在结肠镜培训中支持自我调节的学习-一个比较队列试验.
Claudia Jaensch1, Rune Dall Jensen2, Ryan Brydges3
1Surgical Research Department, Denmark and NIDO | Centre for Research and Education, Gødstrup Hospital, Denmark.
Heliyon
|April 1, 2024
概括
自主调节学习 (SRL) 对于结肠镜训练是可行的,但这项研究没有发现实习生表现能力的显著改善. 需要进一步的研究来优化SRL干预,以获得更好的结肠镜检查结果.
科学领域:
- 医学教育 医学教育
- 胃肠病学 胃肠病学
- 进行外科手术技能培训.
背景情况:
- 结肠镜检查对于结肠直肠癌查和片切除至关重要.
- 获得结肠镜技术是具有挑战性的,需要大量的实践.
- 自主调节学习 (SRL) 可以通过赋予学员管理他们的学习环境,认知,动机和情绪来增强学习能力.
研究的目的:
- 评估自我调节学习 (SRL) 方法在提高结肠镜检查表现技能的有效性.
- 研究在职场结肠镜培训中实施SRL策略的可行性.
主要方法:
- 一个比较队列试验,涉及21名参与者 (12人干预,9人对照).
- 干预小组使用SRL支持:录像结肠镜检查的自我审查和在线学习平台.
- 用胃肠内镜能力评估工具 (GiECAT) 在三个时间点评估结肠镜的性能.
主要成果:
- 在SRL干预组和对照组之间没有观察到性能得分的统计学上显著差异.
- 对差异的分析显示,队列,测试或相互作用对GiECAT评级没有显著的主要影响.
- 该研究记录了58个视频,具有高的类内相关系数 (0.88),表明基于视频的可靠评级.
结论:
- 在基于患者的结肠镜培训中实施自我调节学习 (SRL) 是可行的.
- 目前的SRL干预没有显示出明显的,统计学上显著的影响,改善结肠镜的性能技能.
- 需要进一步的研究来完善SRL策略,以优化结肠镜训练结果.
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