学習環境の介入と医学生の福祉との関連:体系的なレビュー
Lauren T Wasson1, Amberle Cusmano1, Laura Meli1
1Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, New York.
JAMA
|December 7, 2016
まとめ
このレビューでは,大学院医学教育による介入が 医学生の感情的幸福度を向上させるという 限られた証拠が見つかりました しかし,研究全体の質は低く,医学教育においてより厳格な研究が必要であることを示しています.
科学分野:
- 医学教育
- 学生の福祉
- 学習環境への介入
背景:
- 医学の大学院教育の質と学生の福祉への影響について懸念があります.
- 医学部 の 学生 たち は,感情 的 な 健康 に 影響 する 深刻な ストレス に 直面 し て い ます.
研究 の 目的:
- 医学教育における学習環境への介入のベストプラクティスを特定する.
- 医学生の感情的幸福感の向上に関連した介入を決定する.
主な方法:
- 米国学術医学部の学習環境介入に関する研究を体系的に検討した.
- 2016年10月まで検索したデータベースには,Ovid MEDLINE,EMBASE,コクラン図書館,ERICが含まれています.
- 試験の質は,医学教育研究試験品質指針 (MERSQI) を用いて評価された.
主要な成果:
- 8224人以上の参加者を含む28件の論文が掲載されました.
- 介入は,格付けシステム,精神的健康,心と身体のスキル,カリキュラム,ウェルネスプログラムに焦点を当てました.
- 平均MERSQIスコアは10. 3で,一般的に低品質な研究を示しています.
結論:
- 限られた証拠が示しているのは いくつかの介入が 医学生の感情的幸福を 改善するかもしれないということです
- 医療教育の質の高い研究が必要であることを強調しています.
- 学生の幸福を高めるための効果的な戦略を確立するためにさらなる研究が必要である.
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