有统计学意义(P<0.05)。八年制学生随着年级升高,"问题解决和临床技能"和"系统实践能力"的自评分数增高(P<0.05)。八年制学生自评总分均高于相应阶段的本科生和研究生(P<0.05)。教师对八年制的评价与学生自评结果基本一致,对"问题解决和临床技能"评分较高(P<0.05)。结论上海交通大学医学院八年一贯制学生的临床能力得到证实,但临床经验仍有不足。

Objective To assess the teaching quality of medical students from the consistent 8-year programme of Shanghai Jiao Tong University School of Medicine. Methods The scale questionnaire based on six aspects of Accreditation Council for Graduate Medical Education （ACGME） model was prepared. A total of medical students from the 8-year programme who enrolled between 2005 and 2012, 86 undergraduate or graduate medical students, and 10 medical teachers of ShanghaiJiao Tong University School of Medicine were surveyed. Results The total score and score of problem solving and clinical skills of male students from 8-year programme were higher than those of female students and the differences were statistically significant （P〈0.05）. Scores of problem solving and clinical skills and systematic practice ability of students from 8-year programme increased with their grade （P〈0.05）. The total score of students from 8-year programme was higher than that of undergraduate or graduate students with the same grade （P〈0.05）. The assessment of students from 8-year programme by teachers was basically consistent with the results of students＇ self-assessment and the score of problem solving and clinical skills was high （P〈0.05）. Conclusion The clinical ability of students from 8-year programme of Shanghai Jiao Tong University School of Medicine is verified, but they still lack clinical experience. [