提高临床医生的教学质量的有效性:系统审查
Romsai T Boonyasai1, Donna M Windish, Chayan Chakraborti
1Department of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. romsai@jhmi.edu
大多数质量改进 (QI) 课程有效地教导临床医生QI概念,增强知识和信心. 然而,需要进一步的研究来确认这些教育方法是否转化为显著的临床益处.
科学领域:
- 医学教育 医学教育
- 改善医疗保健质量 改善医疗保健质量
- 成人学习原则 成人学习原则
背景情况:
- 认证授权医疗学员提高教学质量 (QI).
- 目前QI教育策略的有效性仍然在很大程度上是未知的.
研究的目的:
- 系统地审查为临床医生发布的QI课程的有效性.
- 确定教学方法是否影响QI课程的有效性.
主要方法:
- 在 MEDLINE,EMBASE,CINAHL 和 ERIC 数据库中进行搜索 (1980-2007).
- 包括的研究评估了使用比较设计向临床医生教授的QI原则.
- 提取了关于课程特征,成人学习原则和教育/临床成果的数据.
主要成果:
- 审查了39项研究;大多数使用了以团队为基础的项目,并将教学与体验式学习相结合.
- 课程中包含了7个成人学习原则的中位数.
- 虽然许多研究显示了积极的教育成果 (知识,技能),临床益处的证据是有限的,特别是在受控试验中.
结论:
- 发表的QI课程经常利用有效的成人学习原则,提高学习者的知识和信心.
- 需要更多的研究来确定QI教育与有意义的临床改进之间的明确联系.
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