在医学模拟-试点随机对照试验中评估眼睛追踪增强报告的价值
Heather Braund1, Andrew K Hall, Kyla Caners
1From the Faculty of Health Sciences (H.B.), Office of Professional Development and Educational Scholarship; Faculty of Education, School of Medicine, Department of Biomedical and Molecular Sciences (H.B.), Queen's University, Kingston; Department of Emergency Medicine (A.K.H.), University of Ottawa, Ottawa; Royal College of Physicians and Surgeons of Canada (A.K.H.); Department of Emergency Medicine (K.C., D.D.), Queen's University; Departments of Emergency Medicine/Public Health Sciences (M.W.), Queen's University; Queen's Health Sciences (D.D.), Kingston; Department of Medicine (J.S.), McMaster Education Research, Innovation and Theory (MERIT) Program, McMaster University; Department of Medicine (M.S.), Centre for Simulation-Based Learning, McMaster University; Centre for Simulation-Based Learning (B.W.), McMaster University, Hamilton; Departments of Critical Care Medicine and Emergency Medicine (D.H.), Clinical Simulation Centre, Queen's University; Kingston General Hospital Research Institute (A.G.D.); Department of Family Medicine (W.W.), Queen's University; Departments of Emergency Medicine and Psychology (A.S.), Fellowship Program in Resuscitation and Reanimation; and Educational Scholarship Lead, Postgraduate Medical Education (A.S.), Queen's University, Kingston, ON, Canada.
与传统汇报 (TD) 相比,眼睛跟踪增强汇报 (ETAD) 并没有显著改善居民的元认知意识. 然而,ETAD降低了解答员的认知负载,并且被居民认为是积极的,因为它增强了反特异性.
科学领域:
- 医学教育 医学教育
- 基于模拟的培训
- 认知科学 认知科学
背景情况:
- 汇报对于模拟后的学习至关重要.
- 眼球追踪增强式汇报 (ETAD) 使用第一人称视频重播.
- 这项研究比较了ETAD与传统的汇报 (TD).
研究的目的:
- 为了比较ETAD和TD对居民的元认知意识.
- 评估居民和汇报人员的认知负载 (CL).
- 评估自我评估和汇报者评估的协调性.
- 探索居民和汇报员对汇报体验的看法.
主要方法:
- 多站点随机对照试验,包括54名急诊医疗专科医生.
- 居民接受了2个模拟站,使用ETAD或TD.
- 测量了元认知意识库存 (MAI) 和认知负载 (CL).
- 进行了居民访谈和汇报者重点小组.
主要成果:
- 在ETAD和TD之间,MAI变化或居民CL没有显著差异.
- 汇报CL与ETAD相比显著降低.
- 定性数据显示,居民以反特异性来评价ETAD.
- 报告员发现ETAD对于管理认知负载和结构化反有用.
结论:
- ETAD并没有从量上改善居民的元认知意识或CL.
- 定性发现表明,ETAD在反和解答员经验方面提供了好处.
- 报告员经历了 ETAD 的认知负荷降低.
- 建议对纵向设计进行进一步的研究.
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