Preliminary Exploration on System-Based Integrated Course Reform in Clinical Medicine Discipline_Chinese Journal of Evidence-Based Medicine

Authors：

ZENG Jing ¹ ,  QING ping ² , ZUO Chuan ¹ , WANG Yiping ¹ , ZHAO Jichun ³ , WAN Xuehong ² , ZOU Mingying ¹ , DENG Bei ³

1. Department of Internal Medicine, West China Hospital, Sichuan University, Chengdu 610041, China; 2. Department of Educational Administration, West China Hospital, Sichuan University, Chengdu 610041, China; 3. Department of Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

QING ping, Email: qingping@scu.edu.cn

Keywords：

System-based integrated course; Clinical medicine; Education; Medicine; Education reform

DOI：

10.7507/1672-2531.20130097

Video：

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Objective 　To compare the survey results of the 8-year program students of clinical medicine discipline before and after the implementation of system-based integrated course reform, to provide feedback for system-based integrated course reform.
Methods 　The questionnaire survey was continuously conducted for 2 years among the 8-year program students in grade of 2005 and 2006, so as to investigate their attitudes towards the integrated clinical courses, then relevant improvement of teaching measures were performed according to their feedback, and the difference of teaching effects between those 2 years was finally compared.
Results 　A total of 79 students in grade 2005 and 78 students in grade 2006 were investigated. The baseline data were matched between the 2 grades. The results of statistical analysis showed that, the overall cognition (χ2=32.924, P lt;0.000 1) and assessment (t=−2.900, P=0.004) of integrated courses among students in grade 2006 got more improved in comparison with the students in grade 2005, and more students tended to select integrated courses, but there was no statistical difference.
Conclusion 　Although system-based integrated clinical course as a new thing has its limitations, the reform idea and direction are still approved by students, so it is worth popularizing.

Citation： ZENG Jing,QING ping,ZUO Chuan,WANG Yiping,ZHAO Jichun,WAN Xuehong,ZOU Mingying,DENG Bei. Preliminary Exploration on System-Based Integrated Course Reform in Clinical Medicine Discipline. Chinese Journal of Evidence-Based Medicine, 2013, 13(5): 548-552. doi: 10.7507/1672-2531.20130097 Copy

1.	Kitzes JA, Kalishman S, Morris C. Process of integration of 12 cross-cutting themes. Med Edu, 2005, 39(5): 508-509.
2.	Kitzes JA, Savich RD, Kalishman S, et al. Fitting it all in: integration of 12 cross-cutting themes into a School of Medicine curriculum. Med Teach, 2007, 29(5): 489-494.
3.	Spencer AL, Brosenitsch T, Levine AS, et al. Back to the basic sciences: an innovative approach to teaching senior medical students how best to integrate basic science and clinical medicine. Acad Med, 2008, 83(7): 662-669.
4.	乔敏, 路振富, 孙宝志, 等. 学习哈佛经验, 建立基础医学整合课程体系的实践. 中国高等医学教育, 2002, 4: 44-6.
5.	张世忠, 邹志浩, 周振军. 关于建立“系统整合型”神经医学教学模式的几点思考. 南方医学教育, 2007, 2: 17-18.
6.	臧伟进, 王渊. 以问题为导向的医学跨学科整合课程建设的初步探索与实践. 中国医学教育技术, 2009, 24(6): 659-660.
7.	曾静, 易群, 卿平, 等. 在八年制医学教育中进行系统整合课程体系改革的初步探索及反馈. 中国现代医学杂志, 2010, 20(22): 3516-3518.
8.	Ham TH. Medical Education at Western Reserve University — A Progress Report for the Sixteen Years 1946–1962. N Engl J Med, 1962, 267: 916-923.
9.	Torres GJ. Education trends and the integrated curriculum approach in nursing. NLN Publ, 1986, (15-2164): 221-226.
10.	Culbert AJ, Blaustein EH, Sandson JI. The modular medical integrated curriculum: an innovation in medical education. N Engl J Med, 1982, 306(24): 1502-1504.
11.	Sandila MP, Siddiqui NA, Bawa MT, et al. An integrated curriculum for MBBS. J Pak Med Assoc, 2001, 51(2): 60-63.
12.	Des Marchais JE. Integrated curriculum model for a residency program. Can J Surg, 1981, 24(1): 46-49.
13.	Gordon T, Susan D, Carolyn Briggs, et al. The influence of the New Pathway curriculum on Harvard medical students. Acad Med, 1994, 69(12): 983-989.
14.	冯灵, 王磊, 陈静, 等. 神经内外科护理学整合教学改革探索. 中国循证医学杂志, 2011, 11(2): 231-233.
15.	何萍, 杨锦华, 林晓珊, 等. 以系统整合为基础, 构建临床医学本科课程体系. 中国高等医学教育, 2003, 3: 5-7.
16.	高分飞, 陈海波, 石刚刚. 系统整合课程体系改革实践的思考. 中国高等医学教育, 2010, 1: 103-104.
17.	Torres GJ. The integrated curriculum-problems and concerns in the world of specialization. NLN Publ, 1986, (15-2164): 261-266.
18.	Lynch EA. Implications for evaluation in an integrated curriculum. NLN Publ, 1986, (15-2164): 253-259.

