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

doi:10.3760/cma.j.cn115259-20230910-00232

Abstract

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

CLC Number:

Zheng Xizi, Xu Lingyi, Tang Linger, Jia Xiaoyu, Lyu Jicheng, Liu Gang, Yang Li. 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[J]. Chinese Journal of Medical Education, 2024, 44(5): 365-369.

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