Thirty years ago the Université de Sherbrooke’s medical academy faced a challenge: its chic was acceptable more content-heavy as medical ability connected to advance. Yet the acceptable lecture-based access to accepting that advice into students’ alive was acceptable beneath and beneath able with every new chic addition. Acceptance were overwhelmed, bromidic and lacked acceptable opportunities to administer their book ability to absolute action healthcare situations.
After several years of discussion, absorption and planning, in 1987 the university became one of the aboriginal in the apple to do a all-encompassing about-face of its medical academy chic from one that was traditionally-based to one that acclimated problem-based acquirements (or PBL) as its axial pedagogical approach. For guidance, it drew on the examples of McMaster University, which had pioneered PBL at its apprentice medical academy about 20 years before, as able-bodied as Maastricht University in the Netherlands, which started up PBL in the mid-1970s.
The change was fabricated with adjustments to the school’s operating budget, but after any added money. Nevertheless, able administering and adroitness training in teaching alignment were essential, says Paul Grand’Maison, Sherbrooke’s approachable [as of October 2011] vice-dean for undergraduate medical apprenticeship and a actor in the 1987 chic overhaul.
“Money is not the a lot of important,” says Dr. Grand’Maison. “It’s the charge of the people.”
That charge was against a abundant greater admeasurement of baby accumulation acquirements opportunities, developing acceptance into self-directed learners, and emphasizing a association focus, training acceptance to be acute to the needs of the patients and communities for which they would eventually care. Over time, the medical academy administering and adroitness accept gone through alternate reviews and changes to the curriculum, but alive and small-group acquirements accept been mainstays.
“We like to say that our chic is consistently in motion,” says Dr. Grand’Maison.
Under the antecedent system, a accepted teaching assemblage in cardiology was accomplished over 5 or six weeks, application about 25 hours per anniversary of lectures. With PBL, the assemblage is still accomplished over 5 weeks, but acceptance are presented with 10 problems – two a anniversary – that they accept to break application a aggregate of analysis, self-directed learning, and baby accumulation discussion. Lectures are cut down to four hours per week. Baby groups are a best of eight students, with the adroitness affiliate acting as a facilitator, rather than a lecturer.
The results? Sherbrooke medical graduates accept connected to account able-bodied on civic tests and at atomic one abstraction begin the change to a community-oriented, PBL access resulted in cogent advance in antitoxin affliction and chain of care. The medical academy has been accustomed for bearing a top allotment of graduates who choose, and abide at, rural practices, area greater adeptness is an capital accomplishment (students accept to do at atomic one-third of their address alfresco of a above teaching hospital). Acceptance animadversion that the use of alive acquirements and baby groups has been a highlight of their educational experience. In 2006, the academy broadcast its affairs to two added sites – in Saguenay, Québec and in Moncton, New Brunswick – bringing the absolute amount of acceptance per anniversary chic to about 200.
None of this happens after adroitness training of course.
As Dr. Grand’Maison puts it: “Faculty development is a abiding capacity-building action that never ends.”
Pedagogical workshops spanning from a half-day to two canicule are compulsatory for agents new to the medical academy and refresher courses are offered annually. Lengthier courses and abstraction programs in medical apprenticeship are aswell offered, with the achievement that they will be a training arena for approaching medical apprenticeship leaders. In 2001, the academy became the alone one in Canada to be appointed a Apple Health Organization Collaborating Centre on Health Science Apprenticeship and Practice.
Faculty who ambition to be answer aural the academy can move up alone if they are affianced in the medical apprenticeship program. And in a bid to bigger admit the accent of teaching at the faculty, a convenance plan access to advantage is used. Adroitness associates basin their university and analytic advantage and the funds are redistributed according to a blueprint that recognizes anniversary member’s accumulated efforts in teaching, administering and research.
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