学术辅导促进研究生医学教育的自主学习
Kathryn M Burtson1,2,3, Kelsey R Wilson4,5,6, Michelle E Kiger6,7
1Wright Patterson Medical Center, Wright Patterson AFB, OH, USA. Kathryn.burtson@gmail.com.
Journal of general internal medicine
|February 13, 2025
概括
学术指导显著改善了内科住院医生的IM-In-Training考试 (IM-ITE) 的表现. 持续的辅导 (两次或更多次) 显示出最实质性的收益,增强自主学习 (SDL) 技能.
科学领域:
- 医学教育 医学教育
- 研究生医学培训研究生医学培训
- 自主导向学习 自主导向学习
背景情况:
- 研究生医学教育对于发展自主学习 (SDL) 技能至关重要.
- 实施了一项学术指导计划,以支持内部医学 (IM) 住院的SDL.
- 该计划使用了Gallimore和Tharp的四个阶段的脚手架模型.
研究的目的:
- 评估学术指导对居民绩效的影响,包括IM-ITE分数和个性化学习计划 (ILP).
- 评估居民对SDL的态度变化.
- 探索指导如何影响SDL在居住计划内.
主要方法:
- 在IM实习计划中进行了一项混合方法案例研究.
- 定量数据包括教练前后调查,ILP分析和IM-ITE分数.
- 通过与居民参与者进行半结构面试,收集了定性数据.
主要成果:
- 参加至少一个辅导课程的居民显示IM-ITE百分点得分有所改善 (p=.022).
- 那些有两个或两个以上的会议的人在IM-ITE百分比正确 (p=.015) 和百分点得分 (p=.003) 中取得了显著的收益.
- 定性数据表明,指导在输入,流程和输出领域积极影响SDL.
结论:
- 持续的学术指导 (≥2个会议) 与增强的IM-ITE表现有关.
- 辅导计划在培养居民自主学习能力方面发挥着至关重要的作用.
- 进一步的研究可以探索优化医疗学员的辅导干预措施.
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