中华医学教育杂志

中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (5): 365-369.DOI: 10.3760/cma.j.cn115259-20230910-00232

• 临床教学 • 上一篇    下一篇

八年制临床医学专业学生泌尿系统整合式课程见习满意度的混合式研究

郑茜子, 徐菱忆, 唐灵儿, 贾晓玉, 吕继成, 刘刚, 杨莉   

  1. 北京大学第一医院肾内科 北京大学肾脏疾病研究所 卫生部肾脏疾病重点实验室 慢性肾脏病防治教育部重点实验室(北京大学) 中国医学科学院免疫介导肾病诊治创新单元,北京 100034
  • 收稿日期:2023-09-10 出版日期:2024-05-01 发布日期:2024-04-30
  • 通讯作者: 杨莉,Email:li.yang@bjmu.edu.cn
  • 基金资助:
    北京市科技新星计划(2021051);中央高校基本科研业务费,北京大学临床科学家计划(BMU2023PYJH023);北京高校卓越青年科学家计划(BJJWZYJH01201910001006);中国医学科学院医学与健康科技创新工程项目(2019-I2M-5-046)

A mix-methods study on the satisfaction of eight-year program medical students with the urinary system clerkship in an organ-system-based integrated curriculum

Zheng Xizi, Xu Lingyi, Tang Linger, Jia Xiaoyu, Lyu Jicheng, Liu Gang, Yang Li   

  1. Renal Division, Peking University First Hospital & Institute of Nephrology, Peking University & Key Laboratory of Renal Disease, Ministry of Health of China & Key Laboratory of CKD Prevention and Treatment, Ministry of Education of China & Research Units of Diagnosis and Treatment of immune-Mediated Kidney Diseases, Chinese Academy of Medical Sciences, Beijing 100034, China
  • Received:2023-09-10 Online:2024-05-01 Published:2024-04-30
  • Contact: Yang Li, Email: li.yang@bjmu.edu.cn
  • Supported by:
    Beijing Nova Program (2021051); The Fundamental Research Funds for the Central Universities, Peking University Clinical Scientist Training Program (BMU2023PYJH023); Beijing Outstanding Young Scientist Program (BJJWZYJH01201910001006); Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences (2019-I2M-5-046)

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摘要： 目的 探讨器官系统整合教学模式下学生对泌尿系统整合式课程见习的满意度和需求,为进一步优化见习教学提供参考。方法 本研究采用定量和定性混合式研究方法,于2023年7月以北京大学2020级八年制临床医学专业学生为研究对象,对学生泌尿系统整合式课程见习满意度进行问卷调查,采用非参数检验和方差分析进行统计分析。基于调查结果,使用目的抽样法选取访谈对象,围绕泌尿系统见习体会及需求开展焦点小组访谈,使用NVivo软件对访谈内容进行编码,采用主题框架分析法进行资料整理和主题提炼。结果 在完成电子问卷调查的142名学生中,泌尿系统见习满意度评分为(4.26±0.63)分。见习满意度评分方面,男女生[(4.38±0.59)分比(4.14±0.65)分]、不同知识掌握程度[熟练(4.45±0.61)分、一般(4.18±0.56)分、不熟练(3.79±0.70)分]和知识运用能力[熟练(4.44±0.58)分、一般(4.10±0.62)分、不熟练(4.09±0.68)分]的学生间评分差异均具有统计学意义(均P<0.05)。共举办3场焦点小组访谈,提炼出增加临床实践、保障见习同质化、强化理论知识、改善教学环境4个主题。结论 学生对泌尿系统整合式课程见习整体满意度高,但也存在一定的提升空间。基于学生需求,未来可以在合理规划课程、加强科室间协作、完善师资培养和改善教学环境等方面进一步优化见习教学。

关键词: 学生,医科, 器官系统整合课程, 泌尿系统, 临床见习, 八年制

Abstract: Objective This study was aimed to investigate the satisfaction and demands of undergraduate medical students in the urinary system clerkship in an organ-system-based integrated curriculum to inform quality improvement of medical education. Methods This study was conducted in July 2023 with a mix-methods research approach. The 2020 grade eight-year program clinical medical students in Peking University Health Science Center were selected as the research subjects. The questionnaire was developed to assess the students′ satisfaction with the urinary system clerkship, and the data were analyzed using non-parametric tests and one-way analysis of variance. Based on the questionnaire survey results, the purpose sampling method was used to select students for focus group interviews to investigate the experiences and demands of the students. The interview contents were recorded, transcribed, and coded by NVivo software. Thematic framework analysis was used for data sorting and theme extraction. Results Among the 142 students who completed the online questionnaire, the satisfaction score of the urinary system clerkship was (4.26±0.63). Significant differences were observed in satisfaction scores among students of different genders [ (4.38±0.59) vs. (4.14±0.65)], abilities of knowledge mastery [proficiency (4.45±0.61), general (4.18±0.56) and non-proficiency (3.79±0.70)], and knowledge application [proficiency (4.44±0.58), general (4.10±0.62) and non-proficiency (4.09±0.68), all P<0.05]. Three group interviews were conducted. Four themes were concluded from the analysis: exposure to real clinical settings, homogenization of clerkship, reinforcement of the theoretical knowledge, and improvement of the teaching environment. Conclusions Students showed a high overall satisfaction level with the urinary system clerkship, but there was still room for improvement. Students′ opinions and suggestions will be fully adopted to improve the teaching curriculum of clerkship continually in the following aspects, including enhancing the overall curriculum planning, departmental collaboration, strengthening faculty training, and facility construction to improve clerkship satisfaction and effectiveness further.

Key words: Students, medical, Organ-system-based integrated curriculum, Urinary system, Clinical clerkship, Eight-year program

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