在基于病例的兽医心脏病学选修课程中教授和评估临床推理技能
Corynn D Klehm1, Aliye Karabulut-Ilgu1, Melissa A Tropf2
1Iowa State University College of Veterinary Medicine, 1800 Christensen Drive, Ames, IA 50011 USA.
Journal of veterinary medical education
|November 6, 2024
概括
在兽医心脏病学课程中实施为期7周的临床推理 (CR) 课程,显著提高了学生的自我效能和CR技能的应用. 同行评审增强了这种学习过程.
科学领域:
- 兽医教育 兽医教育
- 临床推理技能 临床推理技能
- 医学教学医学教学
背景情况:
- 临床推理 (CR) 是有效兽医实践的关键能力.
- 提高兽医学生的CR技能对于改善患者护理至关重要.
- 当前的课程可能没有充分地解决显式CR培训.
研究的目的:
- 评估一个明确的7周CR课程对兽医学生的意识,自我效能和CR原则的应用的影响.
- 评估同行评审在提供CR技能反方面的有效性,在一个大招生课程中.
- 确定CR培训是否提高了临床病例分析能力.
主要方法:
- 在78名兽医学生的选择性心脏病学课程中,采用了混合方法方法.
- 7周的课程包括对CR和基于案例的学习的介绍.
- 数据收集包括课前和课后的调查,每周的同行评价和教师评级的案例分配.
主要成果:
- 学生在所有CR技能类别中报告了自我有效性的显著改善 (p < .001).
- 应用CR技能在同行 (p < .001) 和教练分级任务 (p < .001) 中都显著改善.
- 同行评价促进了CR技能的反思和内化,有助于提高自我效能.
结论:
- 一个明确的CR课程有效地提高了兽医学生的CR技能意识和自我效能.
- 该课程使CR原则在临床病例分析中的应用得到了加强.
- 同行评审作为一个有价值的工具,反和技能发展在一个大班级设置.
相关概念视频
Critical Thinking II
2.8K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.8K
Critical Thinking I
3.2K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.2K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K
Assessment of the Cardiovascular System I: Subjective Data
280
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
280


