Objective To explore the design, implementation, and feedback of the innovative module "Whole Process of Medical Behavior"of the competency based early clinical exposure course for eight-year medical students. Methods A total of 68 undergraduate students of the 2022 clinical medicine eight year program from School of Medicine Tsinghua University and 10 clinical teachers were involved in the early clinical exposure course. "Whole Process of Medical Behavior"module was designed based on core competencies and needs assessment of the medical students. Both outpatient and inpatient clinical practice was observed. Rational module objectives were developed. Active teaching methods were adopted. Humanity education and system based practice were emphasized. The curriculum was preliminarily assessed by formal interviews with both clinical teachers and students and after-class summaries. Results Students believed that this module provided them with a preliminary understanding of medical behavior, clinical thinking, medical ethics, and systems-based practice. Clinical experience will be recalled and connected with future theretical learning, and help culture learning interest and self-directed learning ability. Compared with the previous extensive clinical early exposure courses, the teachers believed that the refined "Whole Process of Medical Behavior"module had detailed objectives, specific focuses, inevitably with more manpower demand. The module allowed in-depth student-student and teacher-student communication, and was expected to help develop core competency by stimulating interest, improving learning efficiency, and enhancing leadership. Conclusions The module "Whole Process of Medical Behavior"conforms to the goal of competency-oriented medical education, and can provide reference for the design of clinical exposure courses in medical colleges.
Yu Fan
,
Wang Wei
,
Li Xin
,
Feng Lili
,
Yang Fan
,
Wang Xuedong
,
Wang Yanying
,
Liu Fang
. Design, implementation and preliminary feedback on the innovative module of early clinical exposure course for eight-year medical students[J]. Chinese Journal of Medical Education, 2024
, 44(12)
: 933
-937
.
DOI: 10.3760/cma.j.cn115259-20231016-00361
[1] 李海潮. 第二代医学教育改革与胜任力导向医学教育的关系分析[J].中华医学教育杂志,2019,39(11):801-806. DOI: 10.3760/cma.j.issn.1673-677X.2019.11.001.
[2] 赵岩, 王冠宇, 李思儒, 等. 依托胜任力理念构建医学本科生早期接触临床实践教学体系[J].中国临床医生杂志,2023,51(1):117-119. DOI: 10.3969/j.issn.2095-8552.2023.01.033.
[3] Wang EE, Dyne PL, Du H. Systems-based practice: summary of the 2010 Council of Emergency Medicine Residency Directors Academic Assembly Consensus Workgroup--teaching and evaluating the difficult-to-teach competencies[J]. Acad Emerg Med, 2011,18 Suppl 2:S110-120. DOI: 10.1111/j.1553-2712.2011.01160.x.
[4] Gonzalo JD, Wolpaw DR, Cooney R, et al. Evolving the systems-based practice competency in graduate medical education to meet patient needs in the 21st-century health care system[J]. Acad Med, 2022,97(5):655-661. DOI: 10.1097/ACM.0000000000004598.
[5] 赵峻, 张荣华, 罗林枝, 等. 美国哈佛医学院课程体系改革对中国医学教育的启示[J].基础医学与临床,2016,36(6):865-868.
[6] 傅麒宁, 杨萍. 早期接触临床课程教学目标与形式的探讨[J].中华医学教育杂志,2012,32(2):255-257. DOI: 10.3760/cma.j.issn.1673-677X.2012.02.034.
[7] Goldie J. Review of ethics curricula in undergraduate medical education[J]. Med Educ, 2000,34(2):108-119. DOI: 10.1046/j.1365-2923.2000.00607.x.
[8] Otero HJ, Weissman BN, Rybicki FJ. System-based practice: proposal for a comprehensive curriculum[J]. Acad Radiol, 2008,15(1):119-126. DOI: 10.1016/j.acra.2007.07.015.
[9] Richardson D, Kinnear B, Hauer KE, et al. Growth mindset in competency-based medical education[J]. Med Teach, 2021,43(7):751-757. DOI: 10.1080/0142159X.2021.1928036.
[10] Roman B. Curiosity: a best practice in education[J]. Med Educ, 2011,45(7):654-656. DOI: 10.1111/j.1365-2923.2011.04017.x.
[11] Otero HJ, Weissman BN, Rybicki FJ. System-based practice: proposal for a comprehensive curriculum[J]. Acad Radiol, 2008,15(1):119-126. DOI: 10.1016/j.acra.2007.07.015.