什么让一个天真的学习者有一个好的外科经验?
Daniel Axelrod1, Eric Walser2, Graeme Hoit3
1McMaster University.
MedEdPublish (2016)
|December 13, 2023
概括
积极的外科团队互动显著提高了医学学生的表现.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 学生观察活动 学生观察活动
背景情况:
- 早期的临床观察对预职医疗教育和职业选择至关重要.
- 了解影响学生在手术室 (OR) 经验的因素对于优化培训至关重要.
研究的目的:
- 评估学生在OR的观察对教育价值 (EV),职业探索 (CE) 和个人享受 (PE) 的影响.
- 在OR环境中识别可修改的因素,以增强医学学生的体验.
主要方法:
- 采用了横截面调查设计.
- 一年级医学学生 (n=28) 在为期2周的外科手术课程中,在每次8次外科观察后完成电子调查.
- 调查评估了人们对教育价值的感知,职业探索的实用性和个人享受,完成了146项调查 (65.2%的响应率),涵盖了207项观察到的手术.
主要成果:
- 多变量线性回归分析显示,增加手术团队的参与度和积极的互动基调与改善的EV,CE和PE显著相关.
- 某些特定因素,如外科子专业,病例类型和 scrub in 能力,与改善的学生体验没有显著的关联.
- 这些发现突显了人际关系动态对整体学习环境的影响.
结论:
- 加强与外科团队的参与和积极互动是改善医学学生手术室体验的关键可修改因素.
- 学术外科医生在培养学生支持和引人入胜的学习环境方面承担着重大的教育责任.
- 人际关系的动态,而不是程序或专业因素,似乎是积极的学生观察结果的主要驱动因素.
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