临床医学八年制医学生肿瘤学教学需求调查

Investigation on Clinical Oncology Teaching Among Medical Students

  • 摘要:
      目的  调查临床医学八年制医学生对肿瘤学相关课程形式及内容的需求, 为肿瘤学临床教学提供借鉴和参考。
      方法  以问卷星的方式于2020年9—11月对北京协和医学院临床医学八年制医学生、清华大学医学院临床医学八年制医学生、北京协和医学院"4+4"试点班八年制医学生展开调查, 了解学生肿瘤学的知识来源、感兴趣的课程内容和教学形式偏好。
      结果  共发放问卷122份, 回收率为100%。参与调查的学生共122人, 89.3%(109/122)的学生对肿瘤学相关基础和临床科研项目感兴趣, 84.4%(103/122)的学生认为采用情境模拟教学方式合理, 91.0%(111/122)的学生希望通过线下讨论的方式进行学习。课程内容方面, 医学生对肿瘤诊断、治疗方案、多学科综合治疗、循证医学等与临床情境直接相关的知识更感兴趣。亚组分析显示, 传统八年制医学生(86%, 92/107)较"4+4"试点班学生(60%, 9/15)对缓和医疗认可度更高, 在情境模拟教学中更愿意担任编剧(26%比7%, P=0.013);临床阶段学生较基础阶段学生在科研训练中增加了肿瘤学知识的了解, 更倾向于在情境模拟教学中担任编剧(27%比11%, P=0.048)。
      结论  临床医学八年制医学生对肿瘤学课程中的肿瘤诊断、治疗方案及研究进展等方面感兴趣, 期望通过情境模拟教学的方法进行学习且主动参与度较高。

     

    Abstract:
      Objective  To investigate the needs of eight-year program clinical medical students for the organization and contents of clinical oncology courses.
      Methods  From September to November 2020, a questionnaire survey was conducted among eight-year program clinical medicine students in Peking Union Medical College to find out their knowledge base in oncology, teaching mode preference and course contents of interest.
      Results  A total of 122 students participated in the survey, in which 89.3%(109/122) of the students showed interest in basic and clinical research projects related to oncology, 84.4%(103/122) thought it was better to use Simulation-based medical education (SBME), and 91.0%(111/122) hoped to learn throughoff-line discussion. In terms of course contents, eight-year program medical students were more interested in knowledge directly related to clinical context, such as diagnosis, treatment, multidisciplinary comprehensive treatment and evidence-based medicine. In terms of sub-analysis, traditional eight-year students (86%, 92/107) showed a higher acceptance of palliative care than students in the 4+4 reform program(60%, 9/15) and were more willing to act as scriptwriters in SBME(26% vs. 7%, P=0.013). The students in clinical phase gained a better understanding of oncology knowledge through research training and were more inclined to take on the role of scriptwriters in SBME than those in basic phase (27% vs. 11%, P=0.048).
      Conclusions  The eight-year program clinical medical students are interested in the clinical oncology course and prefer study in the form of Simulation-based medical education (SBME).

     

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