了解社区医疗保健通过基于问题的学习与真实患者视频:单臂前后混合方法研究研究
Kiyoshi Shikino1,2,3, Kazuyo Yamauchi1,2, Nobuyuki Araki1,2
1Chiba University Graduate School of Medicine, Community-Oriented Medical Education, Chiba, Japan.
JMIR medical education
|January 31, 2025
概括
基于社区的基于问题的学习 (PBL) 使用真实患者视频显著改善了医学学生对农村医疗保健的理解. 这种教育方法有望解决服务不足地区医生短缺的问题.
科学领域:
- 医学教育 医学教育
- 农村卫生 农村卫生
- 医疗卫生工作人员发展发展.
背景情况:
- 在日本,医生分配不当造成了农村地区医疗保健接入的挑战.
- 教育干预可以影响医学学生对农村实践的职业选择.
- 以真实患者视频为基础的社区基于问题的学习 (PBL) 被探索为加强农村健康参与的战略.
研究的目的:
- 调查基于社区的PBL对医学学生对农村医疗保健的理解和参与的影响.
- 评估医学学生对农村医学的知识,技能和职业方向的变化.
- 评估基于真实患者视频的PBL在培养对社区健康的兴趣方面的有效性.
主要方法:
- 113名医学四年级学生参加了为期2周的社区PBL干预.
- 学生被分成小组进行交互式PBL课程,使用真实患者视频.
- 在干预前和后收集了定量数据 (测试,标题,自我评估) 和定性数据 (采访).
主要成果:
- 在总理解分数 (P<.001) 和知识应用分数 (P<.001) 中观察到显著改善.
- 学生表现出增强的自主学习技能 (P<.001) 和对社区医疗保健的兴趣增加 (P<.001).
- 定性分析揭示了同情心,理解家庭医疗保健挑战和专业身份形成的主题.
结论:
- 基于社区的PBL与真实患者视频有效地改善了医学学生对农村医疗保健环境和患者需求的理解.
- 这一教育战略显示了鼓励对农村实践的积极态度和解决医生分配不当问题的潜力.
- 建议进行进一步的研究,以评估这种PBL方法对学生职业选择的长期影响.
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