北京协和医学院八年制医学生基于实践的自主学习能力及相关因素分析  

Analysis of the ability and affected factors on self-regulated learning in 8-year program medical students at Peking Union Medical College

作　　者：柴晶晶[1] 朱华栋[1] 刘继海[1] 张楠[1] 曹孟孟 于学忠[1] CHAI Jing-jing;ZHU Hua-dong;LIU Ji-hai;ZHANG Nan;CAO Meng-meng;YU Xue-zhong(Department of Emergency, Peking Union Medical College Hospital,CAMS & PUMC, Beijing 100730, China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院急诊科,北京100730

出　　处：《基础医学与临床》2019年第5期763-768,共6页Basic and Clinical Medicine

基　　金：北京协和医学院教学改革项目(2017zlgc0108)

摘　　要：目的通过对北京协和医学院八年制学生(八年制医学生)自主学习的现况调查,探讨影响自主学习能力的相关因素,为进一步提高八年制(医学生)自主学习能力提供基础。方法应用调查问卷方法,评估第5、6及7年医学院八年制医学生在自主学习时间、自主学习资源主要获得途径、自主学习方式、自主学习能力方面的情况,探讨影响自主学习能力的相关影响因素。结果参与调查分析问卷分析共170份,男74名,女96名,平均每日在自主学习上花费的时间为(106.3±35.7)min。课本、带教老师、师兄师姐是最常用的自主学习资源主要获得途径,PubMed是最常用数据库,其次为UpToDate临床顾问,然后是万方/维普及CNKI。女生在学习焦虑方面明显高于男生(P<0.05)。对自主学习影响因素方面的分析,结果显示家庭经济状况高于当地平均水平组,自主学习能力较高,按照年级分类,第5年自主学习能力总分及策略分量表明显高于第6年,优生的自主学习能力在动机分量表及策略分量表及总分方面均明显高于差生。结论八年制医学生自主学习能力受众多因素影响,家庭经济状况较好,自主学习时间较长,学习成绩较好的学生,自主学习能力较高。Objective This study investigated the factors affecting self-regulated learning ability by exploring the current situation of self-regulated learning in 8-year program medical students, and provides a basis for further improvement in this respect. Methods Questionnaire method was used to evaluate the time,the resources, the methods and the ability of self-regulated learning of the medical students in the 5th, 6th and 7th years, and to explore the relevant factors affecting self-learning ability. Results A total of 170 questionnaires were collected, 74 males and 96 females. The average time spent on self-regulated learning was (106.3±35.7) minutes per day. Textbooks, teachers, senior schoolmates are the most commonly used pathway to self-learning resources. PubMed is the most commonly used database, followed by UpToDate clinical consultant and then Wanfang/Weipu and CNKI. The score of learning anxiety in females are significantly higher than that of males. The analysis of the influencing factors of self-regulated learning shows that the students with better family economic conditions have higher score of self-regulated learning ability. According to grade classification, the total and strategy score of self-regulated learning ability in the fifth year are significantly higher than those in the sixth year. The self-regulated learning ability of excellent students is significantly higher than that of poor students in motivation, strategy and the total score. Conclusions The ability to self-regulate learning strategies is affected by many different factors. Students with the better the family economic condition, longer self-regulated learning time, better academic record have higher self-regulated learning ability.

关 键 词：自主学习 医学生 医学教育 

分 类 号：G642[文化科学—高等教育学]