• 1.四川大學(xué)華西臨床醫(yī)學(xué)院教務(wù)部（成都 610041）2.四川大學(xué)華西醫(yī)院感染性疾病中心3.四川大學(xué)華西醫(yī)院循證醫(yī)學(xué)與臨床流行病學(xué)中心;

目的 　探索留學(xué)生教學(xué)評估模式，發(fā)現(xiàn)問題，循證解決，持續(xù)改進(jìn)留學(xué)生教學(xué)質(zhì)量。
方法 　通過預(yù)評估來完善評估方法，并向相關(guān)部門和師生傳達(dá)意圖。首先采用自行設(shè)計的調(diào)查問卷收集四川大學(xué)華西臨床醫(yī)學(xué)院兩個年級86名留學(xué)生的反饋，分析總結(jié)目前留學(xué)生教學(xué)中存在的問題。然后針對問題循證擬定可能的改進(jìn)措施清單，并在此基礎(chǔ)上采用兩輪共識決策法，在管理部門、教研室（教師）及學(xué)生間達(dá)成一致，形成可行的改進(jìn)措施。最后由教研室和管理部門出臺相應(yīng)的激勵機制，促進(jìn)實施。在此過程中收集學(xué)生和教研室（教師）對此評估模式和決策模式的態(tài)度。
結(jié)果 　教師的英語水平是目前最大的問題，目前所采用的傳統(tǒng)教學(xué)方式難以令留學(xué)生感到滿意，課程安排也存在不合理之處，實習(xí)時間偏少。針對問題，我們擬定了14條可能的解決措施供管理、教學(xué)、學(xué)生三方選擇。結(jié)果所有的學(xué)生和教研室（教師）均同意本評估和決策方法，同時還發(fā)現(xiàn)了一些課程評估模式中值得改進(jìn)的地方。
結(jié)論 　本次課程預(yù)評估為推動我院留學(xué)生教學(xué)改進(jìn)進(jìn)行了有益的嘗試。我院應(yīng)加大對留學(xué)生師資英語能力的培養(yǎng)，教學(xué)模式應(yīng)逐漸轉(zhuǎn)向“以學(xué)生為中心”。本教學(xué)評估模式應(yīng)形成制度，長期執(zhí)行，并在實踐中不斷完善。

引用本文： 姚巡,殷好,卿平,劉關(guān)鍵,賴亞寧,萬學(xué)紅. 基于問題，循證改進(jìn)醫(yī)學(xué)留學(xué)生教學(xué)及管理：課程預(yù)評估及其長效機制探討. 中國循證醫(yī)學(xué)雜志, 2007, 07(5): 355-366. doi: 復(fù)制

