'Discovery Learning': An account of rapid curriculum change in response to accreditation

作     者：White, J. Paslawski, T. Kearney, R. 

作者机构：Univ Alberta Dept Surg Edmonton AB T6G 2M7 Canada Univ Alberta Fac Rehabil Med Dept Speech Pathol & Audiol Edmonton AB T6G 2M7 Canada Univ Alberta Dept Anesthesiol Edmonton AB T6G 2M7 Canada 

出 版 物：《MEDICAL TEACHER》 (医学教师)

年 卷 期：2013年第35卷第7期

页      面：E1319-E1326页

核心收录：

学科分类：12[管理学] 1204[管理学-公共管理] 0401[教育学-教育学] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 10[医学] 

基　　金：Teaching and Learning Enhancement Fund of the University of Alberta 

主　　题：CURRICULUM planning INTERVIEWING RESEARCH -- Methodology MEDICINE -- Study & teaching PROBLEM-based learning SCHOOL administrators THEMATIC analysis ACCREDITATION MEDICAL coding 

摘      要：Background/Aims: The purpose of this study was to explore the attitudes and experiences of leaders responsible for making rapid changes to a medical school curriculum in response to an adverse accreditation report. The new curriculum was based on the principles of problem-based learning ( Discovery Learning ), with changes to the way that students were assessed. Methods: We conducted semi-structured interviews with leaders responsible for education at the school two and a half years after the adoption of the new curriculum. We coded the resulting transcripts to identify major and minor themes expressed by participants. Results: Thirty-five senior leaders, administrators and course directors were invited for the interview;14 (40%) were interviewed. Five main themes were noted in the data: (1) organization and control of the curriculum;(2) changes in the practices of teaching and learning;(3) effects on faculty members;(4) sources of resistance and (5) attitudes to curriculum change in general. Conclusion: This study demonstrates that major curriculum change can be achieved successfully in a short period of time. This study also illustrates some of the problems associated with making rapid changes to the medical school curriculum, and highlights the importance of attitudes to change amongst the leadership of a medical school.