一个新的虚拟课程,教医学生高价值的决策
Ashwini Niranjan-Azadi1, Glenn Moulder2, Maryellen E Gusic3
1Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
The clinical teacher
|July 7, 2023
概括
医学院现在可以采用新的课程来教授高价值,成本意识的护理. 这门在线课程是合作开发的,为学生提供了更好的医疗保健必不可少的决策技能.
科学领域:
- 医学教育 医学教育
- 卫生经济学 卫生经济学
- 临床决策 - 临床决策
背景情况:
- 本科医学教育往往缺乏在高价值,成本意识的护理方面的正式培训.
- 临床医生的决策受到资源管理培训的重大影响.
- 在准备未来的医生提供高效的医疗保健方面存在课程差距.
研究的目的:
- 为医学学生提供一个新的,跨机构的课程,以教授高价值的护理.
- 为其他机构提供一个可扩展的框架来实施类似的教育计划.
- 提高医学学生对成本意识的临床实践的理解和应用.
主要方法:
- 一个为期2周的在线课程是通过弗吉尼亚大学和约翰霍普金斯大学医学院的合作开发的.
- 该课程包括在线模块,案例研究,期刊俱乐部和一个顶级的"鱼坦克"项目.
- 基于新世界柯克帕特里克模型的评分标签评估了学生在临床环境中应用概念的能力.
主要成果:
- 超过三分之二的学生将课程评为优秀或非常好,在线模块,阅读和竞赛中报告的高实用性.
- 最后一组,更可能是四年级学生,获得了更高的分数 (p=0.03).
- 学生的提议表明,更好地纳入了成本影响 (p=0.001) 和讨论患者安全 (p=0.04).
结论:
- 开发的在线课程是医学院教学高价值护理的有效框架.
- 跨机构合作和在线交付克服了诸如教师专业知识和后勤挑战等障碍.
- 之前的临床经验可能会增强医学学生对高价值护理原则的应用.
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