临床医学八年制医学生“早期接触临床”课程的实施效果评价

Evaluation of the Implementation Effect of“Early Contact with Clinical Curriculum”in Eight⁃year Clinical Medical Students

目的对“早期接触临床”课程在临床医学八年制医学生中的实施效果进行评价。方法2021年11月,以电子问卷的形式对完成“早期接触临床”课程的北京协和医学院2018级临床医学八年制医学生展开调查。采用5分制李克特量表对课程总体、临床医学生核心学习目标认知度提升情况,以及课程设置需求度和获益度进行定量评估,其中李克特量表评分≥4分为“比较提升/需求/获益”。结果参与调查的2018级临床医学八年制医学生共75人,回收有效问卷63份(84.0%)。课程总体评估方面,“早期接触临床”课程目标达成度评分为(4.37±0.77)分,课程在基础医学阶段的重要性评分为(4.48±0.78)分,课程对医生职业的认知提升度评分为(4.16±0.75)分。课程对临床医学生核心学习目标认知度提升方面,7个维度的认知度均获得了一定程度的提升,其中职业价值/态度/行为/伦理[(4.27±0.81)分]和医患沟通技能[(4.16±0.85)分]均为“比较提升”。课程设置需求度方面,91.7%(11/12)的课程为“比较需求”,需求度居前3位的课程依次为门诊观摩[(4.76±0.50)分]、病房观摩[(4.73±0.60)分]、医患沟通[(4.65±0.57)分];课程设置获益度方面,66.7%(8/12)的课程为“比较获益”,获益度居前3位的课程依次为医患沟通[(4.73±0.48)分]、病房观摩[(4.65±0.63)分]、门诊观摩[(4.51±0.88)分]。结论在基础医学阶段开设“早期接触临床”课程可提升临床医学八年制医学生核心学习目标的认知度,课程设置具有较好的需求度和获益度,达到理想的教学效果。

Objective To evaluate the implementation effect of“Early contact with clinical curriculum”among eight-year clinical medical students.Methods The electronic questionnaire was conducted among the eight-year clinical medical students in grade 2018 of Peking Union Medical College who completed“Early con-tact with clinical curriculum”in Nov 2021.The 5-points Likert scale was used to quantitatively assess the overall effects,the improvement of cognitive level of core learning objectives in these medical students,as well as the de-mands and benefits of course design.The Likert scale score of≥4 was considered“more improved/demands/ben-eficial”.Results A total of 75 eight-year clinical medical students in grade 2018 were enrolled,and 63 valid questionnaires were collected(840%).In terms of the overall assessment of the program,the goal achievement rate of“Early contact with clinical curriculum”was[(437±077)points],the course importance in the basic medical learning stage was[(448±078)points],and the improvement of physician profession cognition was[(416±075)points].Among the cognitive level of core learning objectives in medical students,all seven di-mensions were improved to some extent,in which professional values/attitudes/behaviors/ethics[(427±081)points]and physician-patient communication skills[(416±085)points]were“more improved”.In terms of demands for the curriculum,917%(11/12)of the courses showed“more demands”,and the top three courses with high demands were outpatient observation[(476±050)points],ward observation[(473±060)points],and physician-patient communication[(465±057)points].In terms of benefits of curriculum,667%(8/12)of the courses was rated“more beneficial”,and the top three courses with high benefits were physician-patient communication[(473±048)points],ward observation[(465±063)points],and outpatient obser-vation[(451±088)points].Conclusion“Early contact with clinical curriculum”in the basic medical learning stage could improve the cognitive level of core learning objectives in eight-year clinical medical students,the curriculum had higher demands and brought more benefits,thus achieving an ideal teaching effect.