在临床推理教学中SNAPPS的影响:随机对照试验的meta-analysis系统综述与随机对照试验的meta-analysis
Javier A Flores-Cohaila1, Sonia F Vizcarra-Jiménez2, Milagros F Bermúdez-Peláez3
1Escuela de Medicina Humana, 187071 Universidad Científica del Sur , Lima, Peru.
Diagnosis (Berlin, Germany)
|March 6, 2024
概括
基于研究的专业绩效评估 (SNAPPS) 方法可以提高医疗学员的临床推理技能和自我指导的学习. 有证据表明,它对住院生比医学学生更有效,但需要对患者结果进行进一步的研究.
科学领域:
- 医学教育研究 医学教育研究
- 发展临床推理 发展临床推理
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 临床推理至关重要,但要有效地教导是具有挑战性的.
- 建议使用现有的教学方法,如一分钟教师 (OMP) 和SNAPPS (基于研究的专业绩效评估).
- 在临床推理教育中,SNAPPS缺乏强有力的证据证明其有效性.
研究的目的:
- 系统地审查关于SNAPPS在教学临床推理中的有效性的证据.
- 评估SNAPPS对医学学生和住院医生的临床推理能力的影响.
主要方法:
- 来自PubMed,EMBASE和CINAHL的随机对照试验 (RCT) 的系统审查.
- 重复数据的选择和提取.
- 使用Cochrane RoB-2和GRADE评估的偏见和证据的确定性.
主要成果:
- 确定了五个涉及医学生和住院医生的RCT.
- SNAPPS可能会增加演讲和讨论的长度,差异诊断和不确定性的表达.
- 低至中等确定性证据表明,SNAPPS可能会改善学员对管理计划的启动和寻求澄清.
结论:
- SNAPPS显示了对临床推理,自主学习和成本效益的潜在好处.
- 这种方法似乎更有利于居民,而不是医学生.
- 未来的研究应该调查与工作场所和患者相关的结果.
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