整合形成性和总结性临床技能考试,促进早期医学学生的学习:混合方法研究研究
Gabrielle R Goldberg1,2, Doreen M Olvet1,2, Elizabeth K Fiorino1,2
1Northwell, New Hyde Park, NY USA.
有实时反的形成性临床技能考试 (FCSE) 增强了医学学习环境,并为考试做好了学生的准备. 虽然没有影响纵向表现,但FCSE有效地促进了早期学习者的发展.
科学领域:
- 医学教育 医学教育
- 临床技能发展 临床技能发展
- 以学习者为中心的教学方法
背景情况:
- 医学教育工作者努力培养学生的高质量的临床技能和终身学习.
- 形成性临床技能考试 (FCSE) 提供实时,以学习者为中心的反,对于早期学习者发展专业知识至关重要.
研究的目的:
- 评估将FCSE与以学习者为中心,实时反和指导的整合,利用计划-做-学习-行动 (PDSA) 周期,对早期医学学生的经验和表现的影响.
主要方法:
- 这是一项混合方法研究,涉及一年级和二年级医学学生.
- FCSE包括标准化的患者接触,假设驱动的体检,以及立即的教师反和指导.
- 学生们反思了表现,确定了改进领域,重新练习技能,并计划了持续的实践. 沟通和临床推理与历史对照进行了比较.
主要成果:
- 学生报告说,FCSE改善了学习环境和考试准备.
- 学习者重视实践机会和实时反,将洞察力应用于随后的评估.
- 没有观察到对学生纵向表现的显著影响.
结论:
- 尽管劳动密集型,但FCSE具有实时反和指导,有效地促进学习.
- 建议将FCSE纳入医学院课程的早期阶段,以加强临床技能发展.
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