以案例为基础的教学问题 紧急医疗 药物治疗
David Eichenberger1, Gary Pollock1, Luke Huber1
1University of Pittsburgh Medical Center, Department of Emergency Medicine, Pittsburgh, PA.
Journal of education & teaching in emergency medicine
|July 19, 2023
概括
在完成基于案例的课程后,紧急医疗住院人员对药物治疗知识的信心有所提高. 这种结构化的学习增强了自我评估的知识和满意度,为实践和董事会考试做好了准备.
科学领域:
- 医学教育 医学教育
- 药理学 药理学是指药理学的学科.
- 紧急医疗 紧急医疗
背景情况:
- 药物治疗是紧急医疗 (EM) 实践的组成部分.
- 药物治疗的专门教学时间往往缺乏EM住院计划.
- 一个结构化的课程可以解决这个教育差距.
研究的目的:
- 实施和评估一个专门的药物治疗课程,为EM住户.
- 加强住院医生对EM药物治疗的临床应用,包括药物选择和相互作用和不良影响的管理.
- 提高居民准备好参加涵盖药物治疗的董事会考试.
主要方法:
- 一个基于案例的每月问题集课程在18个月的周期内被开发和实施.
- 教育策略包括案例简报,多选项评估和指导讨论.
- 干预前和干预后的调查使用7点的利克特级别来评估自我评估的知识和满意度.
主要成果:
- 住院人员报告说,对EM药物治疗知识的信心有统计学上显著的改善 (预测:3.7,后测:2.6,p = .00008).
- 自我评估的知识改善和对课程的满意度也显示了统计学上显著的收益.
- 住院居民认为临床实践能力和准备独立实践的准备有所改善.
结论:
- 实施的药物治疗课程成功提高了居民的自我评估知识和信心.
- 该课程是有效的,易于实施,并可将其推广到其他EM居住计划.
- 这种结构化的方法增强学习,并为能力评估提供客观数据.
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