在预职课程中,将临床演示与患者接触经验和社区活动相结合. 设计,实施和评估框架的一个例子
Asa Black1, Richard Goodwin1,2, Thomas I Nathaniel1
1School of Medicine Greenville, University of South Carolina, 701 Grove Rd, Greenville, SC 29605 USA.
早期医学教育整合了临床演示和患者互动,显著提高了学生的技能和感知. 这种课程增强提高了未来医生解决问题的能力和参与度.
科学领域:
- 医学教育 医学教育
- 课程开发 课程开发
- 临床技能培训 临床技能培训
背景情况:
- 医学院在培养职工前临床解决问题的技能方面面临着挑战.
- 需要创新的课程来增强医学学生的早期临床暴露.
研究的目的:
- 设计,实施和评估一个综合医学院课程.
- 评估临床演示活动,患者接触和社区计划对学生学习的影响.
主要方法:
- 在第一年引入临床介绍活动,结合患者接触经验和社区活动.
- 使用学生的t测试进行临床表现评估比较 (形成性与总结性).
- 通过测试前后的评估,评估患者互动和社区计划的影响.
主要成果:
- 临床表现活动在总结性评估中表现明显更高 (P < 0.01).
- 评估的可靠性得到证实,KR-20值在0.69到0.92.9之间.
- 医学学生报告说,他们对干预后经验的感知明显更高 (P <0.05).
结论:
- 综合课程提高了医学学生的临床解决问题的技能和参与度.
- 与患者和社区的直接互动提供了有价值的教育背景.
- 这种方法对未来医生的教育和发展产生了积极的影响.
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