通过团队学习提高医学学生的临床推理技能:一种混合方法研究
Kosuke Ishizuka1,2, Kiyoshi Shikino3,4,5, Naoko Takada6
1Department of General Medicine, Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama-city, Kanagawa pref, Japan. e103007c@yokohama-cu.ac.jp.
BMC medical education
|February 11, 2025
概括
基于团队的学习 (TBL) 显著改善了医学学生的临床推理技能和自我评估能力. 这种教育方法增强了基础知识,应用,整合和学习的人性维度.
科学领域:
- 医学教育 医学教育
- 认知科学 认知科学
背景情况:
- 临床推理是全世界医学学生的关键能力.
- 有效,以证据为基础的教学方法对于发展这些技能至关重要.
研究的目的:
- 调查基于团队学习 (TBL) 的好处,以提高医学学生的临床推理技能.
- 评估TBL对客观绩效和自我评估能力的影响.
主要方法:
- 在92名医学四年级学生身上,采用了一种混合方法的顺序解释设计.
- 通过脚本一致性测试 (SCT) 和利克特尺度自我评估在TBL干预前后收集的定量数据.
- 使用Fink的显著学习分类法,对TBL优势进行定性内容分析.
主要成果:
- 在干预后的SCT上,学生表现显著改善 (p < 0.05).
- 自我评估的临床推理能力显著增加,包括假设生成,差异诊断和自我反思 (p < 0.001).
- 定性分析确定了23个TBL优势的子类别,涵盖了芬克分类的六个层次.
结论:
- 基于团队的学习 (TBL) 是一种有效的教学策略,用于培养医学学生的临床批判性推理技能.
- TBL对学习的多个方面产生了积极的影响,从基础知识到人性维度和学习如何学习.
相关概念视频
Critical Thinking II
2.7K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.7K
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 I
3.2K
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...
3.2K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
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...
1.5K
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K


