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臨床教師與學員對教學計劃執行的認知分析初探-以一區域教學醫院爲例

Preliminary Analysis of Perceptions about Teaching Program Implementation by Clinical Teachers and Students at a Regional Teaching Hospital

摘要


Purposes: This study was conducted to gain a better understanding of perceptions by students and clinical teachers about newly implemented teaching programs in order to promote communication between teachers and students and improve the quality of education. Methods: A questionnaire was designed to include the necessary competencies expected of a medical staff as proposed by the Institute of Medicine. The subjects were students and clinical teachers in the training programs. SPSS 12.0 statistical software was utilized for descriptive and inferential statistical analysis. Results: Students were most dissatisfied with academic research capabilities, integration of general medical courses into the learning process, and implementation of academic content in clinical practice. In particular, students felt the last topic was inadequately covered; however the clinical teachers considered it to be fully implemented. Further analysis found that these different opinions came primarily from student-doctors. In the area of clear teaching objectives and overall satisfaction, student-doctors were more dissatisfied than their clinical teachers. Student-doctors were also the most dissatisfied with academic research capabilities when compared with students in other medical staff. Conclusions: Overall, clinical teachers in our hospital were rated highly by their students with respect to enthusiasm for teaching and conscientious medical care; however, the students felt that the teaching model was poorly structured, teachers were not familiar with relevant educational skills, and teachers did not fully implement courses due to lack of time. As the training were interrupted because of more serious clinical issues and no one was in place to ensure continuity of teaching program, which may have resulted in significant differences of opinion about the teaching program by students and clinical teachers. In the future, we suggest regular surveys of both teachers and students to find ways to implement more effective programs.

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並列摘要


Purposes: This study was conducted to gain a better understanding of perceptions by students and clinical teachers about newly implemented teaching programs in order to promote communication between teachers and students and improve the quality of education. Methods: A questionnaire was designed to include the necessary competencies expected of a medical staff as proposed by the Institute of Medicine. The subjects were students and clinical teachers in the training programs. SPSS 12.0 statistical software was utilized for descriptive and inferential statistical analysis. Results: Students were most dissatisfied with academic research capabilities, integration of general medical courses into the learning process, and implementation of academic content in clinical practice. In particular, students felt the last topic was inadequately covered; however the clinical teachers considered it to be fully implemented. Further analysis found that these different opinions came primarily from student-doctors. In the area of clear teaching objectives and overall satisfaction, student-doctors were more dissatisfied than their clinical teachers. Student-doctors were also the most dissatisfied with academic research capabilities when compared with students in other medical staff. Conclusions: Overall, clinical teachers in our hospital were rated highly by their students with respect to enthusiasm for teaching and conscientious medical care; however, the students felt that the teaching model was poorly structured, teachers were not familiar with relevant educational skills, and teachers did not fully implement courses due to lack of time. As the training were interrupted because of more serious clinical issues and no one was in place to ensure continuity of teaching program, which may have resulted in significant differences of opinion about the teaching program by students and clinical teachers. In the future, we suggest regular surveys of both teachers and students to find ways to implement more effective programs.

參考文獻


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行政院衛生署:行政院衛生署教學醫院教學費用補助計畫申請作業要點。Accessed on November 9, 2009, at: http://www.doh.gov. tw/CHT2006/DM/SEARCH_RESULT.aspx.
財團法人醫院評鑑與醫療品質策進會:教學品質提升計畫。Accessed on February 15,2009, at: http://www.tjcha.org.tw/2009/2/15.
Institute of Medicine(2003).Health Professions Education: A Bridge to Quality.Washington, DC.:National Academy Press.
林慧玲、魏聰文、吳英黛(2008)。新進醫事人員訓練現況與發展:從學協會觀點談持續教育訓練的連接。醫療品質雜誌。2,7-12。

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