一个为儿科住院医生试点的纵向临床推理课程
James Bowen1, Catherine Polak2, Joanna Thomson3
1Clinical Fellow, Department of Pediatric Hospital Medicine, Cincinnati Children's Hospital Medical Center.
MedEdPORTAL : the journal of teaching and learning resources
|September 26, 2024
概括
一个试点课程改善了儿科住院医生的临床推理技能. 住户报告说,在项目结束后,他们对临床推理的自我评估能力和舒适度更高.
科学领域:
- 医学教育 医学教育
- 儿科 儿科 儿科
- 临床推理 临床推理
背景情况:
- 临床推理 (CR) 对于医生来说至关重要,但儿科住院医生经常通过体验来学习这些技能.
- 目前,针对儿科住院医生进行 CR 的故意教育是不一致的.
研究的目的:
- 实施和评估一项试点课程,旨在提高儿科住院医生CR技能.
- 评估课程对自我识别的CR里程碑和居民舒适度的影响.
主要方法:
- 利用Kern的六步课程开发模型进行了为期五个会议的试点项目.
- 员工进行前后调查,以衡量ACGME里程碑 (PC4,MK2) 的变化以及对CR技能的舒适度.
- 分析了使用Wilcoxon签名等级测试和态度描述性统计数据的配对调查数据.
主要成果:
- 观察到自我评估的患者护理4 (PC4) 里程碑水平 (p = .006) 和CR技能的整体居民舒适度显著增加.
- 报告的住户满意度很高,97%的人认为会议有帮助和相关,73%的人认为会对临床实践产生影响.
结论:
- 专门的CR课程可以提高儿科住院医生的自我认同能力和对临床推理的舒适度.
- 有针对性的教育干预对于在儿科住院培训中推进CR技能是有价值的.
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