评估实习对临床知识增长的影响
Chi Chang1, Heather S Laird-Fick2, John D Mitchell3
1Office of Medical Education Research and Development, and Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
Annals of medicine
|December 28, 2024
概括
临床实习对医学学生跨学科的知识获取有重大影响. 产科/妇科和精神病学显示出最大的收益,为课程增强和USMLE准备提供了见解.
科学领域:
- 医学教育研究 医学教育研究
- 临床科学评估 临床科学评估
- 学生知识的获取 学生知识的获取
背景情况:
- 临床实习是医疗培训的组成部分,将理论知识与实际应用联系起来.
- 评估这些经验对学科知识的影响对于课程开发至关重要.
- 综合临床科学考试 (CCSE) 作为一个有价值的形成性评估工具.
研究的目的:
- 量化临床实习对医学学生学科知识的影响.
- 评估综合临床科学考试 (CCSE) 作为评估知识变化的工具.
- 确定在实习期间获得知识最明显的特定学科.
主要方法:
- 参与了密歇根州立大学的155名三年级医学学生.
- 使用图像处理技术从CCSE报告中提取学科分数.
- 应用细分回归分析来分析在五个核心学科的实习之前,期间和之后的知识差异.
主要成果:
- 在产科/妇科 (ob/gyn) 和精神病学中在职务实习之前和期间观察到显著的知识改进.
- 精神病学,妇产科医生和外科手术在职务期间和之后显示出显著的得分增加.
- 内部医学和儿科表现出不那么明显的,尽管仍然是积极的,知识收益.
结论:
- 临床实习显然增强了医学学生的学科知识,在各专业之间存在差异.
- 这些发现为完善医学院课程和评估策略提供了有价值的数据.
- 该方法可用于评估其他教育干预措施,并为USMLE Step 2准备提供信息.
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