改善皮肤病学临床推理教学的步骤:范围审查和提案
Aliya Rodriguez1, Christopher Farkouh1, Rebecca Raszewski2
1Department of Dermatology Rush Medical College Chicago Illinois USA.
Skin health and disease
|August 6, 2024
概括
本次审查强调了皮肤病学中对临床推理 (CR) 的教学和评估缺乏严格的研究. 未来的研究应侧重于基于证据的直接观察方法和纵向实习生发展.
科学领域:
- 医学教育 医学教育
- 皮肤病学 皮肤病学
- 临床推理 临床推理
背景情况:
- 临床推理 (CR) 对于准确的诊断和患者安全至关重要.
- 缺乏CR可以导致医疗错误,延迟护理和伤害患者.
- 在皮肤病学中,有效的CR教学和评估至关重要.
研究的目的:
- 审查关于皮肤病学中教学和评估CR的文献.
- 确定当前CR教育和评估策略中的差距.
- 为培养学员皮肤病学CR技能提出改进建议.
主要方法:
- 从1990年到2020年,对已发表的文献进行范围审查.
- 搜索了四个数据库,产生了42个相关出版物.
- 提取的数据包括人口统计,内容,框架,真实性,能力和干预.
主要成果:
- 大多数研究都集中在单个干预和小样本大小.
- 基于知识的框架占主导地位;基于过程的CR干预措施缺席.
- 模拟是常见的 (55%),但只有两项研究使用了与真实患者的基于工作的评估.
结论:
- 关于皮肤病学中CR教学和评估的严格研究显著缺乏.
- 基于证据的最佳实践以工作为基础的评估,如直接观察,需要开发和验证.
- 皮肤病学培训需要纵向的CR数据,基于过程的程序,metacognition重点和结构化的多方面的评估.
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