在临床前推理课程之后,职务人员学生使用临床推理概念
Shradha A Kulkarni1, Gurpreet Dhaliwal2,3, Arianne Teherani2
1Department of Medicine, Baylor College of Medicine, Houston, USA.
Journal of general internal medicine
|January 3, 2025
概括
医学专业的学生从预职课程中应用临床推理 (CR) 概念,但它们的使用受临床环境因素的影响. 教师可以通过考虑这些上下文元素来改善CR集成.
科学领域:
- 医学教育 医学教育
- 临床推理 临床推理
- 诊断错误是一个错误.
背景情况:
- 临床前临床推理 (CR) 课程在医学院越来越常见,以解决诊断错误.
- 学生在临床实习期间在多大程度上应用这些CR概念仍然不清楚.
研究的目的:
- 调查医学学生在职期间如何利用在临床前课程中学到的CR概念.
- 识别促进或阻碍这些CR概念在临床环境中的应用的因素.
主要方法:
- 与16名医学学生进行了结构化采访,他们已经完成了临床前CR课程和随后的职务实习.
- 使用构造主义立足理论的定性分析被用来开发发现的理论模型.
主要成果:
- 学生们展示了CR概念 (例如,疾病脚本,差异诊断) 的转移到职场.
- 临床环境和监督医生作为CR概念使用的强化剂.
- 障碍包括时间限制和监管人员没有加强CR概念.
结论:
- 临床前CR概念影响学生在临床接触中的准备和表现.
- 环境和社会因素对CR概念的使用产生重大影响.
- 整合CR教育需要一种上下文的方法,考虑个人,社会和环境的相互作用.
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