Maastricht 의과대학 교육과정 관련 (3)

The medical curriculum in Maastricht

Mirjam oude Egbrink, PhD

Programme Director Medical School FHML, University Maastricht

Maastricht 의학교육의 목표는 무엇인가?

What is our aim in medical education?

합리, 이론, 근거에 기반하며 최상의 학습 환경 구축을 통한 교육에 대한 과학적/학문적 접근 : 근거중심교육 

A scientific/academic approach to education, in which an optimal learning environment is created, which is based on rationality, theory and evidence: Evidence-based education

Three C's of education

Contextual

Constructive

Collaborative

Contextual

학습의 시작은 임상문제로부터. 다양한 문제가 주어지고, 일찍 진료에 대해 접하며, 현장에서 임상추론/문제해결함.

• Clinical problems are the trigger for learning

• A variety problems are given

• Skills-oriented, early practice contacts

• Clinical reasoning/problem solving/reflection in clinical workplaces

Constructive

교수가 증례를 디자인하고, 학생들이 해결할 문제를 정하여, 사전 지식에 대한 브레인스토밍을 하고, 학습목표를 설정하고, 자습하여, 결과를 보고함.

• Staff designs medical scenarios to be discussed

• Students define problems

• Activation of prior knowledge during brainstorm

• Formulation of learning goals

• Self study

• Reporting of information

This approach stimulates active, self-directed learning

Collaborative

소그룹으로 학습하며, 협동적인 분위기

• Working together in small groups

• Cooperative atmosphere

Year 1 and 2

The tutorial group 

Composition : 8-10 students

- chair

- scribe

- tutor

Duration: 2 hours 

- 2 hours : 1 hour report +  1 hour new case prep

Frequency: 

- Twice per week

Year 3

Overview

• Chronic Disorders

• 4 clusters:

– Abdomen

– Locomotor system

– Circulation and Lungs

– Psychomedical problems and Mental Health Care

• Each 10 weeks, rotation

Group meetings

• 10 Students, 1 coach

• Once a week

• 4 hours

– 3 hours reporting

– 1 hour preparation

• 1-2 days later: patient encounter

• One week later: succeeding group meeting

Year 4 and 5

Structure: 

• start week: preparatory (theoretical) learning activities

• final week: evaluation, reflection, closure

Year 6

• Independent functioning and participation in health care and science

- Supervised independent work in a research environment : Thesis

- Supervised independent work in a clinical environment : Peer coaching, Built-in reflection moments

(출처 : https://www.google.co.kr/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CCsQFjAA&url=http%3A%2F%2Fwww.maastrichtuniversity.nl%2Fweb%2Ffile%3Fuuid%3Dea9102fa-3faf-40f3-8948-a9d7ac362911%26owner%3D6e9dd91c-0658-43ab-9c16-0f4c18360aa6&ei=8jAyU5bsAsbskgW83oGoCQ&usg=AFQjCNH7ohLGfq3O_-5J_ckpq4FZyvoKLw&sig2=Am1ZGZ4Nk_UhbwPSK1-2Kw)