To assess the effectiveness of assisted problem-based learning (PBL) compared to a didactic approach in a pharmaceutics course.
Design
Data were collected over 7 offerings of the course. In the first half of the semester about half of the students (PBL1) learned in a PBL format while the other students (PBL2) received didactic lectures. In the second half of the semester, the teaching methods were reversed.
Assessment
Performance on the midterm examination and a comprehensive final examination was used to assess the effect of PBL. Over the 7-year period, PBL1 students scored significantly higher on the midterm examinations. Scores on the final examinations did not differ significantly, but PBL2 students had a higher mean score on questions based on material from the second half of the semester.
Conclusions
PBL produced a short-term (weeks) improvement in learning and our results suggest that the effect may persist in the medium term (months). 相似文献
Objective: To explore how a student-run clinic (SRC) in primary health care (PHC) was perceived by students, patients and supervisors.Design: A mixed methods study. Clinical learning environment, supervision and nurse teacher evaluation scale (CLES?+?T) assessed student satisfaction. Client satisfaction questionnaire-8 (CSQ-8) assessed patient satisfaction. Semi-structured interviews were conducted with supervisors. Setting: Gustavsberg PHC Center, Stockholm County, Sweden.Subjects: Students in medicine, nursing, physiotherapy, occupational therapy and psychology and their patients filled in questionnaires. Supervisors in medicine, nursing and physiotherapy were interviewed.Main outcome measures: Mean values and medians of CLES?+?T and CSQ-8 were calculated. Interviews were analyzed using content analysis.Results: A majority of 199 out of 227 student respondents reported satisfaction with the pedagogical atmosphere and the supervisory relationship. Most of the 938 patient respondents reported satisfaction with the care given. Interviews with 35 supervisors showed that the organization of the SRC provided time and support to focus on the tutorial assignment. Also, the pedagogical role became more visible and targeted toward the student’s individual needs. However, balancing the student’s level of autonomy and the own control over care was described as a challenge. Many expressed the need for further pedagogical education.Conclusions: High student and patient satisfaction reported from five disciplines indicate that a SRC in PHC can be adapted for heterogeneous student groups. Supervisors experienced that the SRC facilitated and clarified their pedagogical role. Simultaneously their need for continuous pedagogical education was highlighted. The SRC model has the potential to enhance student-centered tuition in PHC.
Key Points
Knowledge of student-run clinics (SRCs) as learning environments within standard primary health care (PHC) is limited.
We report experiences from the perspectives of students, their patients and supervisors, representing five healthcare disciplines.
Students particularly valued the pedagogical atmosphere and the supervisory relationship.
Patients expressed high satisfaction with the care provided.
Supervisors expressed that the structure of the SRC supported the pedagogical assignment and facilitated student-centered tuition – simultaneously the altered learning environment highlighted the need for further pedagogical education.
Student-run clinics in primary health care have great potential for student-regulated learning.