在基于能力的培训中,居民和顾问共同调节的学习中的 (错误) 调整.
Leora Branfield Day1,2, Deborah Butler3,4, Ayelet Kuper1,5,6
1Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Medical education
|October 10, 2024
概括
基于能力的医学教育 (CBME) 的学术顾问 (AAs) 旨在促进居民的自我调节学习 (SRL). 然而,理想的共同调节学习 (Co-RL) 并未始终实现,这凸显了改进CBME流程的必要性.
科学领域:
- 医学教育 医学教育
- 基于能力的医学教育 (CBME)
- 住院培训 培训 住院培训
背景情况:
- 加拿大居住计划实施学术顾问 (AAs) 支持居民在基于能力的医学教育 (CBME) 的进步.
- 辅导协会旨在纵向指导居民,并通过共同调节学习 (Co-RL) 促进自我调节学习 (SRL).
- 由于AA角色的可选性,可能导致其实施和有效性的变化.
研究的目的:
- 调查AA居民二如何解释评估数据.
- 了解二如何协作创建学习目标和行动计划.
- 通过AA角色探索努力提高居民的SRL技能.
主要方法:
- 与10名学术顾问 (AAs) 和10名内科住院医生进行了简短的个人采访.
- 在两年内,他们六次会议后收集了数据.
- 分析了采访成绩单,使用了基于理论和基于证据的敏感化概念的绑架框架.
主要成果:
- 根据他们的"学习立场",Dyad在自我调节学习 (SRL) 和共同调节学习 (Co-RL) 中表现出不同的参与度.
- AAs和居民之间的位置并不总是一致,影响了Co-RL的流程.
- 大多数二极管保持一致或反应性振荡,有限的主动Co-RL专注于通过SRL开发临床能力.
结论:
- 理想的共同调节学习形式 (Co-RL) 在AA-居民二实施中并未始终实现.
- 住院计划应该完善基于能力的医学教育 (CBME) 流程,以更好地将"随时间推移的指导"转化为实践.
- 建议包括完善评估工具,居民导向和教师发展实践,以加强Co-RL.
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