1. Kitzes JA, Kalishman S, Morris C. Process of integration of 12 cross-cutting themes. Med Edu, 2005, 39(5): 508-509.
2. Kitzes JA, Savich RD, Kalishman S, et al. Fitting it all in: integration of 12 cross-cutting themes into a School of Medicine curriculum. Med Teach, 2007, 29(5): 489-494.
3. Spencer AL, Brosenitsch T, Levine AS, et al. Back to the basic sciences: an innovative approach to teaching senior medical students how best to integrate basic science and clinical medicine. Acad Med, 2008, 83(7): 662-669.
4. 乔敏, 路振富, 孙宝志, 等. 学习哈佛经验, 建立基础医学整合课程体系的实践. 中国高等医学教育, 2002, 4: 44-6.
5. 张世忠, 邹志浩, 周振军. 关于建立“系统整合型”神经医学教学模式的几点思考. 南方医学教育, 2007, 2: 17-18.
6. 臧伟进, 王渊. 以问题为导向的医学跨学科整合课程建设的初步探索与实践. 中国医学教育技术, 2009, 24(6): 659-660.
7. 曾静, 易群, 卿平, 等. 在八年制医学教育中进行系统整合课程体系改革的初步探索及反馈. 中国现代医学杂志, 2010, 20(22): 3516-3518.
8. Ham TH. Medical Education at Western Reserve University — A Progress Report for the Sixteen Years 1946–1962. N Engl J Med, 1962, 267: 916-923.
9. Torres GJ. Education trends and the integrated curriculum approach in nursing. NLN Publ, 1986, (15-2164): 221-226.
10. Culbert AJ, Blaustein EH, Sandson JI. The modular medical integrated curriculum: an innovation in medical education. N Engl J Med, 1982, 306(24): 1502-1504.
11. Sandila MP, Siddiqui NA, Bawa MT, et al. An integrated curriculum for MBBS. J Pak Med Assoc, 2001, 51(2): 60-63.
12. Des Marchais JE. Integrated curriculum model for a residency program. Can J Surg, 1981, 24(1): 46-49.
13. Gordon T, Susan D, Carolyn Briggs, et al. The influence of the New Pathway curriculum on Harvard medical students. Acad Med, 1994, 69(12): 983-989.
14. 冯灵, 王磊, 陈静, 等. 神经内外科护理学整合教学改革探索. 中国循证医学杂志, 2011, 11(2): 231-233.
15. 何萍, 杨锦华, 林晓珊, 等. 以系统整合为基础, 构建临床医学本科课程体系. 中国高等医学教育, 2003, 3: 5-7.
16. 高分飞, 陈海波, 石刚刚. 系统整合课程体系改革实践的思考. 中国高等医学教育, 2010, 1: 103-104.
17. Torres GJ. The integrated curriculum-problems and concerns in the world of specialization. NLN Publ, 1986, (15-2164): 261-266.
18. Lynch EA. Implications for evaluation in an integrated curriculum. NLN Publ, 1986, (15-2164): 253-259.

Chinese Journal of Evidence-Based Medicine

Preliminary Exploration on System-Based Integrated Course Reform in Clinical Medicine Discipline

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