在门诊环境中利用专注的直接观察和反模型的自我调节学习,以提高自我效能
Kain Kim1, Asmita Gathoo2, Eva Rimler3
1Emory University School of Medicine, Atlanta, GA, USA.
Journal of general internal medicine
|April 24, 2025
概括
实施一个前面对面的讨论模型改善了门诊学习中的居民自我效能. 这种方法通过准备学习者应对临床挑战来增强自我调节学习 (SRL),尽管观察完成率有所不同.
科学领域:
- 医学教育 医学教育
- 临床技能评估 临床技能评估
- 自主调节的学习学习
背景情况:
- 健行学习对观察和反有时间限制.
- 迷你临床评估练习 (CEX) 提供反,但可能忽视自我调节学习 (SRL).
研究的目的:
- 通过使用迷你CEX和辅导来实施和评估直接观察和反模型.
- 目标是提高住户在快节奏诊所的自我效能.
主要方法:
- 进行了混合方法计划评估.
- 一个城市,服务不足的诊所的初级保健轨道居民参与了.
- 调查和叙事评估的定性分析评估了参与者的经验和自我效能.
主要成果:
- 该模型由教师和住院人员评估,但只有50%的观察完成.
- 在SRL框架内进行的接触前讨论促进了自我识别的疗效.
- 关键主题包括学习者主动,控制位置和适应性响应患者复杂性.
结论:
- 直接观察的遭遇前启动增强了SRL和自我有效性.
- 完成观测的挑战凸显了解决外部障碍的必要性.
- 未来的模型应该支持学习者克服这些障碍,以建立主动性和反应性.
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