Are patient-centered care values as reflected in teaching scenarios really being taught when implemented by teaching faculty? A discourse analysis on an Indonesian medical school's curriculum.
Are patient-centered care values as reflected in teaching scenarios really being taught when implemented by teaching faculty? A discourse analysis on an Indonesian medical school's curriculum.
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DOI：
10.1186/1447-056x-10-4
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发表时间：
2011-04-25
影响因子：
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通讯作者：
Scherpbier, Albert Jj
中科院分区：
文献类型：
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作者：
Claramita, Mora;Sutomo, Adi H;Scherpbier, Albert Jj
背景：根据印度尼西亚医学委员会，2006 年，印度尼西亚基于能力的医学课程应以家庭医学为导向。我们的目的是查明家庭医学中以患者为中心的护理（全面护理和持续护理）的教育目标是否已从预期课程充分转移到实施的课程和教学过程中。方法：由 3 位全科医生对印度尼西亚本科医学课程的情景和学习目标进行话语分析。编码人员将这些句子分为两组：满足或未满足以患者为中心的护理的教育目标。结果：文本分析显示，以患者为中心的护理培训中的场景与课程委员会和分区规划小组制定的学习目标以及材料的教学方式之间存在差距。情景中的大多数句子与以患者为中心的护理更相关，而学习目标中的大多数句子更倾向于疾病视角。结论：目前情景中预期的以患者为中心的护理价值观与正在使用的教学材料之间存在差异。
BACKGROUND: According to The Indonesian Medical Council, 2006, Indonesian competence-based medical curriculum should be oriented towards family medicine. We aimed to find out if the educational goal of patient-centered care within family medicine (comprehensive care and continuous care) were adequately transferred from the expected curriculum to implemented curriculum and teaching process.METHODS: Discourse analysis was done by 3 general practitioners of scenarios and learning objectives of an Indonesian undergraduate medical curriculum. The coders categorized those sentences into two groups: met or unmet the educational goal of patient-centered care.RESULTS: Text analysis showed gaps in patient-centered care training between the scenarios and the learning objectives which were developed by both curriculum committee and the block planning groups and the way in which the material was taught. Most sentences in the scenarios were more relevant to patient-centered care while most sentences in the learning objectives were more inclined towards disease-perspectives.CONCLUSIONS: There is currently a discrepancy between expected patient-centered care values in the scenario and instructional materials that are being used.