组织干预对学生对学习环境感知的影响:一项重复的跨部门研究
Mithu Molla1, Mark Servis2, Tiffany Hodgens3
1Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, California, USA.
The clinical teacher
|January 9, 2025
概括
实施干预措施改善了教师的专业意识,但并没有显著减少学习环境 (LE) 中的虐待事件. 隐藏的课程 (HC) 需要进一步的研究,以进行有效的干预.
科学领域:
- 医学教育研究 医学教育研究
- 医疗保健专业发展
- 学习环境研究 学习环境研究
背景情况:
- 学习环境 (LE) 涵盖了影响学习者的感知和结果的社会,组织和物理因素.
- 尽管有测量努力,但改善LE的基于证据的干预措施仍然很少.
- 这项研究旨在利用学生调查数据设计和评估LE干预措施.
研究的目的:
- 设计和实施针对教师发展,医生健康和学习气候的干预措施.
- 测量这些干预措施在医学学习环境中的有效性.
- 为了比较学生在干预实施之前和之后的感知.
主要方法:
- 根源原因分析确定了干预的关键领域.
- 干预的重点是教师发展,医生健康和学习气候委员会.
- 一个重复的横截面设计比较了学生在干预前 (2016-2018) 和干预后 (2021-2023) 期间的反应.
主要成果:
- 在干预后,教师的专业感知显著改善,除了隐藏课程 (HC) 方面的例外.
- 在大多数虐待事件中没有观察到统计学意义上的变化,除了"需要提供个人服务".
- 分析使用了从AAMC毕业问卷 (AAMC GQ) 中取消标识的项目级响应数据.
结论:
- 大规模的干预可以提高教师的专业性在LE的感知.
- 干预措施对减少虐待事件频率的影响有限.
- 隐藏课程 (HC) 被确定为需要进一步研究和有针对性的干预的领域.
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