在临床推理医学教育中探索背景和文化:一种定性探索性研究
Erin Cameron1, Holly Fleming1, Rylee Mose1
1Faculty Affairs, Human Sciences Division, Medical Education Research Lab in the North (MERLIN), Northern Ontario School of Medicine University (NOSM University), Thunder Bay, Ontario, Canada.
Journal of evaluation in clinical practice
|September 18, 2024
概括
有效地教授临床推理需要承认文化和环境的影响. 教师应该培养反射性,允许充足的时间,并在医疗培训中拥抱多样性.
科学领域:
- 医学教育 医学教育
- 临床推理 临床推理
- 文化能力 文化能力
背景情况:
- 临床推理是复杂的,受文化和背景的影响.
- 现有的研究探讨了结果,但不是将其纳入教学.
- 需要了解如何在考虑这些因素的情况下教授临床推理.
研究的目的:
- 探索背景和文化在临床推理医学教育中的作用.
- 确定将文化和上下文因素纳入教学中的战略.
- 了解安大略省北部临床教师的经验.
主要方法:
- 与安大略省北部的临床教师进行半结构面试.
- 对面试数据进行主题分析和批判性话语分析.
- 独立审查和同行评审用于数据验证.
主要成果:
- 背景和文化是临床推理的个人,专业和教学方面不可或缺的组成部分.
- 关键主题:教学中需要反射性,有时间培养技能,并承认实践变化/患者多样性.
- 对安大略省北部复杂性的特殊相关性.
结论:
- 在北安大略省教授临床推理需要对患者和社区复杂性的认识.
- 个人,专业和教学模式可以帮助学生和教师导航文化和上下文推理.
- 强调反射性和多样性增强了临床推理教育.
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