使用语言来评估课程影响:评估临床推理课程的新方法
Katherine Gavinski1,2, Deborah DiNardo3,4, Scott D Rothenberger3
1Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Diagnosis (Berlin, Germany)
|January 4, 2025
概括
临床推理课程增加了发表的摘要中相关术语的使用. 然而,在随后的几年中,这一趋势有所下降,这凸显了对医疗教育持续评估和新型评估工具的需求.
科学领域:
- 医学教育研究 医学教育研究
- 临床推理 临床推理
- 医疗保健专业发展
背景情况:
- 发表的临床推理课程很少,这在评估其有效性方面带来了挑战.
- 很难衡量临床推理教育对医疗专业人员的影响.
- 匹兹堡大学医学中心 (UPMC) 在2014年实施了多层次临床推理课程.
研究的目的:
- 评估一个全面的临床推理课程的影响.
- 通过测量在发表的摘要中使用临床推理术语来评估课程的有效性.
- 分析临床推理术语使用的趋势随着时间的推移.
主要方法:
- 从一般内科医学学会出版的临床图片的回顾性分析.
- 与其他机构在2014年,2018年和2022年的UPMC附属摘要的比较.
- 在课程干预之前,期间和之后,在摘要中对临床推理术语频率的定量评估.
主要成果:
- 从2014年到2018年,在UPMC参与者中观察到临床推理术语使用的统计学上显著增加.
- 非UPMC的提交也显示了术语使用的显著增加,尽管较小.
- 在2018年至2022年期间,全国和UPMC注意到临床推理术语使用量的下降.
结论:
- 广泛的临床推理课程可以有效地提高相关术语的采用和使用.
- 持续的兴趣和对临床推理原则的一致应用需要进一步的研究.
- 开发创新的评估工具对于准确评估临床推理课程至关重要.
相关概念视频
Patient-centered Care
1.9K
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...
1.9K
Critical Thinking II
2.6K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.6K
Critical Thinking I
3.0K
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...
3.0K
Language and Cognition
276
Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
276
Deductive Reasoning
54.7K
Deductive reasoning, or deduction, is the type of logic used in hypothesis-based science. In deductive reasoning, the pattern of thinking moves in the opposite direction as compared to inductive reasoning, which means that it uses a general principle or law to predict specific results. From those general principles, a scientist can deduce and predict the specific results that would be valid as long as the general principles are valid.
For example, a researcher can deduce specific predictions...
For example, a researcher can deduce specific predictions...
54.7K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.4K
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...
1.4K


