The Feasibility and Effectiveness of a Consultation-based Learning in the Neurology Clerkship

Jen-Feng Liang; Ling-Yu Yang; Bing-Wen Soong; Chen-Huan Chen; Shuu-Jiun Wang

doi:10.6145/jme201509

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P89 - 98

医药卫生 > 医药总论
社会科学 > 教育学

DOI： 10.6145/jme

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The Feasibility and Effectiveness of a Consultation-based Learning in the Neurology Clerkship

Jen-Feng Liang ； Ling-Yu Yang ； Bing-Wen Soong ； Chen-Huan Chen ； Shuu-Jiun Wang

Journal of Medical Education ； 19 卷 3 期 (2015 / 09 / 01) ， P89 - 98

英文 DOI： 10.6145/jme201509

consultation-based learning ； effectiveness ； neurology ； curriculum ； clerkship

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Background: Consultation-based learning is quite common for clerkship training in Western countries. It may be theoretically beneficial, but its feasibility and effectiveness in Taiwan has never been studied. Objectives: To evaluate the feasibility and effectiveness of a consultation-based learning in clinical clerkship in Taiwan, taking neurology curriculum as an example. Method: Beginning from May, 2013, all medical students rotating into the neurology clerkship in Taipei Veterans General Hospital participated in three cases of consultation. The responses of students and clinical teachers to consultation-based learning, including satisfaction level, its effectiveness, workload and qualitative feedback, were collected by anonymous questionnaire. Result: Among 49 students and 12 teachers who completed the evaluation during the study period of 20 months, 91.3% of the students and 66.6% of the teachers responded favorably to consultation-based learning; 98% and 66.6%, respectively, agreed to maintain this design of course. Nevertheless, 16.3% of students and 33.3% of teachers concerned about its negative effects on other learning activities or work. On average, teachers and students spent 0.9 and 1.7 hours preparing for each consultation case, respectively. Both students and teachers agreed it to be the most useful for clinical reasoning but the least conducive for practicing neurological examination. Conclusion: Incorporation of a consultation-based learning in the clinical clerkship is feasible and well-accepted by the clerks as being able to enhance the effectiveness of current inpatient care-based learning. This teaching design should be maintained in neurology curriculum and might hopefully extend to other clerkship rotations.

参考文献 ( 15 ) 〈TOP〉

National Taiwan University Hospital, Department of Psychiatry: Undergraduate training descriptions. Available at: [http://www.ntuh.gov.tw/PSY/teaching/medical/default.aspx] Accessed on: 14th Jun., 2015.
Johns Hopkins School of Medicine: Electives Book, 2014. Available at: [http://www.hopkinsmedicine.org/som/students/academics/MedicalStudentElectives.pdf] Accessed on: 26thJan., 2015
Columbia University, Royal College of Physicians and Surgeons: Clerkship descriptions. Available at: [http://ps.columbia.edu/education/academics/medical-school-curriculum/major-clinical-year/clerkship-descriptions] Accessed on: 26th Jan.,2015.
Harvard Medical School: Core clinical clerkships 2014-2015. Available at: [http://www.medcatalog.harvard.edu/courselist.aspx?cl=clerkships] Accessed on: 26th Jan., 2015.
Huang AT: Medical education promotion fund.Reflections by former interns in Duke University Medical Center. Available at: [http://www.kfsyscc.org/foundation/duke-scholarship/report/] Accessed on: 22nd Mar., 2015.

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