将老年病学和息医学整合到医学学生的临床推理课程中
Julia Caton1, Elaina Suridis2, Gabrielle R Goldberg3
1Assistant Professor, Division of Hospital Medicine, Department of Medicine, Northwell Health and Donald and Barbara Zucker School of Medicine at Hofstra/Northwell.
MedEdPORTAL : the journal of teaching and learning resources
|February 7, 2025
概括
将老年医学和息医学整合到医疗培训中,使用4M框架 (思维,药物,流动性和最重要的事情) 提高了学生对照顾老年人的信心和临床推理技能.
科学领域:
- 医学教育 医学教育
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 对未来的老年和息护理医生进行有效的培训对于管理复杂的患者需求至关重要.
- 现有的医学课程往往缺乏对这些重要领域的综合方法.
研究的目的:
- 评估将老年病学和息医学原则纳入医学二年级学生的基于案例的课程的有效性.
- 在临床推理中评估4M框架 (思维,药物,移动性以及最重要的事情) 的应用.
主要方法:
- 在现有课程中开发并实施了基于案例的小组课程.
- 会议的重点是老年人病例,结合了4Ms框架和交互式临床推理.
- 通过调查收集学生和教师的反,并分析差异诊断.
主要成果:
- 75名学生和26名教师参加了这次活动.
- 学生对学习目标的信心在课后显著改善.
- 学习者成功地应用了'思维','药物'和'移动性',但需要对'最重要的事情'进行提示.
结论:
- 综合课程得到了好评,并有效地提高了学生的学习能力.
- 教学方法成功地嵌入了老年病学和息医学概念.
- 可适应的课程可以整合到现有结构中,以改善对老年人和患有严重疾病的人的照顾.
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