将恐惧灌输到学生的心中:规定教育的不可预见后果
Tim Dornan1, Dakota Armour1, Richard McCrory1
1Centre for Medical Education, Queen's University Belfast, Northern Ireland, United Kingdom.
Medical teacher
|February 1, 2024
概括
医学学生感觉不准备开处方静脉注射液疗法 (IVFT),尽管密集的教育. 这项研究探讨了学生的经验,揭示了课程差距和矛盾,导致混乱和担忧,阻碍了安全的处方准备.
科学领域:
- 医疗教育 医学教育
- 患者安全 患者安全
- 临床技能培训 临床技能培训
背景情况:
- 本科医学教育 (UGME) 必须为学生提供安全关键任务的装备,如处方.
- 医学毕业生经常报告说,他们觉得自己没有准备好开处方,这可能会影响患者的安全.
- 在患者死亡后,建议加强对静脉注射液体治疗 (IVFT) 的教育.
研究的目的:
- 为了探索最后一年的医学学生在准备静脉注射液疗法 (IVFT) 处方方面的经验.
- 了解学生在本科培训后如何看待他们准备开 IVFT 处方的情况.
主要方法:
- 使用解释学现象学的定性方法.
- 分析了40名最后一年的医学学生对丰富的图片和图片本身的评论.
- 两个模板分析被协调成一个模板,以确定关键主题.
主要成果:
- 四个新兴的主题:影响,教学和学习,矛盾,和课程作为一个旅程.
- 学生的体验是由IVFT固有的复杂性和课程问题的外部复杂性所塑造的.
- 由于课程矛盾,重叠和差距,造成了混乱和担忧.
结论:
- 尽管做了大量的准备,但学生们觉得自己没有准备好开IVFT.
- 强化教学没有达到提高处方准备能力的目标.
- 密集教育的意想不到的后果可能导致学生对安全实践缺乏准备.
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