骨外科本科教学课程的教革发展——香港中文大学的经验

The development and reform of an undergraduate curriculum in orthopaedic surgery at the Chinese University of Hong Kong

教学课程的改革发展是现代医学教学各专业发展的必然趋势。教程改革涉及不同层次。过去由于对骨外科本科教程重视不够,导致了一些医学院在这方面发展不足。目前在普通科中,非骨外科专科医生诊治有6.5%～27%骨关节肌肉系统疾病患者。这意味着骨外科仍将是医学本科教学中的一个重要专业。骨外科教程的改革发展对香港社区医学普科执业医师十分重要,这要求我们通过重视医学教学课程的整合来适应香港当前社会的需要。本文阐述了骨外科本科教程内容的改革发展、教学目的和大纲;简要讨论了课程实施的方法,包括怎样利用新的教学手段和科技,以及怎样评定课程改革发展是否成功。

The development and reform of teaching curriculum is an esse ntial part of various specialties in modern academic medicine at various levels. The curriculum for undergraduate orthopaedic teaching has been neglected before and resulted in teaching shortcomings at some medical schools. Since musculoske letal problems account for 6.5% to 27% of patients attending non-specialist physicians in general practices, orthopaedics should remain an important subjec t in undergraduate medical education. This paper outlines the development and re form, educational objectives, and the framework of the orthopaedic curriculum an d its contents. We also discuss methods of curricular delivery, including integr ation of new technology and assessment of the impact of the curriculum. Curricul ar development in orthopaedics is relevant to the general practice community in Hong Kong, and future developments with respect to an Integrated Medical Curricu lum and Hong Kong society are envisaged.