在临床项目中对住户进行直接观察的实施,范围和有效性
Jessica E Murphy1, Hussain Khawaja, Dino Messina
1Department of Medicine, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI, USA.
Education for health (Abingdon, England)
|December 22, 2023
概括
在医疗住院诊所的直接观察增加,特别是历史记录,在实施教师观察员计划后. 然而,教师对观察作为一种有价值的教学工具的看法有所下降.
科学领域:
- 医学教育 医学教育
- 临床技能评估 临床技能评估
背景情况:
- 直接观察对于住院医生培训至关重要,但很少实施.
- 住院诊所往往缺乏足够的直接观察和反机会.
研究的目的:
- 在住院诊所实施和评估直接观察计划.
- 增加医疗住院人员观察和反的频率.
- 评估居民和教师对直接观察的看法的变化.
主要方法:
- 教师从2019年6月到2020年2月被分配为驻院诊所的观察员.
- 在节目之前和之后,对居民和教师进行了调查.
- 教师为每个观察填写了观察表,调查数据分析了障碍,频率,类型和态度的变化.
主要成果:
- 观察到的历史记录会议在实施后显著增加,从30%增加到79% (P = 0.0010).
- 较少的教师表示时间限制是干预后观察的障碍 (80%至52%,P = 0.051).
- 观察被视为一个有价值的教学工具的教师的显着下降被观察到 (100%到79%,P = 0.0534).
结论:
- 分派教师观察员有效地增加了直接观察的频率,特别是在历史记录.
- 尽管越来越多的观察,教师表现出一种趋势,对其作为教学工具的价值有更负面的看法.
- 该计划强调了促进观察的潜力,但也指出了教师购买和感知价值的挑战.
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