医学本科生教学和学习临床推理技巧:一个范围审查
Somayeh Delavari1, Farzaneh Barzkar1, Remy M J P Rikers2
1Center for Educational Research in Medical Education, Medical Education Department, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
PloS one
|October 16, 2024
概括
本综述总结了教医学生临床推理的策略. 需要更严格的研究来证实提高这一关键技能的有效方法.
科学领域:
- 医学教育 医学教育
- 临床推理技能 临床推理技能
- 本科医学培训 本科医学培训
背景情况:
- 临床推理对于有效的医疗保健至关重要,涉及对诊断和治疗的知识应用.
- 这是医学学生必须培养的核心能力,以获得高质量的患者护理.
- 发展临床推理是医学教育的基础.
研究的目的:
- 识别和综合现有关于改善医学学生临床推理的教育策略的文献.
- 提供当前教学和学习方法的全面概述.
- 引导医疗教育的未来研究和课程开发.
主要方法:
- 从2010年到2024年,使用主要数据库 (Scopus,PubMed,WOS,ERIC) 进行了范围审查.
- 手动搜索和参考列表审查补充电子搜索.
- 数据的提取和合成遵循了阿克西和奥马利的框架.
主要成果:
- 从超过46,000个记录中,包括了54篇文章.
- 教育策略各不相同,使用序列提示或整个临床病例格式.
- 方法根据其重点 (以过程为导向或以知识为导向) 进行分类.
结论:
- 该评论强调了用于临床推理的各种教育干预措施.
- 建议进一步进行高质量的研究,包括随机对照试验和元分析.
- 确定最低临床重要差异 (MCID) 对于可靠的发现至关重要.
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