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改变第一步到通过/失败报告对焦虑,学习方法和好奇心的影响
Renée J LeClair1, Andrew P Binks1, Cecilia T Gambala2
1Department of Basic Science Education, Virginia Tech Carilion School of Medicine, Roanoke, VA USA.
通过/失败的USMLE第一步变化并没有减少学生的焦虑,但降低了好奇心和深度学习策略. 这一转变影响了医学教育的方法,与预期相反.
科学领域:
- 医学教育 医学教育
- 许可证考试 许可证考试
- 学生学习 学习 学生学习
背景情况:
- 美国医学执照考试 (USMLE) 第一阶段从3位数的得分转变为通过/失败系统.
- 医学教育评估的这一重大变化促使对其对学生的影响进行了调查.
研究的目的:
- 评估USMLE第一步评分变化对医学学生焦虑水平的影响.
- 调查新的通过/失败格式如何影响学生的学习方法和好奇程度.
主要方法:
- 两组预职医学生 (n=240) 完成了关于焦虑,学习策略和好奇心的验证调查.
- 来自参加最后一次三位数第一步考试 (2021) 的学生的数据与参加第一个通过/失败第一步考试 (2022) 的学生的数据进行了比较.
- 统计分析包括曼-惠特尼U测试和多重回归路径分析.
主要成果:
- 两组人群之间在焦虑或浅层学习策略方面没有发现显著差异.
- 在通过/失败队列中观察到深度学习策略的显著下降 (p=0.0012).
- 通过/不通过考试的考生报告了较低的剥夺好奇心得分 (p=0.03),而兴趣好奇心保持不变.
结论:
- 转向通过/失败USMLE第一步系统并没有像假设的那样减轻学生的焦虑.
- 这一变化对医学学生的深度学习策略和好奇心产生了负面影响.
- 研究结果表明,USMLE第一步评分变化对医学学生学习行为产生了意想不到的后果.
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