虚拟患者与标准患者对眼科医生改善临床推理技能. 一个随机对照试验
Tayyaba Gul Malik1, Usman Mahboob2, Rehan Ahmed Khan3
1Masters in Medical Education (Scholar), University of Lahore, Lahore, Pakistan. tayyabam@yahoo.com.
BMC medical education
|April 22, 2024
概括
虚拟患者 (VP) 和标准患者 (SP) 能够有效地提高眼科医生临床推理能力. 这两种方法都显示了类似的学习收益和留学率,提供了安全的培训环境.
科学领域:
- 医学教育 医学教育
- 眼科医生培训 眼科医生培训
- 临床技能发展 临床技能发展
背景情况:
- 临床推理和历史记录是医学学员的关键技能.
- 患者安全性限制了与重症患者的直接经验.
- 虚拟患者 (VP) 和标准患者 (SP) 提供模拟的学习环境.
研究的目的:
- 为了比较虚拟患者 (VP) 与标准患者 (SP) 在发展临床推理技能的有效性.
- 评估VP和SP对眼科研究生居民学习和技能保留的影响.
主要方法:
- 一项随机对照试验,涉及两家医院的研究生眼科医生住院生.
- 参与者被分配到VP或SP组进行30分钟的临床推理练习.
- 进行了前测试,后测试和后测试 (一个月后) 后测试,以评估技能获取和保留. 使用重复测量方法分析的数据 ANOVA.
主要成果:
- 无论是VP和SP组,从预测到后测试和随访期间,临床推理得分均显著改善 (p < 0.001).
- 在VP和SP组之间,在立即学习收益或长期保留方面没有发现统计学意义上的差异 (p = 0.896).
- 学习收益的百分比是可比的:SP组 (51.46%即时,38.01%后续) 与VP组 (49.1%即时,40.12%后续).
结论:
- 虚拟患者 (VP) 为眼科医生提供了一种安全和可重复的方法来练习临床推理技能.
- 标准化患者 (SP) 也是有效的,但可能受到重复使用的可用性限制.
- 无论是VP还是SP都是提高研究生医学教育中临床推理的宝贵工具.
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