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  2. 2. Zhang MM. Participating in WHO World Alliance for Patient Safety and Meet New Challenges. Chin J Evid-Based Med, 2005, 5(12): 887-889.
  3. 3. Wan XH, Yao X, Qing P. From Greenhouse Back to Nature：Medical Education Learns From Andragogy. Chin J Evid-Based Med, 2007, 7(5): 327-329.
  4. 4. Wan XH, Zhang XL. Evidence-Based Research of Medical Education. Chin J Evid-Based Med, 2006, 6(5): 318-320.
  5. 5. Liang Y, Li JR, Wang JY. Teaching Experience in teaching Overseas Medical Students. Journal of Shanxi Medical University, 2004, 6(4): 375-377.
  6. 6. Chen N. Practice and Experience on Pathophysiology Teaching of Overseas Medical Students. Journal of Shanxi Medical University, 2006, 8(2): 132-134.
  7. 7. Wang NP, Liu XZ. The Research and Practice in Teaching Model to Foreign Medical College Students. Researches in Medical Education, 2006, 5(8): 724-725.
  8. 8. Xiao N, Liang ZQ, Yan XR. Experience on Teaching of Surgery general introduction of Overseas Medical Students. Journal of Guangxi Medical University, 2006(23): 227-228.
  9. 9. Ma ZM, Li YF. Analysis of Present Situation and Strategy Research on Teaching of Foreign Students in Xi’an Jiaotong University. Northwest Medical Education, 2005, 13(6): 620-621.
  10. 10. Zhou W, Xiong ZA, Zhou H, et al. Reflection on the Teaching to the Foreign Medical Students. Researches in Medical Education, 2005, 4(5): 331-332.
  11. 11. Zhou Y, Shen Q, Zhou YJ, et al. Teaching Practice on Biochemistry Teaching of Overseas Medical Students. Journal of Shanxi Medical University(Preclinical Medical Education Edition), 2006, 9(1): 27-29.
  12. 12. Chen P, Zang WJ, Lei L. Reform in Teaching for International Students at Chinese Colleges and Universities of Western Medicine. Northwest Medical Education, 2005, 13(4): 349-351.
  13. 13. Huang JE, Yu XJ, Fan LP, et al. Analysis of Learning Quality Influencing Factors of Foreign Students on English Teaching of Medical Courses. China Higher Medical Education, 2006(3): 2-4.
  14. 14. Shi SJ, Zhi JS, Shao H. Exploration on Systematic Anatomy Experiment Teaching to the Foreign Medical Students. Journal of Shanxi Medical University, 2006, 8(4): 416-417.
  15. 15. Sun YH, Li JH. Reflection on the Teaching to the Foreign Medical Students. Northwest Medical Education, 2006, 14(4): 468-469.
  16. 16. LIu H, Gao Q, Huo XW. Exploration on Bilingual Teaching to the Foreign Medical Students. Northwest Medical Education, 2006, 14(5): 558-559.
  17. 17. Shi HL. Application and Exploration on Bilingual Teaching to the Foreign Medical Students. Liaoning Education Research, 2006(1): 82-83.
  18. 18. Li XX, Zhong QP, Zi ZQ. PBL Teching Model is the Developing Trend of the Teaching to the Foreign Medical Students. Journal of Shanxi Medical University, 2006, 8(4): 380-382.
  19. 19. Shi PJ. To Promote Educational Reform in China and to Adapt to International Education Standard. Chin J Evid-Based Med, 2005, 5(7): 505-508.
  20. 20. Ni CB. An Analysis of the Learning Needs of International Learners of Chinese in China. Language Teaching and Linguistic Studies, 2007(1): 68-76.
  21. 21. Zhong JJ, Li LL, Hai MT, et al. Practice and Reflection on the Teaching of Histology and Embryology to the Foreign Medical Students. China Higher Medical Education, 2006(9): 49-50.
  22. 22. Cao YQ, Liu J, Fan XL, et al. The research of physiology teaching content and methods for foreign students. China Medical Education Technology, 2003, 17(2): 79-81.
  23. 23. Lv ZR. Evidence-Based Medicine: the Highlighted Area of Medical Education in 21st Century. Chin J Evid-Based Med, 2003, 3(4): 277-279.
  24. 24. Chen J, Li J, Li YP. Teaching Evidence-Based Medicine: a New Practice in Medical Education. Chin J Evid-Based Med, 2003, 3(4): 273-276.
  25. 25. Haskell RE. Academic Freedom, Tenure, and Student Evaluation of Faculty: Galloping Polls In The 21st Century. Education Policy Analysis Archives 1997, 5(6).
  26. 26. Heidi M. Anderson, Jeff Cain, Bird E. Online Student Course Evaluations: Review of Literature and a Pilot Study. American Journal of Pharmaceutical Education, 2005, 69(1): 34-43.
  27. 27. Gotoh T, Ishikawa T, Luo S, et al. Student evaluation of faculty teaching in molecular anatomy course at Nippon Medical School: results of a questionnaire survey, Kaibogaku Zasshi, 2006, 81(3): 89-94.
  28. 28. ELZUBEIR M, RIZK D. Evaluating the quality of teaching in medical education: are we using the evidence for both formative and summative purposes? Medical Teacher, 2002, 24(3): 313-319.
  29. 29. Cornelius-White J. Learner-Centered Teacher-Student Relationships Are Effective: A Meta-Analysis. Review of Educational Research, 2007, 77(1): 113-143.
  30. 30. Wahlqvist M, Skott A, Bjorkelund C, et al. Impact of medical students’ descriptive evaluations on long-term course development. BMC Med Educ, 2006, 6:24.
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