目的 了解北京大学人民医院临床带教教师对教学目标的知晓情况。方法 本次研究纳入了2014年在北京大学人民医院从事临床教学工作的教师105人,并将其分为手术组带教教师59人,非手术组带教教师46人。采用面对面或者电话访问的方式,进行教学目标知晓程度的考查和相关问卷调查。使用SPSS 19.0软件进行数据收集和分析。结果 手术组带教教师中教学目标知晓程度得分小于60分的占比37.3% (22/59);非手术组带教教师得分小于60分的占比17.4% (8/46)。手术组和非手术组在教学时间(Z=2.69,P=0.01)、教学人数(Z=2.53,P=0.02)、教学目标评分(F=8.77,P=0.02)上的差异具有统计学意义。相关性研究提示教学目标知晓程度得分与带教教师的带教年限(r=0.46,P<0.001)、职称(r=0.45,P<0.001)、是否对学生进行教学评价(r=0.39, P<0.001)和教师年龄(r=0.47,P<0.001),呈正相关性;与外科带教教师呈负相关,但相关性较弱(r=-0.22,P=0.03);与带教教师的学历无相关性(r=0.15,P=0.13)。结论 临床带教教师的年龄、教学时间、职称、教学评价和外科带教教师,可能是影响教学目标知晓情况的相关因素。
Objective This study thought to understand the Peking University People’s Hospital clinical tutors’ recognition of teaching objective. Methods In 2014,105 clinical tutors working in Peking University People’s Hospital were involved in the survey, they were grouped into two cohorts,59 surgeons and 46 physicians. Teaching objective test and questionnaire survey were conducted by face-to-face or telephone interview, and data collection and analysis was made with SPSS 19.0. Results In the group of surgeons,22 (22/59,37.3%) tutors’ teaching objective score was less than 60,and 8/46 (7.4%) in the group of physicians. There was significant difference between the two groups on the dimension of teaching hours (Z=2.69, P=0.01),number of students (Z=2.53,P=0.02) and teaching objective test score (F=8.77, P=0.02). The research also found positive correlation between the teaching objective test score and the tutors’ teaching experience (r=0.46, P<0.001),professional title (r=0.45,P<0.001),teaching evaluation (r=0.39,P<0.001),tutors’ age (r=0.47,P<0.001);A weak negative correlation between the teaching objective test score and surgeon tutors (r=-0.22,P=0.03);And no correlation between the teaching objective test score and the tutors’ academic diplomas (r=0.15,P=0.13). Conclusions The teaching objective test score score may be affected by the tutors’ teaching experience,professional title,teaching evaluation,tutors’ age and surgeon tutors.
[1] Lown BA,Newman LR,Hatem CJ.The personal and professional impact of a fellowship in medical education[J].Acad Med,2009,84(8): 1089-1097. DOI: 10.1097/ACM.0b013e3181ad1635.
[2] Slootweg I,Lombarts K,Van Der Vleuten C,et al.Clinical teachers’ views on how teaching teams deliver and manage residency training[J].Med Teach,2013,35(1): 46-52. DOI: 10.3109/0142159X.2012.731108.
[3] Grant Wiggins,Jay McTighe.Understanding by design[M].Alexandria: ASCD,1998: 8-9.
[4] Reilly FD.Outcomes from building system courseware for teaching and testing in a discipline-based human structure curriculum[J].Anat Sci Educ,2011,4(4): 190-194. DOI: 10.1002/ase.227.
[5] 向维聂,熊旺鑫,杨耀防,等.五年制临床医学专业基地教学目标体系的构建与认识[J].中华医学教育杂志,2006,26(6): 63-65. DOI: 10.3760/cma.j.issn.1673-677X.2006.06.028.
Xiang WN,Xiong WX,Yang YF,et al.Development of educational objectives for county hospital-based teaching of five-year medical program[J].Chin J Med Edu,2006,26(6): 63-65. DOI: 10.3760/cma.j.issn.1673-677X.2006.06.028.
[6] 白山·军斯汗,王红,彭丽,等.三结合教学模式在医学影像学教学中的应用[J].中华医学教育杂志,2011,31(3): 407-409. DOI: 10.3760/cma.j.issn.1673-677X.2011.03.032.
Baishan Junsihan,Wang H,Peng L,et al.The application of the new three-combination teaching plan in medical imaging courses[J].Chin J Med Edu,2011,31(3): 407-409. DOI: 10.3760/cma.j.issn.1673-677X.2011.03.032.
[7] Montero L,Triviño X,Sirhan M,et al.Barriers for faculty development in medical education: a qualitative study[J].Rev Med Chil,2012,140(6): 695-702. DOI: 10.4067/S0034-98872012000600001.
[8] Pernar LI, Breen E, Ashley SW,et al.Preoperative learning goals set by surgical residents and faculty[J].J Surg Res,2011,170(1): 1-5. DOI: 10.1016/j.jss.2011.01.022.