Abstract
The aim of this article is to identify roadblocks prohibiting effective education of medical students in the basic sciences and then propose strategies for designing and implementing a better curriculum in the basic sciences that remove the roadblocks thereby increasing the relevance to students' clinical experiences in medical training. Traditionally, the medical student experiences basic science education in a setting where there is little or no communication between the basic science and clinical science professors, where basic science content is given with very little clinical context, while clinical training does not enhance understanding of the scientific foundation for clinical practice. Herein, we re-address the purpose of basic science education proposing the concept of 'transfer' as a bridge to connect the basic and clinical science education. We also propose a continuing education program for staff development in the successful implementation of these proposals.
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References
1. Hotez PJ. Loss of laboratory instruction in American medical schools: erosion of Flexner's view of "scientific medical education.". Am J Med Sci. 2003. 325:10–14.
3. Wilkerson L, Stevens CM, Krasne S. No content without context: integrating basic, clinical, and social sciences in a pre-clerkship curriculum. Med Teach. 2009. 31:812–821.
4. Halasz NA. We create and can remove the roadblocks to good basic science education. Acad Med. 1999. 74:6–7.
5. Woods NN, Neville AJ, Levinson AJ, Howey EH, Oczkowski WJ, Norman GR. The value of basic science in clinical diagnosis. Acad Med. 2006. 81:S124–S127.
7. Cooke M, Irby DM, Sullivan W, Ludmerer KM. American medical education 100 years after the Flexner report. N Engl J Med. 2006. 355:1339–1344.
8. O'Neill PA. The role of basic sciences in a problem-based learning clinical curriculum. Med Educ. 2000. 34:608–613.
11. Meng Kh. Medical education plan for the twenty-first century in Korea: hopes and challenges. Korean J Med Educ. 2004. 16:1–11.
12. Finnerty EP, Chauvin S, Bonaminio G, Andrews M, Carroll RG, Pangaro LN. Flexner revisited: the role and value of the basic sciences in medical education. Acad Med. 2010. 85:349–355.
13. Grande JP. Training of physicians for the twenty-first century: role of the basic sciences. Med Teach. 2009. 31:802–806.
14. D'Eon MF. Knowledge loss of medical students on first year basic science courses at the University of Saskatchewan. BMC Med Educ. 2006. 6:5.
15. Ling Y, Swanson DB, Holtzman K, Bucak SD. Retention of basic science information by senior medical students. Acad Med. 2008. 83:S82–S85.
16. Catarmbone R, Holyoak K. Overcoming contextual limitations on problem-solving transfer. J Exp Psychol Learn Mem Cogn. 1989. 15:1147–1156.
17. Quilici JL, Mayer RE. Role of examples in how students learn to categorize statistics word problems. J Educ Psychol. 1996. 88:144–161.
18. Ahn DS. The past, present, and future of basic medical education. Proceedings of the 19th Federeation Meeting of Korean Basic Medical Scientists. c2011. 2011 May 13-May 14; Seoul, Korea. Seoul: Korean Association of Basic Medical Scientists.
19. Kim JB. Integrated curriculum. 2000. Paju: Kyoyook Book;65–95.
20. Prince KJ, Van De Wiel M, Scherpbier AJ, Can Der Vleuten CP, Boshuizen HP. A Qualitative Analysis of the Transition from Theory to Practice in Undergraduate Training in a PBL-Medical School. Adv Health Sci Educ Theory Pract. 2000. 5:105–116.
21. Paik KS, Kang HC, Park CI, Ahn DS, Lee MS, Lee SK, et al. Yonsei University College of Medicine. Curriculum development for medical education in 21st century. 2006. Seoul: National Research Foundation of Korea;619. Report No.: E00006.
22. Ryue SH, Ahn DS, Lee WT, Park JH, Jung HS, Park MS, et al. Remarks for basic medical education quality improvement of Yonsei University in Korea. Korean Med Educ Rev. 2009. 11:15–24.
23. Gregory JK, Lachman N, Camp CL, Chen LP, Pawlina W. Restructuring a basic science course for core competencies: an example from anatomy teaching. Med Teach. 2009. 31:855–861.
24. Kim SG. Implications of erudition though self-directed learning principles in medical education. Korean Med Educ Rev. 2010. 12:5–11.