反思学生在临床安置的老年护理访问期间对创新的教学模式的经验:质量试点研究
Dan Xu1,2, Shaoting Feng1, Daya Yang1
1First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.
Advances in medical education and practice
|December 4, 2023
概括
一个创新的教学模式,学生在住院老年护理设施 (RACF) 参观期间担任主治医生,增强了临床推理和能力. 这种模式,涉及直接的患者互动和主管反,为学生准备未来的实践.
科学领域:
- 医学教育 医学教育
- 老年医学 老年医学
- 临床推理 临床推理
背景情况:
- 临床实习教学面临的挑战包括时间限制和缺乏有效的模型.
- 以学习者为中心的方法,特别是监督的患者接触,对于老年护理的深度学习至关重要.
- 住院老年护理设施 (RACF) 的访问为一般实践 (GP) 实习提供了独特的学习机会.
研究的目的:
- 在RACF访问期间,使用创新的教学模式来反思学生的经验.
- 评估一个模型,学生作为GP临床医生负责RACF病房巡回监督下.
- 识别用于课程优化和临床推理发展的常见RACF问题.
主要方法:
- 一项使用在线调查和采访参与学生的定性研究.
- 学生在RACF访问期间担任主要临床医生,管理患者互动并与监督人员制定计划.
- 标准和开放式面试问题评估了对临床推理,能力和准备能力的影响.
主要成果:
- 30名学生报告了遇到的病例,确定了12个常见的RACF问题,其中跌倒和痴呆症状最常见.
- 学生的反思表明对临床推理,能力,学习点,反和欧安组织准备有积极的影响.
- 该模型增强了对局限性的理解,并改善了内部准备.
结论:
- "学生-医生-负责护理-家庭"模式是RACF环境中临床推理学习的创新方法.
- 这种模式与"认知学徒"原则和现代医学教育保持一致.
- 需要进一步的研究来验证正式课程中的实施,并制定特定的RACF访问课程.
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