床边教学创新与实践美国医学院的教学大纲改革暨对中国医学生教学方法的借鉴.ppt

Evolving Curriculum of HMS HMS started its curriculum reform in 1987, namely “New Pathway”. An intensive, 14-month pre-clerkship program teaching the core medical knowledge. Students acquire critical knowledge before class through watching pre-recording video (5-8 min), in addition to assigned readings and questions to investigate. Class time is used to develop the thinking and reasoning skills needed to solve difficult problems. Teams of 4-6 students are assigned to share their findings with the rest of their 40-plus-person class in a discussion that generates a consensus answer. Students are assigned to expose clinical scenario during the class and in the clinic setting ASAP in October of 2nd year. New Challenges after Reforming Curriculum The essence of this new curriculum reform is to give students the tools to think differently. So, the challenge is going to be: How do students work with factual knowledge or how are students going to be taught with factual knowledge to solve clinical problem since most of students will now learn on their own? To solve this challenge, case-based collaborative learning (CBCL) is at the core of first-year classes-a combination of case-based, team-based, and problem-based learning. This format teaching will be extended to all the pre-clerkship-year courses. New Medical School Curriculum Changes in University of Michigan Integration of clinical an scientific training Students will gain hands-on experience from week one and foundational science will be taught in the clinical setting. More flexibility and customization Students will have more time to focus on their particular interests and gain additional skills and expertise. Competency-based milestones To ensure that students have the skills necessary to function successfully on Day 1 of residency. Major emphasis on leadership skills Training in teamwork, communications, change management, and health systems management. Major architectural changes begin in 2016. Emory MD Cur