目的 了解中国医学教育领域的发展趋势及前沿热点,从我国医学教育研究在国际期刊发表论文的角度进行文献计量学分析,为推动我国医学教育的改革发展提出参考意见。方法 在PubMed数据库中,以medical education为主题词进行检索,通过Web of Science数据库进行文献匹配,收集SCI数据库收录的2008年~2017年中国机构参与发表的医学教育研究论文。对纳入文献的发文趋势、机构分布、期刊分布等进行研究领域特征分析,描绘中国医学教育研究发展的整体特征;利用BICOMB及gCLUTO对纳入文献进行高频主要主题词聚类分析及引文共被引聚类分析,探索中国医学教育研究前沿及热点。结果 本研究分析纳入了441篇文献,研究领域特征分析结果显示,香港大学在机构发文量分布及作者发文量分布排名方面均居于首位,期刊Medical Teacher 2008年~2017年发表了更多关于中国作者的文章,卫生保健科学成为医学教育领域2008年~2017年跨学科成果最多的学科;通过分析得到6个高频主题词聚类结果及5个高频引文共被引聚类结果。结论 相较于国际医学教育研究,中国医学教育研究起步较晚,但是近年来发展迅猛。2008年~2017年中国医学教育领域研究热点主要聚焦于中国医学教育改革发展进程与挑战、基于问题学习(problem-based learning, PBL)课程教学的理论研究与实践等方面。现阶段的研究针对我国医学教育改革发展面临的实际挑战进行了充分的讨论和国际发声,但是总体研究的深度与广度仍然有待提高。
Objective To understand the development trend and frontier hotspots in the field of medical education in China, to conduct bibliometric analyses to the perspective of international medical journal publications, and to provide reference for the reform and development of medical education in China. Methods Using medical education as the MeSH term, publications by Chinese institutions pertaining to medical education research between from 2008 up to 2017, and included in the scientific citation index (SCI) database were collected from PubMed and corroborated through the web of science database. Research characteristics, such as publication trends, distribution of institutions, and distribution of journals, were analyzed to depict the overall development characteristics of medical education research in China. BICOMB and gCLUTO were used for cluster analysis and citation index analysis of high-frequency MeSH terms in order to identify the frontiers and hotspots of Chinese medical education research. Results Totally of 441 articles were reviewed in the study analysis. Analysis of the characteristics of Chinese medical education research showed that The University of Hong Kong (HKU) ranked first in terms of the distribution of institutional publications and the ranking of authors' publications. In the past decade, the journal Medical Teacher published more articles about Chinese authors, and health care sciences had become the most interdisciplinary subject in the field of medical education. Cluster analysis presented 6 high-frequency MeSH terms and 5 high frequency citations. Conclusions Compared to international medical education research, Chinese medical education research started late but has developed rapidly in recent years. The current research fully discussed and addressed the practical challenges facing the reform and development of medical education in China from a global perspective. However, the depth and breadth of the overall research still needs to be improved.
[1]姜海, 刘薇薇, 管又飞. 基于引文可视化分析软件的21世纪世界医学教育科研合作网络分析[J].中华医学教育杂志,2018,38(3):368-372. DOI: 10.3760/cma.j.issn.1673-677X.2018.03.012.
[2]闻德亮. 2018国际医学教育研究前沿报告[M]. 北京:科学出版社, 2018:1-2.
[3]崔雷, 刘伟, 闫雷, 等. 文献数据库中书目信息共现挖掘系统的开发[J].现代图书情报技术,2008(8):70-75. DOI: 10.3969/j.issn.1003-3513.2008.08.013.
[4]Hou J, Michaud C, Li Z, et al. Transformation of the education of health professionals in China: Progress and challenges[J]. Lancet, 2014, 384(9945):819-827. DOI: 10.1016/S0140-6736(14)61307-6.
[5]Xu D, Sun B, Wan X, et al. Reformation of medical education in China[J]. Lancet, 2010, 375(9725):1502-1504. DOI: 10.1016/S0140-6736(10)60241-3.
[6]赵立成, 张锦英. 质量与内涵:高等医学教育供给侧改革的思考[J].医学与哲学(A),2017,38(21):67-70. DOI: 10.12014/j.issn.1002-0772.2017.11a.17.
[7]曲巍, 张锦英. 医学人文与医学教育改革[J]. 医学与哲学(A), 2015,36(7):1-3, 87.
[8]Jones R W. Problem-based learning: Description, advantages, disadvantages, scenarios and facilitation[J]. Anaesth Intensive Care, 2006,34(4):485-488.
[9]Abraham RR, Vinod P, Kamath MG, et al. Learning approaches of undergraduate medical students to physiology in a non-PBL- and partially PBL-oriented curriculum[J]. Adv Physiol Educ, 2008,32(1):35-37. DOI: 10.1152/advan.00063.2007.
[10]Zhang Y, Zhou L, Liu X, et al. The effectiveness of the problem-based learning teaching model for use in introductory Chinese undergraduate medical courses: A systematic review and meta-analysis[J]. PLoS One, 2015,10(3):e0120884. DOI: 10.1371/journal.pone.0120884.
[11]汪青. 国内医学院校PBL教学模式的应用现状及问题剖析[J].复旦教育论坛,2010,18(5):88-91. DOI: 10.3969/j.issn.1672-0059.2010.05.018.
[12]谭海珠, 杨棉华. PBL教学模式在医学教育中的应用[J]. 医学教育, 2005(5):48-50.
[13]单天明, 孙宝志. 关于基于问题教学模式改善学生学习能力的评价研究[J].中华医学教育杂志,2006,26(6):90-93. DOI: 10.3760/cma.j.issn.1673-677X.2006.06.039.